https://gynopedia.org/w/api.php?action=feedcontributions&user=Lani314&feedformat=atomGynopedia - User contributions [en]2024-03-29T05:20:42ZUser contributionsMediaWiki 1.39.5https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186761United States of America2022-07-04T16:26:18Z<p>Lani314: /* What's available */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, contraceptive gels, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, rings, patches, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===Clinics===<br />
Since the clinic options vary by metropolitan area, here are some general guidelines when trying to find a provider:<br />
<br />
* [https://www.plannedparenthood.org/health-center Planned Parenthood Health Centers]: You can find a range of services at your local Planned Parenthood. They have health centers across the country, offering a range of contraceptives. They often have lower prices than if you go to a private hospital or clinic.<br />
* Feminist and women's clinics: You can usually find feminist and/or women's clinics in all metropolitan areas of the United States. These facilities often provide a range of services, including access to contraceptives, STI tests, gynecological exams, pregnancy care, abortion services (if legally permitted), and counseling. To find a clinic near you, type in "women's clinic" or "feminist clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* LGBTQ+ clinics: LGBTQ+ clinics often provide a range of free or low-cost services to the LGBTQ+ community, including access to condoms, STI tests, counseling, and crisis management. To find a clinic near you, type in "LGBT clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* Pharmacies: If you want to buy birth control that does not require a prescription, or if you have a prescription for birth control that can be purchases at pharmacies, you can visit your local pharmacy to attain the birth control. There are local pharmacy companies. There are also large chain stores with pharmacy services in the United States, such as CVS Health, Walgreens, Rite Aid, and Walmart.<br />
<br />
=== What's available ===<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref> <br />
* '''Spermicide''' or '''contraceptive gel''' are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). Depending on the brand, they are about 72% effective at preventing pregnancy. They need to be used with diaphragms or cervical caps in order to work effectively.<ref name=":5">https://www.plannedparenthood.org/learn/birth-control/spermicide</ref> Note that both diaphragms<ref>https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref> and cervical caps<ref>https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref> require a prescription. There is also a contraceptive gel called Phexxi that is about 86% effective at preventing pregnancy.<ref name=":5" /><ref>https://www.goodrx.com/phexxi/how-effective-is-phexxi</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables/shots''' (also known as Depo-Provera, the Depo shot, or DMPA) are available, but they require a prescription from a medical professional before you can attain them.<ref name=":8">https://www.plannedparenthood.org/learn/birth-control/birth-control-shot</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse. You have to remember to get a new shot every 12-13 weeks. Birth control shots are 91% effective at preventing pregnancy.<ref name=":8" /><br />
* '''Birth control implants''' (also known as Nexplanon) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse.<ref name=":9">https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon</ref> It lasts for 5 years, and it's 99% effective in preventing pregnancy.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' are available, but they require a prescription from a medical professional before you can attain them.<ref name=":32">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional. Both hormonal and non-hormonal brands are available in the US. The hormonal brands available are Mirena, Kyleena, Liletta, and Skyla.<ref name=":6">https://www.plannedparenthood.org/learn/birth-control/iud</ref> The non-hormonal (copper) brand available is Paragard. Depending on the brand, IUDs work for about 3-12 years. IUDs are 99% effective at preventing pregnancy.<ref name=":6" /> <br />
* '''Diaphragms''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Diaphragms are 88% effective at preventing pregnancy.<ref name=":10">https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref><br />
* '''Cervical caps''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Cervical caps are 71-86% effective at preventing pregnancy.<ref name=":11">https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref><br />
* '''Tubal sterilization''' (also known as "getting your tubes tied") is available, but it requires that you undergo surgery or a procedure with a medical professional. There are three types of tubal sterilization available in the United States: tubal litigation, bilateral salpingectomy, and essure sterilization. Generally, sterilization is a permanent decision, so you should only get it if you're sure that you never want to get pregnant for the rest of your life.<ref name=":12">https://www.plannedparenthood.org/learn/birth-control/sterilization</ref><br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Spermicide''' costs between 60 cents to $3 per dose, or $8-15 per kit. If you buy the Phexxi contraceptive gel, it's more expensive at $267.50 per a 12-box of applicators (if you have no insurance). If you do have health insurance coverage, the price should be much cheaper.<ref>https://www.goodrx.com/phexxi/fda-approves-phexxi-new-non-hormonal-birth-control</ref><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables''' can cost up to $150 per injection (which lasts for 12-13 weeks), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":8" /><br />
* '''Birth control implants''' can cost up to $1300 (which last for 5 years), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance, you can expect to pay $500-$1300 for an IUD.<ref name=":6" /><ref name=":7">https://www.healthline.com/health/birth-control/iud-cost#where-to-buy</ref> If you do have health insurance, the IUD should be low cost or free.<ref name=":6" /><ref name=":7" /><br />
* '''Diaphragms''' can cost up to $75 (if you do not have insurance). They can be low cost or free if you do have insurance.<ref name=":10" /><br />
* '''Cervical caps''' can cost up to $90 (if you do not have insurance). They can be low cost or free if you do have insurance.<ref name=":11" /><br />
* '''Tubal sterilization''' can cost up to $6000 (if you do not have insurance). It can be much cheaper if you do have insurance.<ref name=":12" /><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186760United States of America2022-07-04T16:19:46Z<p>Lani314: /* Clinics */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, contraceptive gels, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, rings, patches, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===Clinics===<br />
Since the clinic options vary by metropolitan area, here are some general guidelines when trying to find a provider:<br />
<br />
* [https://www.plannedparenthood.org/health-center Planned Parenthood Health Centers]: You can find a range of services at your local Planned Parenthood. They have health centers across the country, offering a range of contraceptives. They often have lower prices than if you go to a private hospital or clinic.<br />
* Feminist and women's clinics: You can usually find feminist and/or women's clinics in all metropolitan areas of the United States. These facilities often provide a range of services, including access to contraceptives, STI tests, gynecological exams, pregnancy care, abortion services (if legally permitted), and counseling. To find a clinic near you, type in "women's clinic" or "feminist clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* LGBTQ+ clinics: LGBTQ+ clinics often provide a range of free or low-cost services to the LGBTQ+ community, including access to condoms, STI tests, counseling, and crisis management. To find a clinic near you, type in "LGBT clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* Pharmacies: If you want to buy birth control that does not require a prescription, or if you have a prescription for birth control that can be purchases at pharmacies, you can visit your local pharmacy to attain the birth control. There are local pharmacy companies. There are also large chain stores with pharmacy services in the United States, such as CVS Health, Walgreens, Rite Aid, and Walmart.<br />
<br />
=== What's available ===<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref> <br />
* '''Spermicide''' or '''contraceptive gel''' are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). Depending on the brand, they are about 72% effective at preventing pregnancy. They need to be used with diaphragms or cervical caps in order to work effectively.<ref name=":5">https://www.plannedparenthood.org/learn/birth-control/spermicide</ref> Note that both diaphragms<ref>https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref> and cervical caps<ref>https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref> require a prescription. There is also a contraceptive gel called Phexxi that is about 86% effective at preventing pregnancy.<ref name=":5" /><ref>https://www.goodrx.com/phexxi/how-effective-is-phexxi</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables/shots''' (also known as Depo-Provera, the Depo shot, or DMPA) are available, but they require a prescription from a medical professional before you can attain them.<ref name=":8">https://www.plannedparenthood.org/learn/birth-control/birth-control-shot</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse. You have to remember to get a new shot every 12-13 weeks. Birth control shots are 91% effective at preventing pregnancy.<ref name=":8" /><br />
* '''Birth control implants''' (also known as Nexplanon) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse.<ref name=":9">https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon</ref> It lasts for 5 years, and it's 99% effective in preventing pregnancy.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' are available, but they require a prescription from a medical professional before you can attain them.<ref name=":32">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional. Both hormonal and non-hormonal brands are available in the US. The hormonal brands available are Mirena, Kyleena, Liletta, and Skyla.<ref name=":6">https://www.plannedparenthood.org/learn/birth-control/iud</ref> The non-hormonal (copper) brand available is Paragard. Depending on the brand, IUDs work for about 3-12 years. IUDs are 99% effective at preventing pregnancy.<ref name=":6" /> <br />
* '''Diaphragms''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Diaphragms are 88% effective at preventing pregnancy.<ref name=":10">https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref><br />
* '''Cervical caps''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Cervical caps are 71-86% effective at preventing pregnancy.<ref name=":11">https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref><br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Spermicide''' costs between 60 cents to $3 per dose, or $8-15 per kit. If you buy the Phexxi contraceptive gel, it's more expensive at $267.50 per a 12-box of applicators (if you have no insurance). If you do have health insurance coverage, the price should be much cheaper.<ref>https://www.goodrx.com/phexxi/fda-approves-phexxi-new-non-hormonal-birth-control</ref><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables''' can cost up to $150 per injection (which lasts for 12-13 weeks), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":8" /><br />
* '''Birth control implants''' can cost up to $1300 (which last for 5 years), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance, you can expect to pay $500-$1300 for an IUD.<ref name=":6" /><ref name=":7">https://www.healthline.com/health/birth-control/iud-cost#where-to-buy</ref> If you do have health insurance, the IUD should be low cost or free.<ref name=":6" /><ref name=":7" /><br />
* '''Diaphragms''' can cost up to $75 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":10" /><br />
* '''Cervical caps''' can cost up to $90 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":11" /><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186759United States of America2022-07-04T16:19:08Z<p>Lani314: /* Contraception (Birth Control) */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, contraceptive gels, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, rings, patches, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===Clinics===<br />
Since the clinic options vary by metropolitan area, here are some general guidelines when trying to find a provider:<br />
<br />
* [https://www.plannedparenthood.org/health-center Planned Parenthood Health Centers]: You can find a range of services at your local Planned Parenthood. They have health centers across the country, offering a range of contraceptives. They often have lower prices than if you go to a private hospital or clinic.<br />
* Feminist and women's clinics: You can usually find feminist and/or women's clinics in all metropolitan areas of the United States. These facilities often provide a range of services, including access to contraceptives, STI tests, gynecological exams, pregnancy care, abortion services (if legally permitted), and counseling. To find a clinic near you, type in "women's clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* LGBTQ+ clinics: LGBTQ+ clinics often provide a range of free or low-cost services to the LGBTQ+ community, including access to condoms, STI tests, counseling, and crisis management. To find a clinic near you, type in "LGBT clinic" + your city into a search engine as a starting point. You can also visit the Gynopedia page for your area to find local clinic options.<br />
* Pharmacies: If you want to buy birth control that does not require a prescription, or if you have a prescription for birth control that can be purchases at pharmacies, you can visit your local pharmacy to attain the birth control. There are local pharmacy companies. There are also large chain stores with pharmacy services in the United States, such as CVS Health, Walgreens, Rite Aid, and Walmart.<br />
<br />
=== What's available ===<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref> <br />
* '''Spermicide''' or '''contraceptive gel''' are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). Depending on the brand, they are about 72% effective at preventing pregnancy. They need to be used with diaphragms or cervical caps in order to work effectively.<ref name=":5">https://www.plannedparenthood.org/learn/birth-control/spermicide</ref> Note that both diaphragms<ref>https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref> and cervical caps<ref>https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref> require a prescription. There is also a contraceptive gel called Phexxi that is about 86% effective at preventing pregnancy.<ref name=":5" /><ref>https://www.goodrx.com/phexxi/how-effective-is-phexxi</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables/shots''' (also known as Depo-Provera, the Depo shot, or DMPA) are available, but they require a prescription from a medical professional before you can attain them.<ref name=":8">https://www.plannedparenthood.org/learn/birth-control/birth-control-shot</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse. You have to remember to get a new shot every 12-13 weeks. Birth control shots are 91% effective at preventing pregnancy.<ref name=":8" /><br />
* '''Birth control implants''' (also known as Nexplanon) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse.<ref name=":9">https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon</ref> It lasts for 5 years, and it's 99% effective in preventing pregnancy.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' are available, but they require a prescription from a medical professional before you can attain them.<ref name=":32">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional. Both hormonal and non-hormonal brands are available in the US. The hormonal brands available are Mirena, Kyleena, Liletta, and Skyla.<ref name=":6">https://www.plannedparenthood.org/learn/birth-control/iud</ref> The non-hormonal (copper) brand available is Paragard. Depending on the brand, IUDs work for about 3-12 years. IUDs are 99% effective at preventing pregnancy.<ref name=":6" /> <br />
* '''Diaphragms''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Diaphragms are 88% effective at preventing pregnancy.<ref name=":10">https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref><br />
* '''Cervical caps''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Cervical caps are 71-86% effective at preventing pregnancy.<ref name=":11">https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref><br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Spermicide''' costs between 60 cents to $3 per dose, or $8-15 per kit. If you buy the Phexxi contraceptive gel, it's more expensive at $267.50 per a 12-box of applicators (if you have no insurance). If you do have health insurance coverage, the price should be much cheaper.<ref>https://www.goodrx.com/phexxi/fda-approves-phexxi-new-non-hormonal-birth-control</ref><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables''' can cost up to $150 per injection (which lasts for 12-13 weeks), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":8" /><br />
* '''Birth control implants''' can cost up to $1300 (which last for 5 years), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance, you can expect to pay $500-$1300 for an IUD.<ref name=":6" /><ref name=":7">https://www.healthline.com/health/birth-control/iud-cost#where-to-buy</ref> If you do have health insurance, the IUD should be low cost or free.<ref name=":6" /><ref name=":7" /><br />
* '''Diaphragms''' can cost up to $75 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":10" /><br />
* '''Cervical caps''' can cost up to $90 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":11" /><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186758United States of America2022-07-04T16:04:23Z<p>Lani314: /* Contraception (Birth Control) */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, contraceptive gels, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, rings, patches, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===What to Get & Where to Get It===<br />
''No prescription required''<br />
<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref> <br />
* '''Spermicide''' or '''contraceptive gel''' are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). Depending on the brand, they are about 72% effective at preventing pregnancy. They need to be used with diaphragms or cervical caps in order to work effectively.<ref name=":5">https://www.plannedparenthood.org/learn/birth-control/spermicide</ref> Note that both diaphragms<ref>https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref> and cervical caps<ref>https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref> require a prescription. There is also a contraceptive gel called Phexxi that is about 86% effective at preventing pregnancy.<ref name=":5" /><ref>https://www.goodrx.com/phexxi/how-effective-is-phexxi</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables/shots''' (also known as Depo-Provera, the Depo shot, or DMPA) are available, but they require a prescription from a medical professional before you can attain them.<ref name=":8">https://www.plannedparenthood.org/learn/birth-control/birth-control-shot</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse. You have to remember to get a new shot every 12-13 weeks. Birth control shots are 91% effective at preventing pregnancy.<ref name=":8" /><br />
* '''Birth control implants''' (also known as Nexplanon) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional, such as a doctor or nurse.<ref name=":9">https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon</ref> It lasts for 5 years, and it's 99% effective in preventing pregnancy.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' are available, but they require a prescription from a medical professional before you can attain them.<ref name=":32">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional. Both hormonal and non-hormonal brands are available in the US. The hormonal brands available are Mirena, Kyleena, Liletta, and Skyla.<ref name=":6">https://www.plannedparenthood.org/learn/birth-control/iud</ref> The non-hormonal (copper) brand available is Paragard. Depending on the brand, IUDs work for about 3-12 years. IUDs are 99% effective at preventing pregnancy.<ref name=":6" /> <br />
* '''Diaphragms''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Diaphragms are 88% effective at preventing pregnancy.<ref name=":10">https://www.plannedparenthood.org/learn/birth-control/diaphragm</ref><br />
* '''Cervical caps''' are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. To work best, they must be used with spermicide. Cervical caps are 71-86% effective at preventing pregnancy.<ref name=":11">https://www.plannedparenthood.org/learn/birth-control/cervical-cap</ref><br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Spermicide''' costs between 60 cents to $3 per dose, or $8-15 per kit. If you buy the Phexxi contraceptive gel, it's more expensive at $267.50 per a 12-box of applicators (if you have no insurance). If you do have health insurance coverage, the price should be much cheaper.<ref>https://www.goodrx.com/phexxi/fda-approves-phexxi-new-non-hormonal-birth-control</ref><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''Birth control injectables''' can cost up to $150 per injection (which lasts for 12-13 weeks), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":8" /><br />
* '''Birth control implants''' can cost up to $1300 (which last for 5 years), if you do not have health insurance. They can also be free or low-cost if you do have insurance.<ref name=":9" /><br />
* '''IUDS (intra-uterine devices)''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance, you can expect to pay $500-$1300 for an IUD.<ref name=":6" /><ref name=":7">https://www.healthline.com/health/birth-control/iud-cost#where-to-buy</ref> If you do have health insurance, the IUD should be low cost or free.<ref name=":6" /><ref name=":7" /><br />
* '''Diaphragms''' can cost up to $75 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":10" /><br />
* '''Cervical caps''' can cost up to $90 (if you do have insurance). They can be low cost or free if you do have insurance.<ref name=":11" /><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186757United States of America2022-07-04T15:20:22Z<p>Lani314: /* What to Get & Where to Get It */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===What to Get & Where to Get It===<br />
''No prescription required''<br />
<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref> <br />
* '''Spermicide''' or '''contraceptive gel''' are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). Depending on the brand, they are about 72% effective at preventing pregnancy. They need to be used with diaphragms and cervical caps in order to work effectively.<ref name=":5">https://www.plannedparenthood.org/learn/birth-control/spermicide</ref> There is also a contraceptive gel called Phexxi that is about 86% effective at preventing pregnancy.<ref name=":5" /><ref>https://www.goodrx.com/phexxi/how-effective-is-phexxi</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''IUDS (intra-uterine devices)''' are available, but they require a prescription from a medical professional before you can attain them.<ref name=":32">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. You will also need to have the insertion performed by a medical professional. Both hormonal and non-hormonal brands are available in the US. The hormonal brands available are Mirena, Kyleena, Liletta, and Skyla.<ref name=":6">https://www.plannedparenthood.org/learn/birth-control/iud</ref> The non-hormonal (copper) brand available is Paragard. Depending on the brand, IUDs work for about 3-12 years. IUDs are 99% effective at preventing pregnancy.<ref name=":6" /> <br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Spermicide''' costs between 60 cents to $3 per dose, or $8-15 per kit. If you buy the Phexxi contraceptive gel, it's more expensive at $267.50 per a 12-box of applicators (if you have no insurance). If you do have health insurance coverage, the price should be much cheaper.<ref>https://www.goodrx.com/phexxi/fda-approves-phexxi-new-non-hormonal-birth-control</ref><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
* '''IUDS (intra-uterine devices)''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance, you can expect to pay $500-$1300 for an IUD.<ref name=":6" /><ref name=":7">https://www.healthline.com/health/birth-control/iud-cost#where-to-buy</ref> If you do have health insurance, the IUD should be low cost or free.<ref name=":6" /><ref name=":7" /><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186756United States of America2022-07-04T15:04:11Z<p>Lani314: added more info to the contraceptive section</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide & contraceptive gel, sponge<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, injectable, implant, patch, vaginal ring, IUD<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms, spermicide, and the birth control sponge are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===What to Get & Where to Get It===<br />
''No prescription required''<br />
<br />
* '''Condoms''' (external and internal) are available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). External condoms are about 85% effective at preventing pregnancy, if used correctly.<ref name=":0">https://www.plannedparenthood.org/learn/birth-control/condom</ref> Internal condoms (also called "female condoms") are about 79% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/internal-condom</ref><br />
* The '''birth control sponge''' is available over-the-counter at drug stores and pharmacies (i.e., no prescription is required). It is about 76-88% effective at prevent pregnancy, if it is used properly. It needs to be inserted before sex. It can be used by itself or with a condom.<ref name=":1">https://www.plannedparenthood.org/learn/birth-control/birth-control-sponge</ref> The main brand for brith control sponge that is sold in the United States is [http://www.todaysponge.com/ Today Sponge].<ref name=":1" /><br />
<br />
''Prescription required''<br />
<br />
* '''Birth control pills''' (combination pills and progestin-only pills) are available, but they require a prescription from a medical professional before you can attain them. This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. Birth control pills are about 91% effective in preventing pregnancy.<ref name=":2">https://www.plannedparenthood.org/learn/birth-control/birth-control-pill</ref><br />
* '''Birth control rings''' (also known as the "vaginal ring') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3">https://www.plannedparenthood.org/learn/birth-control/birth-control-vaginal-ring-nuvaring</ref> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are NuvaRing (which lasts for 5 weeks) and Annovera (which lasts for 1 year, or about 13 cycles).<ref name=":3" /> Birth control rings are 91% effective at preventing pregnancy.<ref name=":3" /><br />
* '''Birth control patches''' (also known as the "transdermal contraceptive patch') are available, but they require a prescription from a medical professional before you can attain them.<ref name=":3" /> This means that you need to visit a medical facility, such as a clinic or doctor's office, and you may need to have a general check-up before you get the prescription. The two main brands available in the US are Xulane patch and the Twirla patch. People typically wear the patch on their belly, butt, or back. Birth control patches are about 91% effective at preventing pregnancy.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
<br />
===Costs===<br />
<br />
* '''Condoms''' cost about $2 per condom in the United States, as of 2022. You can also find nonprofits and organizations that provide free condoms. If you buy condoms by the box, it may be cheaper than buying them individually.<ref name=":0" /><br />
* The '''birth control sponge''' costs about $15 for a 3-pack, as of 2022.<ref name=":1" /><br />
* '''Birth control pills''' can range considerably in cost, depending on the pill brand and your insurance coverage (if any). The average price for a 1-month supply of pills is around $50, but you can also sometimes get pills for free.<ref name=":2" /> In terms of the price range, you can expect to pay between $22-$84, roughly speaking.<ref>https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control</ref> Some brands, like Sprintec and Enskyce, can run under $30 per 1-month supply. The more expensive brands include Apri ($84 per month) and Drospirenone/Ethinyl Estradiol ($79 per month). <br />
* '''Birth control rings''' vary in cost, depending on the brand and your insurance coverage (if any). For Nuvaring, the cost is about $200 per 1-month ring (without insurance coverage).<ref name=":3" /><ref name=":4">https://modernfertility.com/blog/vaginal-ring-side-effects-effectiveness-and-cost/</ref> For Annovera, the cost is about $2,098 per 1-year ring (without insurance coverage).<ref name=":4" /> If you have insurance, the prices can be considerably cheaper. You can also get birth control rings for free at some places.<ref name=":3" /><br />
* '''Birth control patches''' vary in cost, depending on the brand and your insurance coverage (if any). If you don't have insurance coverage, you can expect to pay around $55 per month,<ref>https://www.bedsider.org/questions/2112-how-much-does-the-patch-cost</ref> but costs can be higher. Generally, a 3-pack of the patch (which usually lasts for 1 month) ranges in price from $0-150. If you have health insurance or quality for a government health program, the patch is often free.<ref>https://www.plannedparenthood.org/learn/birth-control/birth-control-patch/how-do-i-get-birth-control-patch#:~:text=One%20pack%20of%20patches%20can,a%20prescription%20for%20the%20patch.</ref><br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186755United States of America2022-07-04T14:10:56Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, spermicide<br />
|-<br />
|'''Contraception: Prescription required)'''<br />
|pills, IUD, injectable, implant<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
Contraceptives (hormonal and non-hormonal) are available in the United States of America, but many forms require a prescription. Generally, condoms and spermicide are available over-the-counter at drug stores and pharmacies without a prescription. However, for contraceptive pills, injectables, implants, or IUDs a prescription is usually required. Pills can usually be attained in a drug store or pharmacy after receiving a prescription. IUDs, injectables, or implants usually require that the person comes into a clinic or medical facility to receive the contraception.<br />
<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186754United States of America2022-07-04T14:06:23Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:American Flag Waving on a Flag Pole.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, pills, patch IUD<br />
|-<br />
|'''Contraception: Hospital/Clinic'''<br />
|IUD insertion, injectable, implant<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required<br />
|-<br />
|'''STIs'''<br />
| testing available; no travel restrictions<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law determined by state; legal in some states & illegal or highly restricted in other states<br />
|-<br />
|'''LGBTQ Laws'''<br />
|homosexuality legal<br />
|-<br />
|'''Related Pages'''<br />
|see [[Gynopedia Index]] for full list of state and city pages<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
==Contraception (Birth Control) ==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
=== Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It ===<br />
====Testing Facilities====<br />
====Treatment & Support ====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
=== What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=File:American_Flag_Waving_on_a_Flag_Pole.jpg&diff=186753File:American Flag Waving on a Flag Pole.jpg2022-07-04T14:05:21Z<p>Lani314: Photo by Noah Wulf on Wikinmedia Commons: https://commons.wikimedia.org/wiki/File:American_Flag_Waving_on_a_Flag_Pole.jpg</p>
<hr />
<div>== Summary ==<br />
Photo by Noah Wulf on Wikinmedia Commons: https://commons.wikimedia.org/wiki/File:American_Flag_Waving_on_a_Flag_Pole.jpg</div>Lani314https://gynopedia.org/w/index.php?title=United_States_of_America&diff=186752United States of America2022-07-04T14:01:02Z<p>Lani314: added template to usa page</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
}}'''OVERVIEW'''<br />
==Contraception (Birth Control)==<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Emergency Contraception (Morning After Pill)==<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
====Testing Facilities====<br />
====Treatment & Support====<br />
===Costs===<br />
==Medications & Vaccines==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Menstruation==<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Gynecological Exams==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Pregnancy==<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Abortion==<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
===Laws & Social Stigmas===<br />
===What to Get & Where to Get It===<br />
===Costs===<br />
==Advocacy & Counseling==<br />
==LGBTQ+ Resources==<br />
==Additional Resources==<br />
==References==<br />
<references />{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=usa, america, united states of america, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in the United States of America.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Alabama&diff=186751Alabama2022-07-03T20:16:04Z<p>Lani314: /* Abortion */ added info to section</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Alabama<br />
}}<br />
<br />
'''OVERVIEW''' <br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
====Testing Facilities====<br />
<br />
====Treatment & Support====<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. <br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
Abortion in Alabama is generally illegal.<ref name=":0">https://casetext.com/statute/code-of-alabama/title-26-infants-and-incompetents/chapter-23h-the-alabama-human-life-protection-act/section-26-23h-4-abortion-prohibited-exception</ref> The only exception to this rule is when a physician, who is licensed in the state of Alabama, determines that an abortion is necessary to prevent "...a serious health risk to the unborn child's mother."<ref name=":0" /> In this case, a secondary opinion from another physician will also need to be attained in writing within 180 days of the abortion procedure, unless there is a medical emergency.<ref name=":0" /> Before the abortion procedure can be performed, the patient needs to receive counseling that discourages abortion and wait for 48 hours before the procedure can occur.<ref name=":1">https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-alabama</ref> If the patient is a minor, their parent or guardian must consent to the abortion.<ref name=":1" /> Telemedicine for abortion medication is not allowed.<ref name=":1" /><br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
* If someone is getting a legal abortion due to a "serious health risk," they can have the procedure covered by the Alabama health exchange under the Affordable Care Act.<ref name=":1" /><br />
<br />
==Advocacy & Counseling==<br />
<br />
==LGBTQ+ Resources==<br />
<br />
==Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=alabama, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in Alabama.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Alabama&diff=186750Alabama2022-07-03T19:46:25Z<p>Lani314: created alabama (state) page</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Alabama<br />
}}<br />
<br />
'''OVERVIEW''' <br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
====Testing Facilities====<br />
<br />
====Treatment & Support====<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. <br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Advocacy & Counseling==<br />
<br />
==LGBTQ+ Resources==<br />
<br />
==Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=alabama, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive, and women's health care in Alabama.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Seattle&diff=186749Seattle2022-06-25T23:02:27Z<p>Lani314: added infobox</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Washington<br />
|City=Seattle<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Sunset seattle.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
<br />
By American standards, Seattle is a progressive, LGBTQ-friendly city with many health care options. However, like all US cities, there are still some hurdles to consider when accessing health care, and certain clinics or health care providers will provide more sensitized services than others. If you want most long-lasting or hormonal birth control options, like pills, injectables or an IUD, you'll need a prescription. If you don't have a prescription yet, you can obtain one through an in-person visit to a health care provider, or you can obtain a prescription online (through certain apps). If you want emergency contraception, it can be found at certain markets, like Safeway, or clinics, like Planned Parenthood. No prescription is required. If you need to get an STI test, there are many facilities that provide low-cost and even free tests in Seattle. You should be aware that certain facilities require appointments to be scheduled in advance, while others accept people on a drop-in basis. If you need a gynecological exam, we recommend you visit the "Gynecological Exams" section below. In that section, we also have a link to a database of health care providers that have experience working with transgender patients. Abortion is legal and there are no major restrictions, such as wait periods or parental involvement (which can be found in other US states).<br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Washington State, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide). You can obtain a birth control prescription regardless of your age and, if you're a minor (under 18 years old), parental or guardian permission is not required.<ref>[https://depts.washington.edu/hcsats/PDF/guidelines/Minors%20Health%20Care%20Rights%20Washington%20State.pdf Providing Health Care to Minors under Washington Law: A summary of health care services that can be provided to minors without parental consent]</ref> <br />
<br />
You can find birth control options at many health care facilities, including private clinics and public clinics. Some people choose to go to Title X clinics. These clinics are completely confidential, which means that your appointment and billing will be confidential. Furthermore, Title X clinics charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills. You should contact the clinic you plan to visit to learn more about billing details.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can get '''condoms''' in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area. In Seattle, you can also find free condoms at Planned Parenthood (multiple locations), NARAL Pro-Choice Washington, Babes Network - YWCA, Eastgate Public Health Center, Seattle Central Community College, Seattle Counseling Services and many other locations. To see a comprehensive map of where free condoms are available in Seattle and surrounding areas, click [https://www.google.com/maps/d/viewer?mid=1Uudr41qv3y81G5Hm7U6l-6wcN7k&hl=en_US&ll=47.598603010283384%2C-122.25287800000001&z=9 here].<br />
* If you want '''hormonal or long-lasting birth control''', like '''pills, IUDS, shots or implants''', in Seattle, you'll need to have a prescription. If you don't have a prescription, you'll need to typically schedule an appointment with a health care provider to get a prescription. If you need a low-cost appointment option, you can either get a prescription online or at a clinic. If you want to get a prescription online, you can check out websites like [https://www.lemonaidhealth.com/ Lemonaid Health], [https://app.nurx.com/ nurx], [https://www.plannedparenthood.org/get-care/get-care-online Planned Parenthood CARE] and [https://www.prjktruby.com/ PRJKT RUBY]. You can also visit local clinics, many of which provide low-cost, confidential and LGBTQ-sensitive services. Here are some options below:<br />
** [http://www.cedarriverclinics.org/birth-control/ Cedar River Clinics]: This is a Title X and LGBTQ-friendly clinic that is run by the Feminist Women’s Health Center (FWHC). They've been providing care for over 30 years. They can typically give you a discounted rate and, if you live in Washington State, you may even qualify to get free care from them through [https://www.wahealthplanfinder.org/_content/Homepage.html?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2F_content%2FHomepage.html&request_id=5541800201484018063&locale=en_US&resource_url=https%253A%252F%252Fwww.wahealthplanfinder.org%252FHBEWeb%252F Washington Apple Health Coverage]. They provide IUDs, birth control pills and other options. You can walk-in to get emergency contraception (the morning after pill) or refill your birth control. To schedule an appointment, call 800-572-4223. Phones Answered Monday-Friday 8:00AM-5:00PM and Saturdays 9:00AM-2:00PM. Their Seattle location is at 509 Olive Way #1454 509 Olive Way #1454, Seattle, WA 98101. They also have locations in Renton and Tacoma.<br />
** [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810 Planned Parenthood]: As the leading reproductive and sexual health provider in the US, Planned Parenthood has been providing low-cost services to men, women and teens for decades. They have trained professionals who understand LGBTQ-sensitive services, and they can provide a variety of birth control methods, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, fertility awareness method, IUD (hormonal), IUD (copper), spermicide and sterilization for men (vasectomy). Medicaid accepted. There are multiple PP locations in Seattle, including the following: <br />
*** Location 1 -Seattle Health Center: Address: 2001 E Madison, Seattle, WA 98122. Phone: 800-769-0045. <br />
*** Location 2 - First Hill Health Center: Address: 1229 Madison Street, Suite 1040, Seattle, WA, 98104. Phone: (800) 769-0045<br />
** [http://www.neighborcare.org/ Neighborcare Health]: They're the largest provider of medical care to uninsured and low-income families and individuals in the Seattle area, and they have multiple locations in the Seattle area. Aside from general and women's health services, Neighborcare also has a Homeless Youth Clinic (HYC), free Nurse Advice Line for all patients and midwifery services. Click [http://www.neighborcare.org/clinics here] to see their clinic locations. To learn about free or low-cost insurance, call 206-548-3013 or email enrollment@neighborcare.org<br />
** [http://www.swedish.org/ Swedish Family Medicine]: This clinic has been open since 1910, and they aim to help people of "all ethnic backgrounds and financial situations." The clinic has many birth control options available, including IUDs and implants. They have multiple locations in places like Ballard, Cherry Hill, Edmonds and First Hall, so visit their website to find all of their locations.<br />
** [http://www.countrydoctoryouthclinic.org/ Country Doctor Youth Clinic]: This is a walk-in clinic for youth (ages 12-23) who have unstable housing situations and need medical help. They provide medications, including contraception, for no cost at their clinic, which is open certain nights of the week. The hours and location of their walk-in clinic sometimes changes, so you should check their website for the most updates information. For general information, call this number: (206) 299-1636.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Females and males, no matter their age, can buy Plan B One-Step, Next Choice, My Way or any other Levonorgestrel emergency contraceptive without a prescription even if the label indicates that the end user should be 17 or older. You do not need to show anyone your ID or have your age verified in order to purchases these products. If you want the ella pill, you'll need a prescription (regardless of age) but pharmacists may be able to directly provide that prescription for you without you needing to go to a clinic. Contact your pharmacy to see if they can prescribe emergency contraception, including ella, for you. Getting a prescription for these products, even if they are normally sold over the counter, may provide 100% insurance coverage - without a copay or deductible.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Seattle, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way at supermarkets (like Safeway), pharmacies and clinics (like Planned Parenthood). Here's an [http://slog.thestranger.com/2008/04/where_to_get_the_morning_after_pillarticle on finding emergency contraception in Seattle]. Below, we've provided a breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
There are many places to get STI tests in Seattle, and the list below only includes some of the places (with a focus on cheap or free testing). For a more extensive list of low-cost or free STI testing facilities in the Seattle area, click [https://www.stdtestexpress.com/free-std-testing-seattle-wa/ here].<br />
<br />
* [http://www.sasgcc.org/testing-u-test U-TEST]: You can get free, anonymous HIV rapid tests from the medical students from the University of Washington. This service is a collaboration between the UW School of Medicine, Seattle Area Support Groups, & King County Public Health. Hours & Location: Tuesdays & Thursdays 6:00-8:00. Walk-Ins Welcome. Address: 115 15th Ave E. Suite 201, Seattle WA, 98112<br />
* [http://www.lifelong.org/sexual-health-testing Lifelong]: You can get a free HIV rapid test. Call ahead number for free testing at Lifelong: (206) 957-1690. They have two testing locations: Location 1 is Lifelong Office - Capitol Hill1016 E. Pike Street, 3rd Floor, Seattle, WA 98122. Location 2 - Lifelong Thrift Store - 312 Broadway Avenue E., Seattle WA 98102.<br />
* [https://gettested.cdc.gov/organizations/public-health-seattle-and-king-county-3 Public Health-Seattle and King County - STD Clinic at Harborview Medical Center]: You can get low-cost STI testing and vaccination services, including Hepatitis B Vaccine, Chlamydia Test, Conventional HIV Blood Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test, Gonorrhea Test, Herpes Test, Hepatitis A Vaccine, Hepatitis B Test and Hepatitis C Test. No person will be denied service for inability to pay. They also distribute free condoms. Address: 908 Jefferson St, 11th Floor, Seattle, WA 98104. Phone Number: 206-744-3590<br />
* [https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaiian-islands Planned Parenthood]: You can get low-cost STI testing and vaccination services, including Chlamydia Test, Gonorrhea Test, HPV, Vaccine, Herpes Test, Rapid HIV Blood Test, Syphilis Test. If you're low-income, you may qualify for a state-funded program or a lower fee scale. Your fees are based on your income. They have multiple locations in the Seattle area, including the primary Seattle city location (1229 Madison St, Seattle, WA 98104), so check the website for location details. There are no walk-ins, so you'll need to schedule an appointment in advance. Call 800-230-7526.<br />
* [https://www.gaycity.org/testing/ Gay City at Out of the Closet]: Anyone is eligible for HIV tests, which are done on a walk-in basis only (no appointments). Hours: Monday - Saturday,11am - 7pm; Thursday, 3pm - 7pm. Address: 1016 E Pike [Pike and 11th], Seattle, WA 98122<br />
* [https://www.gaycity.org/testing/ Gay City Wellness Center]: HIV and STI testing for gay men, bi men and transgender individuals. Se habla español. The fees are donation-based (pay what you can). To schedule an appointment, please call (206) 860-6969 or stop by during business hours. Due to high demand, making an appointment is recommended. Hours: Monday – Friday, 3:00pm – 8:00pm; Saturdays, 12:30pm – 5:00pm. Address: Gay City Health Project, 517 E. Pike [Pike & Belmont], Seattle, WA 98122.<br />
* [http://www.multi-culturalhealth.org/programs_svcs/aatpbrotherslink.htm Center for Multicultural Health]: This organization provides testing for gay/bisexual/same gender loving African American men. To find out more info, contact @ (206) 461-6910 ext 212, email: austin@cschc.org<br />
* [http://entrehermanos.org/hiv-prevention/ Entre Hermanos]: Free testing with a focus on the Latino community. "Every Monday from 1:00 to 4:30 p.m. we offer testing that is quick, easy and confidential. Our testing is offered by bilingual staff that is culturally friendly to Latinos. We offer a $20 cash incentive to Latino men who have sex with men (MSM) to encourage them to receive an HIV test. We also offer the Ora-Quick In Home Test Kit that you can take, and use in the privacy of your home." Phone: (206) 322-7700. Email: info@entrehermanos.org. Address: 1105 23rd Ave., Seattle, WA 98122.<br />
<br />
===Support===<br />
<br />
* [http://www.babesnetwork.org/ BABES Network - YWCA]: "BABES Network-YWCA is a peer education and support program for women living with HIV; a sisterhood of women facing HIV together. BABES was started by a group of HIV positive women in Seattle, Washington who came together to share information, experiences and support." Address: 1118 5th Ave, Seattle, WA 98101. Phone: (206) 720-5566.<br />
* [http://www.lifelong.org/ Lifelong]: Lifelong provides meals, community support and resources for people living with HIV/AIDS.<br />
* [https://www.gaycity.org/ Gay City: Seattle's LGBTQ Center]: This community center provides HIV testing, support and resources. <br />
* [http://www.baileyboushay.org/ Bailey-Boushay House]: "Bailey-Boushay was founded as a way to address the housing and health care needs of people living with AIDS. Today, Bailey-Boushay continues to serve AIDS/HIV patients as well as those with other chronic illnesses s ch as ALS, also known as Lou Gehrig's disease."<br />
* [http://www.hepeducation.org/ Hepatitis Education Project (HEP)]: "The Hepatitis Education Project (HEP) is a nonprofit organization dedicated to ending the epidemics of hepatitis C and hepatitis B. Founded in 1993, HEP works with patients, medical providers, public health and policymakers, and provides direct services and advocacy for some of the community’s most underserved and marginalized populations." Address: 1621 South Jackson Street, Suite 201, Seattle, WA 98144. Phone: (206) 732-0311 or (800) 218-6932.<br />
* [http://www.uwmedicine.org/locations/hepatitis-and-liver-harborview Hepatitis and Liver Clinic at Harborview]: The Hepatitis and Liver Clinic at Harborview specializes in the evaluation and treatment of patients with chronic hepatitis B and C infections and other chronic liver diseases.<br />
* [https://www.meetup.com/Seattle-H-Scene/?_cookie-check=f_44ReAbysq4TiTH Seattle H Scene]: "Seattle H Scene is a social group for people with genital herpes (HSV1, HSV2) and HPV who live in Western Washington."<br />
* [https://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/HumanPapillomavirusHPV HPV Information from Washington Department of Health]: This website provides information on HPV for Washington residents, including basic HPV information, vaccination information, etc.<br />
* [http://syphilisinseattle.com/ Syphilis in Seattle]: This is an informational website on syphilis (testing, cure, etc) for residents of Seattle.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can access Pre-Exposure Prophylaxis (PrEP) in the Seattle area, including at Bellevue Family Medicine, Planned Parenthood, Country Doctor CHC, Downtown Public Health Center and many more locations. For a complete list of PrEP providers in Seattle, click [http://www.kingcounty.gov/healthservices/health/communicable/hiv/prevention/~/media/health/publichealth/documents/hiv/For-Patient-PrEP-Providers-List.ashx here] or [http://endaidswashington.org/getprep/ here]. You can also view a map with PrEP providers in Seattle [http://www.kingcounty.gov/depts/health/communicable-diseases/hiv-std/patients/pre-exposure-prophylaxis.aspx here].<br />
* You can access Post-exposure prophylaxis (PEP) in Seattle at many locations, including Harborview Medical Center (Address: 325 9th Ave, Seattle, WA 98104) during business hours (M-F, 8am-5pm); call 206-744- 4377. After hours, go to Harborview Emergency Department. For more details, click [http://www.kingcounty.gov/depts/health/communicable-diseases/hiv-std/patients/post-exposure-prophylaxis.aspx here].<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can '''pads/pantyliners''' and '''tampons''' in most convenience stores, drug stores and supermarkets, such as Walgreen's, Rite Aid and Safeway.<br />
* You can get '''menstrual cups''' in many stores in Seattle. You can also get the Lunette Menstrual Cup through Planned Parenthood in Seattle. Click [https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaiian-islands/campaigns/lunette-menstrual-cup here] for more details.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
''Note:'' For transgender patients, we recommend that you check out the [http://ingersollgendercenter.org/what-we-do/health-care-providers Health Care Providers Directory] from the Ingersoll Gender Center. You'll find recommended health care providers who have been trained to work with or have experience working with transgender patients.<br />
<br />
* [http://www.cedarriverclinics.org/ Cedar River Clinics]: This is a Title X and LGBTQ-friendly clinic that is run by the Feminist Women’s Health Center (FWHC). They've been providing care for over 30 years. They can typically give you a discounted rate and, if you live in Washington State, you may even qualify to get free care from them through [https://www.wahealthplanfinder.org/_content/Homepage.html?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2F_content%2FHomepage.html&request_id=5541800201484018063&locale=en_US&resource_url=https%253A%252F%252Fwww.wahealthplanfinder.org%252FHBEWeb%252F Washington Apple Health Coverage]. They provide annual well-woman exams, which include the following: Physical Exam, Free Pregnancy Tests, Screening for breast cancer, cervical cancer, and ovarian cancer, Screening for sexually transmitted infections (STIs)m Treatment for vaginal infections, bladder infection and sexually transmitted infections, Answers to your questions about sexual health, A wide range of birth control options. To schedule an appointment, call 800-572-4223. Phones Answered Monday-Friday 8:00AM-5:00PM and Saturdays 9:00AM-2:00PM. Their Seattle location is at 509 Olive Way #1454 509 Olive Way #1454, Seattle, WA 98101. They also have locations in Renton and Tacoma.<br />
* [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810 Planned Parenthood]: As the leading reproductive and sexual health provider in the US, Planned Parenthood has been providing low-cost services to men, women and teens for decades. They have trained professionals who understand LGBTQ-sensitive services. Their women's health exams include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, fibroids evaluation, hormone replacement therapy, incontinence education, infertility education, mammogram referrals, menopause and midlife – testing and treatment, Pap test, urinary tract infections – testing and treatment, vaginal infections – testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon; HPV Test.<br />
** Location 1 -Seattle Health Center: Address: 2001 E Madison, Seattle, WA 98122. Phone: 800-769-0045. <br />
** Location 2 - First Hill Health Center: Address: 1229 Madison Street, Suite 1040, Seattle, WA, 98104. Phone: (800) 769-0045<br />
* [http://www.neighborcare.org/ Neighborcare Health]: They're the largest provider of medical care to uninsured and low-income families and individuals in the Seattle area, and they have multiple locations in the Seattle area. Aside from general and women's health services, Neighborcare also has a Homeless Youth Clinic (HYC), free Nurse Advice Line for all patients and midwifery services. Click [http://www.neighborcare.org/clinics here] to see their clinic locations. To learn about free or low-cost insurance, call 206-548-3013 or email enrollment@neighborcare.org<br />
* [http://www.sihb.org/ Seattle Indian Health Board]: This clinic focuses on helping urban American Indian and Alaska Native population in the greater Seattle/King County area. They provide women's health examinations and screenings. Services are available by appointment by calling (206) 324-9360. For more immediate care, services are available on a walk-in basis. Clinic hours are 9:00 a.m. to 6:00 p.m. Monday through Friday. A walk-in clinic is also available Saturday from 9:00 a.m. to 2:00 p.m. Address: 611 - 12th Avenue South, Seattle, WA 98144.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States. However, the Paid Parental Leave policy of Seattle may close some of these loopholes. In Seattle, if you've been in a position for at least 6 months, and if the position is regularly appointed position and/or temporary benefits-eligible, you're eligible for parental leave when you experience the birth of a child, placement of a child for adoption, placement of a child for foster care, placement of a child for legal guardianship.<ref>[http://www.seattle.gov/personnel/benefits/PaidParentalLeave.asp City of Seattle - Paid Parental Leave]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in the state of Washington.<ref>https://doh.wa.gov/you-and-your-family/sexual-and-reproductive-health/abortion</ref> Furthermore, restrictions, such as waiting periods, parental involvement for minors or limitations on public funding, are not present. This means that, in Washington, abortions can be generally obtained without significant legal issues.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-washington State Facts About Abortion: Washington, July 2017]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810/abortion Planned Parenthood]: You can get: abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed.Abortion services may be covered by your insurance. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit.<br />
* [http://www.smawc.com/ Trust Women]: They provide non-surgical medication abortions - (available if less than 10 weeks), surgical Abortions - (available between five to 15.2 weeks). "We are an independently operated, woman-owned, woman-run abortion clinic." Call for an appointment: 1-800-522-0606 / 206-625-0202. Address: 1325 4th Ave Suite 1240, Seattle, WA 98101. Phone: (206) 625-0202.<br />
* [http://www.awcseattle.com/ All Women's Care]: They offer abortions for up to 26 weeks of pregnancy. Options: First Trimester Procedures (up to 12th week of pregnancy) - "The procedure used is suction aspiration, which is considered very low-risk. We offer a variety of options to manage your pain relief and comfort. Most of our patients report that they feel no discomfort during the procedure" Second Trimester Procedures (13 - 26 weeks) - "The procedure used is suction aspiration and dilation and evacuation, which are also considered very low-risk. We offer a variety of options to manage your pain relief and comfort. Most of our patients report that they feel no discomfort during the procedure." Address: 9730 3rd Ave NE #200, Seattle, WA 98115. Phone: (206) 985-9553.<br />
* [http://www.cedarriverclinics.org/abortion/ Cedar River Clinic]: "In the first trimester [before 12 weeks], two options are available: Aspiration abortion is done by a physician in our clinic or the Abortion Pill which you take at home. In the second trimester [after 12 weeks], Dilation and Evacuation (D&E) is used for abortions beyond 15 weeks. It is done by a physician in our clinic. Sedation is available." Call us 800-572-4223 for a free appointment for unbiased non-judgmental Options Counseling. Also, Backline offers you an opportunity to talk on the phone about pregnancy, parenting, abortion, adoption at 888-493-0092.<br />
<br />
<br />
'''Important Notes:''' <br />
* If you want a referral to an abortion provider, if you need help paying for your abortion, if you need transportation to/from an abortion provider, or if you need a place to stay when you travel to obtain an abortion, you should consider contacting the toll-free CAIR Hotline (888-644-CAIR). This hotline is associated with the National Network of Abortion Funds (NNAF) and covers people in Washington, Oregon, Idaho and Alaska.<br />
* Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, you can call the toll-free CAIR Hotline (888-644-CAIR) or tthe National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). These hotline can tell you where and how to get financial help for an abortion in the U.S. <br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* WithinReach Hotline: 1-800-322-2588.<br />
* Consumer Assistance Line: 1-800-525-0127 (statewide only).<br />
* Washington State HIV/AIDS Message Line 1-800-272-AIDS (2437).<br />
* Washington State Domestic Violence Hotline 1-800-562-6025.<br />
* Abused Deaf Women's Services Hotline: Local 206-812-1001; National 1-855-812-1001<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* [http://northwestfamilylife.org/ Northwest Family Life]: This Seattle-based organization provides services to people dealing with domestic violence, including counseling, survivor services, intervention, treatment, etc. You can reach the office by phoning (206) 363-9601 or send a fax to (206) 363-9639. A 24-hour crisis line is also available by dialing 1-800-244-5767. You can visit in person too. Address: 12360 Lake City Way NE, Suite 420, Seattle, WA<br />
* The [Seattle Indian Health Board] works on addressing domestic violence issues in the urban American Indian and Alaska Native community. They can help you with safety planning, locating shelters, obtaining restraining orders and emergency help. Services are available by calling (206) 324-9360 or by walk-in. For emergencies and 24-hour phone crisis intervention for sexual assault victims, the King County Sexual Assault Resource Center can be reached at 1-888-998-6423.<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* [http://novahs.seattleschools.org/cms/One.aspx?portalId=4783&pageId=26431877 Trans Resource Center at Nova]: This is a community resource to provide clothing, resources and support to transgender students, including students who do and don't attend Nova High School.<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://nowseattle.org/ National Organization for Women (NOW) - Seattle]: "For 35 years Seattle NOW has not strayed from the commitment made by our founding mothers to pushing buttons, breaking barriers and opening doors for women and girls." Address - 3720 Airport Way S. Seattle, WA 98134. Phone: 206-632-8547 (Message Only). E-mail: nowseattle@gmail.com.<br />
* [https://www.rewa.org/ Refugee Women's Alliance]: "Refugee Women’s Alliance (ReWA) is an award-winning, nationally recognized nonprofit that provides holistic services to help refugee and immigrant women and families thrive." Address: 4008 Martin Luther King, Jr. Way South, Seattle, WA 98108. Tel: 206.721.0243, WA Telecommunications Relay: 7-1-1, Fax: 206.721.0282.<br />
* [http://www.jwcenter.org/ Jubilee Women's Center]: "Jubilee Women’s Center opened its doors in 1983 to offer Seattle-area women experiencing poverty and homelessness an alternative to emergency shelters. Jubilee’s transitional and longer-term housing program and on-site services gave women the time and support to stabilize, heal, and make positive life changes."<br />
* [http://www.adwas.org/ Abused Deaf Women's Services]: "Abused Deaf Women’s Advocacy Services empowers Deaf and DeafBlind survivors of domestic violence, sexual assault and harassment to transform their lives, while striving to change the beliefs and behaviors that foster and perpetuate violence. We provide comprehensive services to individuals and families, community education, and advocacy on systems and policy issues."<br />
* [http://ingersollgendercenter.org/ Ingersoll Gender Center]: "Ingersoll is one of the oldest organizations of, by and for transgender and gender diverse in the United States. Officially formed in 1977, Ingersoll Gender Center has been building community, connecting folks to resources and advocating for our communities in the Puget Sound region for over four decades."<br />
* [http://www.lamberthouse.org/ Lambert House]: A resource and community for LGBTQ youth. Phone: 206-322-2515.<br />
* [https://sheswithmeseattle.wordpress.com/ She's With Me]: An online community calendar for Seattle feminists.<br />
* [https://www.gaycity.org/ Gay City: Seattle's LGBTQ Center]: "Gay City: Seattle's LGBTQ Center promotes wellness in LGBTQ communities by providing health services, connecting people to resources, fostering arts, and building community. Gay City is the leading provider of HIV and STI testing in King County."<br />
<br />
==References==<br />
<references /><br />
<br />
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|description=Find sexual, reproductive and women's health care in Seattle.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Washington,_D.C.&diff=186748Washington, D.C.2022-06-25T23:01:42Z<p>Lani314: </p>
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<div>{{setLocation<br />
|Country=United States of America<br />
|State=Maryland<br />
|City=Washington, D.C.<br />
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{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Dcsunrise.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW''' <br />
<br />
As the US capital city, Washington D.C., has a wide range of health care resources. You can access all forms of birth control, though you will need a prescription for most of them. If you're a minor (under 18 years old), you don't need parental permission to get a birth control prescription. You can get emergency contraception without a prescription. There are many free HIV testing sites as well as general STD/STI testing facilities, some of which also provide counseling, treatment and support. You can find PrEP in D.C. (we have provided information below) and PEP. Regarding pregnancy, D.C. has a parental leave policy that covers many people who may not be covered under FMLA. You can legally get an abortion, though minors typically must have their parents notified of the abortion (though parental consent isn not required).<br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In DC, you need a prescription to obtain most birth control, except for condoms, spermicide and a few other methods. If you're a minor (under 18 years old), you can get a prescription for birth control (no parental consent is required). However, some doctors may still inform your parents (even though they're not required to). For this reason, if you want to keep your appointment confidential, you should go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some clinics to check out:<br />
<br />
* [https://www.plannedparenthood.org/health-center/district-of-columbia/washington/20002/carol-whitehill-moses-center-4221-90230/birth-control Planned Parenthood - Carol Whitehill Moses Center]: They provide birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, counseling on fertility awareness method, IUD (hormonal), IUD (copper) and spermicide.<br />
* [http://www.unityhealthcare.org/HealthCenters/ServiceUpperCardozo.html Unity Health Care]: They provide low-cost, LGBT-friendly services for birth control pills, implants, IUDs and other contraceptive options. "Unity Health Care provides people in Washington, DC with quality health care regardless of ability to pay. For those who can pay, a sliding scale based on family size and income is used to determine the appropriate amount. Unity Health Care accepts Medicaid, Medicare, Managed Care Organizations, DC Healthcare Alliance (AmeriHealth, MedStar Family Choice, Trusted Health Plan), and other private insurance plans." To Schedule an Appointment Please Call (202) 469-4699. Address: 3020 14th Street, NW, Washington, D.C., 20009, Phone: (202) 745-4300.<br />
* [http://www.maryscenter.org/ Mary's Center]: They provide low-cost and LGBT-friendly services for getting birth control pills, implants, IUDs, etc. "Mary's Center, founded in 1988, is a Federally Qualified Health Center that provides health care, family literacy and social services to individuals whose needs too often go unmet by the public and private systems. "Address: 2333 Ontario Road NW, Washington, DC, 20009. Phone: (202) 483-8196<br />
*[http://www.communityofhopedc.org/ Marie Reed Clinic]: UNDER CONSTRUCTION-Reopening Fall 2017. They provide low-cost and LGBT friendly services with sliding-scale fees. They also accept insurance. You will be able to get birth control pills, implants and IUDs. Address: 2250 Champlain Street, Nw, Washington, DC, 20009. Phone: 202) 232-9022<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
Here's a [https://doh.dc.gov/service/free-hiv-testing-sites-dc comprehensive list] of free HIV testing sites in D.C.<br />
<br />
* [https://healthvana.com/free-std-testing-ahf-wellness-center-1647-benning-road-ne-washington-dc-20002-12665/ AHF Wellness Center]: They offer free HIV tests (rapid tests) with a focus on the LGBT community. They also offer Chlamydia Urine Testing, Chlamydia Oral Testing, Chlamydia Anal Testing, Gonorrhea Urine Testing, Gonorrhea Oral Testing, Gonorrhea Anal Testing and Syphilis Testing. Address: 1647 Benning Road NE Suite 303, Washington, DC, 20002. Phone: (202) 350-5000.<br />
* [https://hoyaclinic.som.georgetown.edu/patients Hoya Clinic]: They test for HIV and other STIs. "All are welcome, regardless of ability to pay, insurance status, or immigration status." 1900 Massachusetts Avenue, SE, 4th Floor, Main Building Washington D.C. 20003, Phone: (202) 468-4816.<br />
* [https://doh.dc.gov/service/sexually-transmitted-disease-services DC Health and Wellness Center]: Comprehensive STD testing is offered to all persons 12 years of age and older. The types of tests done depend on your sexual behaviors and symptoms." Tests HIV (rapid and confirmatory blood test), Chlamydia (swab or urine), Genital Herpes (visual diagnosis and culture), Herpes (Visual diagnosis and culture), Gonorrhea (swab or urine), Hepatitis C (blood test), Syphilis (blood test) and Trichomoniasis (swab). Address: 77 P Street, NE, Washington, DC 20002. Phone: (202) 741-7692<br />
* [https://www.whitman-walker.org/service/hivstd-testing/ Whitman-Walker Center]: "No appointment is needed for HIV testing at Whitman-Walker Health. And, all counseling, testing, and referral services are confidential and free of charge, but donations are welcome." They also provide kits for you to test yourself at home for other STDs.<br />
* [http://www.womenscollective.org/ Women's Collective]: They provide free HIV tests. Address: 3230 Pennsylvania Avenue S.E. , Suite 213, Washington, DC 20020. Email: info@womenscollective.org. p: 202.483.7003<br />
* [http://www.andromedadc.org/our-services/hiv-services/ Andromeda Transcultural Center]: They offer free HIV tests. They have two locations, so check the website for details. Email: info@andromedadc.org.<br />
* [http://metrohealthdc.org/ Metro Health]: They offer free HIV tests. Address: 1012 14th Street, NW, Suite 700, Washington, DC 20005. Phone: 202-638-0750.<br />
<br />
====Support====<br />
<br />
* [http://www.dc-h2o.com/ H2O]: "H2O is a multi-cultural, volunteer social group for people with Herpes and/or HPV."<br />
* [http://metrodchelp.org/ Metro DC HELP]: "HELP of Washington support group meetings deal with the emotional and physical problems of people who have HSV/Herpes. Meetings are held on the 2nd Monday of every month except on Federal."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can get PrEP in D.C. at Andromeda Transcultural Health (Decatur Center), Whitman-Walker Health, Metro Health and other health centers. For a full list of PrEP providers in D.C, click [https://dctakesonhiv.com/prep here].<br />
* You should be able to access PEP in D.C. contact the DC Health and Wellness Center at 202-741-7692 or contact your local hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Washington D.C., you can find pads, tampons and menstrual cups. For pads and tampons, they can be found in most grocery stores, convenience stores and pharmacies. For menstrual cups and organic menstrual products, you can find them at CVS Pharmacy (many locations), Whole Foods (1440 P St Nw), The Brian Mackenzie Infoshop, Walgreens (801 7Th St NW) and Harris Teeter.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
Fortunately, Washington, D.C. recently passed its own parental leave policy, which allows 8 weeks of parental leave (with 90% of wage coverage) for full-time and part-time workers in the city. For more details, click [http://www.forbes.com/sites/clareoconnor/2016/12/20/washington-d-c-passes-8-week-paid-parental-leave-bill/#3855e5677174 here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in Maryland.<ref>https://www.wypr.org/wypr-news/2022-06-24/abortion-is-still-legal-in-maryland-heres-why</ref> However, there are some restrictions. If you're over 18 years old, you can get an abortion performed by a fully licensed doctor, and only before the fetus is considered viable.<ref>[http://statelaws.findlaw.com/maryland-law/maryland-abortion-laws.html Maryland Abortion Law]</ref><br />
<br />
If you're a minor (under 18 years old), one of your parents needs to be notified that you want to get an abortion. They don't need to consent to the abortion, but they do need to be informed. However, according to Maryland law, there are some cases when your parents don't need to be notified. This is when the minor is considered mature enough to give her own consent (we're not sure how "mature" is measured), notification would not be in the minor's best interest, notice may lead to physical or emotional abuse of the minor or if a reasonable effort to give notice has been unsuccessful. For more information on Maryland abortion laws for minors, click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/maryland-minor-laws here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-metropolitan-washington-dc Planned Parenthood - Carol Whitehill Moses Center]: Their services include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed. Address: 1225 4th St. NE, Washington, DC 20002, p: 202.347.8500.<br />
* [http://www.washingtonsurgi-clinic.com/ Washington Surgi Clinic]: "The Washington Surgi-Clinic provides legal, safe surgical and non-surgical abortions from the very earliest pregnancies up to 26 weeks of pregnancy (from the first day of the last menstrual period). We strive to support our patients, protect their personal dignity and privacy, and respect their choices during such a difficult and stressful time." Address: 2112 F. Street NW, Suite 400, Washington, District of Columbia 20037. Phone: (877) 659-9403, (202) 659-9403.<br />
<br />
'''Important Note:''' Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/abortion-services/medication-abortion-procedure here] for information on payment options for medical abortions at Maryland Planned Parenthood. Click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/abortion-services/in-clinic-abortion-procedure here] for information on payment options for surgical/in-clinic abortions at Maryland Planned Parenthood. <br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* Check out this list of [https://womensstudies.columbian.gwu.edu/gender-and-social-policy-organizations-and-institutions-washington-dc-area Gender and Social Policy Organizations and Institutions in the Washington, DC Area]<br />
* [http://www.dc-now.org/ National Organization of Women - D.C. Chapter]: "We work to eliminate all forms of discrimination against women and girls - with a focus on the District of Columbia."<br />
* [http://www.thedccenter.org/ The DC Center for the LGBT Community]: "The DC LGBT Center educates, empowers, celebrates, and connects the lesbian, gay, bisexual, and transgender communities. To fulfill our mission, we focus on four core areas: health and wellness, arts & culture, social & support services, and advocacy and community building."<br />
* [http://www.smyal.org/ SMYAL]: "SMYAL (Supporting and Mentoring Youth Advocates and Leaders) supports and empowers lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth in the Washington, DC, metropolitan region."<br />
* [http://www.dctranscoalition.org/ DC Trans Coalition]: "The DC Trans Coalition (DCTC) is a volunteer, grassroots, community-based organization dedicated to fighting for human rights, dignity, and liberation for transgender, transsexual, and gender-diverse (hereafter: trans) people in the District of Columbia."<br />
<br />
==References==<br />
<references /><br />
<br />
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<br />
[[File:Dcsunrise.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW''' <br />
<br />
As the US capital city, Washington D.C., has a wide range of health care resources. You can access all forms of birth control, though you will need a prescription for most of them. If you're a minor (under 18 years old), you don't need parental permission to get a birth control prescription. You can get emergency contraception without a prescription. There are many free HIV testing sites as well as general STD/STI testing facilities, some of which also provide counseling, treatment and support. You can find PrEP in D.C. (we have provided information below) and PEP. Regarding pregnancy, D.C. has a parental leave policy that covers many people who may not be covered under FMLA. You can legally get an abortion, though minors typically must have their parents notified of the abortion (though parental consent isn not required).<br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In DC, you need a prescription to obtain most birth control, except for condoms, spermicide and a few other methods. If you're a minor (under 18 years old), you can get a prescription for birth control (no parental consent is required). However, some doctors may still inform your parents (even though they're not required to). For this reason, if you want to keep your appointment confidential, you should go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some clinics to check out:<br />
<br />
* [https://www.plannedparenthood.org/health-center/district-of-columbia/washington/20002/carol-whitehill-moses-center-4221-90230/birth-control Planned Parenthood - Carol Whitehill Moses Center]: They provide birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, counseling on fertility awareness method, IUD (hormonal), IUD (copper) and spermicide.<br />
* [http://www.unityhealthcare.org/HealthCenters/ServiceUpperCardozo.html Unity Health Care]: They provide low-cost, LGBT-friendly services for birth control pills, implants, IUDs and other contraceptive options. "Unity Health Care provides people in Washington, DC with quality health care regardless of ability to pay. For those who can pay, a sliding scale based on family size and income is used to determine the appropriate amount. Unity Health Care accepts Medicaid, Medicare, Managed Care Organizations, DC Healthcare Alliance (AmeriHealth, MedStar Family Choice, Trusted Health Plan), and other private insurance plans." To Schedule an Appointment Please Call (202) 469-4699. Address: 3020 14th Street, NW, Washington, D.C., 20009, Phone: (202) 745-4300.<br />
* [http://www.maryscenter.org/ Mary's Center]: They provide low-cost and LGBT-friendly services for getting birth control pills, implants, IUDs, etc. "Mary's Center, founded in 1988, is a Federally Qualified Health Center that provides health care, family literacy and social services to individuals whose needs too often go unmet by the public and private systems. "Address: 2333 Ontario Road NW, Washington, DC, 20009. Phone: (202) 483-8196<br />
*[http://www.communityofhopedc.org/ Marie Reed Clinic]: UNDER CONSTRUCTION-Reopening Fall 2017. They provide low-cost and LGBT friendly services with sliding-scale fees. They also accept insurance. You will be able to get birth control pills, implants and IUDs. Address: 2250 Champlain Street, Nw, Washington, DC, 20009. Phone: 202) 232-9022<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
Here's a [https://doh.dc.gov/service/free-hiv-testing-sites-dc comprehensive list] of free HIV testing sites in D.C.<br />
<br />
* [https://healthvana.com/free-std-testing-ahf-wellness-center-1647-benning-road-ne-washington-dc-20002-12665/ AHF Wellness Center]: They offer free HIV tests (rapid tests) with a focus on the LGBT community. They also offer Chlamydia Urine Testing, Chlamydia Oral Testing, Chlamydia Anal Testing, Gonorrhea Urine Testing, Gonorrhea Oral Testing, Gonorrhea Anal Testing and Syphilis Testing. Address: 1647 Benning Road NE Suite 303, Washington, DC, 20002. Phone: (202) 350-5000.<br />
* [https://hoyaclinic.som.georgetown.edu/patients Hoya Clinic]: They test for HIV and other STIs. "All are welcome, regardless of ability to pay, insurance status, or immigration status." 1900 Massachusetts Avenue, SE, 4th Floor, Main Building Washington D.C. 20003, Phone: (202) 468-4816.<br />
* [https://doh.dc.gov/service/sexually-transmitted-disease-services DC Health and Wellness Center]: Comprehensive STD testing is offered to all persons 12 years of age and older. The types of tests done depend on your sexual behaviors and symptoms." Tests HIV (rapid and confirmatory blood test), Chlamydia (swab or urine), Genital Herpes (visual diagnosis and culture), Herpes (Visual diagnosis and culture), Gonorrhea (swab or urine), Hepatitis C (blood test), Syphilis (blood test) and Trichomoniasis (swab). Address: 77 P Street, NE, Washington, DC 20002. Phone: (202) 741-7692<br />
* [https://www.whitman-walker.org/service/hivstd-testing/ Whitman-Walker Center]: "No appointment is needed for HIV testing at Whitman-Walker Health. And, all counseling, testing, and referral services are confidential and free of charge, but donations are welcome." They also provide kits for you to test yourself at home for other STDs.<br />
* [http://www.womenscollective.org/ Women's Collective]: They provide free HIV tests. Address: 3230 Pennsylvania Avenue S.E. , Suite 213, Washington, DC 20020. Email: info@womenscollective.org. p: 202.483.7003<br />
* [http://www.andromedadc.org/our-services/hiv-services/ Andromeda Transcultural Center]: They offer free HIV tests. They have two locations, so check the website for details. Email: info@andromedadc.org.<br />
* [http://metrohealthdc.org/ Metro Health]: They offer free HIV tests. Address: 1012 14th Street, NW, Suite 700, Washington, DC 20005. Phone: 202-638-0750.<br />
<br />
====Support====<br />
<br />
* [http://www.dc-h2o.com/ H2O]: "H2O is a multi-cultural, volunteer social group for people with Herpes and/or HPV."<br />
* [http://metrodchelp.org/ Metro DC HELP]: "HELP of Washington support group meetings deal with the emotional and physical problems of people who have HSV/Herpes. Meetings are held on the 2nd Monday of every month except on Federal."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can get PrEP in D.C. at Andromeda Transcultural Health (Decatur Center), Whitman-Walker Health, Metro Health and other health centers. For a full list of PrEP providers in D.C, click [https://dctakesonhiv.com/prep here].<br />
* You should be able to access PEP in D.C. contact the DC Health and Wellness Center at 202-741-7692 or contact your local hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Washington D.C., you can find pads, tampons and menstrual cups. For pads and tampons, they can be found in most grocery stores, convenience stores and pharmacies. For menstrual cups and organic menstrual products, you can find them at CVS Pharmacy (many locations), Whole Foods (1440 P St Nw), The Brian Mackenzie Infoshop, Walgreens (801 7Th St NW) and Harris Teeter.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
Fortunately, Washington, D.C. recently passed its own parental leave policy, which allows 8 weeks of parental leave (with 90% of wage coverage) for full-time and part-time workers in the city. For more details, click [http://www.forbes.com/sites/clareoconnor/2016/12/20/washington-d-c-passes-8-week-paid-parental-leave-bill/#3855e5677174 here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in Maryland.<ref>https://www.wypr.org/wypr-news/2022-06-24/abortion-is-still-legal-in-maryland-heres-why</ref> However, there are some restrictions. If you're over 18 years old, you can get an abortion performed by a fully licensed doctor, and only before the fetus is considered viable.<ref>[http://statelaws.findlaw.com/maryland-law/maryland-abortion-laws.html Maryland Abortion Law]</ref><br />
<br />
If you're a minor (under 18 years old), one of your parents needs to be notified that you want to get an abortion. They don't need to consent to the abortion, but they do need to be informed. However, according to Maryland law, there are some cases when your parents don't need to be notified. This is when the minor is considered mature enough to give her own consent (we're not sure how "mature" is measured), notification would not be in the minor's best interest, notice may lead to physical or emotional abuse of the minor or if a reasonable effort to give notice has been unsuccessful. For more information on Maryland abortion laws for minors, click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/maryland-minor-laws here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-metropolitan-washington-dc Planned Parenthood - Carol Whitehill Moses Center]: Their services include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed. Address: 1225 4th St. NE, Washington, DC 20002, p: 202.347.8500.<br />
* [http://www.washingtonsurgi-clinic.com/ Washington Surgi Clinic]: "The Washington Surgi-Clinic provides legal, safe surgical and non-surgical abortions from the very earliest pregnancies up to 26 weeks of pregnancy (from the first day of the last menstrual period). We strive to support our patients, protect their personal dignity and privacy, and respect their choices during such a difficult and stressful time." Address: 2112 F. Street NW, Suite 400, Washington, District of Columbia 20037. Phone: (877) 659-9403, (202) 659-9403.<br />
<br />
'''Important Note:''' Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/abortion-services/medication-abortion-procedure here] for information on payment options for medical abortions at Maryland Planned Parenthood. Click [https://www.plannedparenthood.org/planned-parenthood-maryland/client-resources/abortion-services/in-clinic-abortion-procedure here] for information on payment options for surgical/in-clinic abortions at Maryland Planned Parenthood. <br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* Check out this list of [https://womensstudies.columbian.gwu.edu/gender-and-social-policy-organizations-and-institutions-washington-dc-area Gender and Social Policy Organizations and Institutions in the Washington, DC Area]<br />
* [http://www.dc-now.org/ National Organization of Women - D.C. Chapter]: "We work to eliminate all forms of discrimination against women and girls - with a focus on the District of Columbia."<br />
* [http://www.thedccenter.org/ The DC Center for the LGBT Community]: "The DC LGBT Center educates, empowers, celebrates, and connects the lesbian, gay, bisexual, and transgender communities. To fulfill our mission, we focus on four core areas: health and wellness, arts & culture, social & support services, and advocacy and community building."<br />
* [http://www.smyal.org/ SMYAL]: "SMYAL (Supporting and Mentoring Youth Advocates and Leaders) supports and empowers lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth in the Washington, DC, metropolitan region."<br />
* [http://www.dctranscoalition.org/ DC Trans Coalition]: "The DC Trans Coalition (DCTC) is a volunteer, grassroots, community-based organization dedicated to fighting for human rights, dignity, and liberation for transgender, transsexual, and gender-diverse (hereafter: trans) people in the District of Columbia."<br />
<br />
==References==<br />
<references /><br />
<br />
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}}</div>Lani314https://gynopedia.org/w/index.php?title=Seattle&diff=186746Seattle2022-06-25T23:00:05Z<p>Lani314: /* Laws & Social Stigmas */</p>
<hr />
<div>{{setLocation<br />
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<br />
[[File:Sunset seattle.jpg|500px | thumb|right|]]<br />
<br />
'''OVERVIEW'''<br />
<br />
By American standards, Seattle is a progressive, LGBTQ-friendly city with many health care options. However, like all US cities, there are still some hurdles to consider when accessing health care, and certain clinics or health care providers will provide more sensitized services than others. If you want most long-lasting or hormonal birth control options, like pills, injectables or an IUD, you'll need a prescription. If you don't have a prescription yet, you can obtain one through an in-person visit to a health care provider, or you can obtain a prescription online (through certain apps). If you want emergency contraception, it can be found at certain markets, like Safeway, or clinics, like Planned Parenthood. No prescription is required. If you need to get an STI test, there are many facilities that provide low-cost and even free tests in Seattle. You should be aware that certain facilities require appointments to be scheduled in advance, while others accept people on a drop-in basis. If you need a gynecological exam, we recommend you visit the "Gynecological Exams" section below. In that section, we also have a link to a database of health care providers that have experience working with transgender patients. Abortion is legal and there are no major restrictions, such as wait periods or parental involvement (which can be found in other US states).<br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Washington State, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide). You can obtain a birth control prescription regardless of your age and, if you're a minor (under 18 years old), parental or guardian permission is not required.<ref>[https://depts.washington.edu/hcsats/PDF/guidelines/Minors%20Health%20Care%20Rights%20Washington%20State.pdf Providing Health Care to Minors under Washington Law: A summary of health care services that can be provided to minors without parental consent]</ref> <br />
<br />
You can find birth control options at many health care facilities, including private clinics and public clinics. Some people choose to go to Title X clinics. These clinics are completely confidential, which means that your appointment and billing will be confidential. Furthermore, Title X clinics charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills. You should contact the clinic you plan to visit to learn more about billing details.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can get '''condoms''' in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area. In Seattle, you can also find free condoms at Planned Parenthood (multiple locations), NARAL Pro-Choice Washington, Babes Network - YWCA, Eastgate Public Health Center, Seattle Central Community College, Seattle Counseling Services and many other locations. To see a comprehensive map of where free condoms are available in Seattle and surrounding areas, click [https://www.google.com/maps/d/viewer?mid=1Uudr41qv3y81G5Hm7U6l-6wcN7k&hl=en_US&ll=47.598603010283384%2C-122.25287800000001&z=9 here].<br />
* If you want '''hormonal or long-lasting birth control''', like '''pills, IUDS, shots or implants''', in Seattle, you'll need to have a prescription. If you don't have a prescription, you'll need to typically schedule an appointment with a health care provider to get a prescription. If you need a low-cost appointment option, you can either get a prescription online or at a clinic. If you want to get a prescription online, you can check out websites like [https://www.lemonaidhealth.com/ Lemonaid Health], [https://app.nurx.com/ nurx], [https://www.plannedparenthood.org/get-care/get-care-online Planned Parenthood CARE] and [https://www.prjktruby.com/ PRJKT RUBY]. You can also visit local clinics, many of which provide low-cost, confidential and LGBTQ-sensitive services. Here are some options below:<br />
** [http://www.cedarriverclinics.org/birth-control/ Cedar River Clinics]: This is a Title X and LGBTQ-friendly clinic that is run by the Feminist Women’s Health Center (FWHC). They've been providing care for over 30 years. They can typically give you a discounted rate and, if you live in Washington State, you may even qualify to get free care from them through [https://www.wahealthplanfinder.org/_content/Homepage.html?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2F_content%2FHomepage.html&request_id=5541800201484018063&locale=en_US&resource_url=https%253A%252F%252Fwww.wahealthplanfinder.org%252FHBEWeb%252F Washington Apple Health Coverage]. They provide IUDs, birth control pills and other options. You can walk-in to get emergency contraception (the morning after pill) or refill your birth control. To schedule an appointment, call 800-572-4223. Phones Answered Monday-Friday 8:00AM-5:00PM and Saturdays 9:00AM-2:00PM. Their Seattle location is at 509 Olive Way #1454 509 Olive Way #1454, Seattle, WA 98101. They also have locations in Renton and Tacoma.<br />
** [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810 Planned Parenthood]: As the leading reproductive and sexual health provider in the US, Planned Parenthood has been providing low-cost services to men, women and teens for decades. They have trained professionals who understand LGBTQ-sensitive services, and they can provide a variety of birth control methods, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, fertility awareness method, IUD (hormonal), IUD (copper), spermicide and sterilization for men (vasectomy). Medicaid accepted. There are multiple PP locations in Seattle, including the following: <br />
*** Location 1 -Seattle Health Center: Address: 2001 E Madison, Seattle, WA 98122. Phone: 800-769-0045. <br />
*** Location 2 - First Hill Health Center: Address: 1229 Madison Street, Suite 1040, Seattle, WA, 98104. Phone: (800) 769-0045<br />
** [http://www.neighborcare.org/ Neighborcare Health]: They're the largest provider of medical care to uninsured and low-income families and individuals in the Seattle area, and they have multiple locations in the Seattle area. Aside from general and women's health services, Neighborcare also has a Homeless Youth Clinic (HYC), free Nurse Advice Line for all patients and midwifery services. Click [http://www.neighborcare.org/clinics here] to see their clinic locations. To learn about free or low-cost insurance, call 206-548-3013 or email enrollment@neighborcare.org<br />
** [http://www.swedish.org/ Swedish Family Medicine]: This clinic has been open since 1910, and they aim to help people of "all ethnic backgrounds and financial situations." The clinic has many birth control options available, including IUDs and implants. They have multiple locations in places like Ballard, Cherry Hill, Edmonds and First Hall, so visit their website to find all of their locations.<br />
** [http://www.countrydoctoryouthclinic.org/ Country Doctor Youth Clinic]: This is a walk-in clinic for youth (ages 12-23) who have unstable housing situations and need medical help. They provide medications, including contraception, for no cost at their clinic, which is open certain nights of the week. The hours and location of their walk-in clinic sometimes changes, so you should check their website for the most updates information. For general information, call this number: (206) 299-1636.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Females and males, no matter their age, can buy Plan B One-Step, Next Choice, My Way or any other Levonorgestrel emergency contraceptive without a prescription even if the label indicates that the end user should be 17 or older. You do not need to show anyone your ID or have your age verified in order to purchases these products. If you want the ella pill, you'll need a prescription (regardless of age) but pharmacists may be able to directly provide that prescription for you without you needing to go to a clinic. Contact your pharmacy to see if they can prescribe emergency contraception, including ella, for you. Getting a prescription for these products, even if they are normally sold over the counter, may provide 100% insurance coverage - without a copay or deductible.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Seattle, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way at supermarkets (like Safeway), pharmacies and clinics (like Planned Parenthood). Here's an [http://slog.thestranger.com/2008/04/where_to_get_the_morning_after_pillarticle on finding emergency contraception in Seattle]. Below, we've provided a breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
There are many places to get STI tests in Seattle, and the list below only includes some of the places (with a focus on cheap or free testing). For a more extensive list of low-cost or free STI testing facilities in the Seattle area, click [https://www.stdtestexpress.com/free-std-testing-seattle-wa/ here].<br />
<br />
* [http://www.sasgcc.org/testing-u-test U-TEST]: You can get free, anonymous HIV rapid tests from the medical students from the University of Washington. This service is a collaboration between the UW School of Medicine, Seattle Area Support Groups, & King County Public Health. Hours & Location: Tuesdays & Thursdays 6:00-8:00. Walk-Ins Welcome. Address: 115 15th Ave E. Suite 201, Seattle WA, 98112<br />
* [http://www.lifelong.org/sexual-health-testing Lifelong]: You can get a free HIV rapid test. Call ahead number for free testing at Lifelong: (206) 957-1690. They have two testing locations: Location 1 is Lifelong Office - Capitol Hill1016 E. Pike Street, 3rd Floor, Seattle, WA 98122. Location 2 - Lifelong Thrift Store - 312 Broadway Avenue E., Seattle WA 98102.<br />
* [https://gettested.cdc.gov/organizations/public-health-seattle-and-king-county-3 Public Health-Seattle and King County - STD Clinic at Harborview Medical Center]: You can get low-cost STI testing and vaccination services, including Hepatitis B Vaccine, Chlamydia Test, Conventional HIV Blood Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test, Gonorrhea Test, Herpes Test, Hepatitis A Vaccine, Hepatitis B Test and Hepatitis C Test. No person will be denied service for inability to pay. They also distribute free condoms. Address: 908 Jefferson St, 11th Floor, Seattle, WA 98104. Phone Number: 206-744-3590<br />
* [https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaiian-islands Planned Parenthood]: You can get low-cost STI testing and vaccination services, including Chlamydia Test, Gonorrhea Test, HPV, Vaccine, Herpes Test, Rapid HIV Blood Test, Syphilis Test. If you're low-income, you may qualify for a state-funded program or a lower fee scale. Your fees are based on your income. They have multiple locations in the Seattle area, including the primary Seattle city location (1229 Madison St, Seattle, WA 98104), so check the website for location details. There are no walk-ins, so you'll need to schedule an appointment in advance. Call 800-230-7526.<br />
* [https://www.gaycity.org/testing/ Gay City at Out of the Closet]: Anyone is eligible for HIV tests, which are done on a walk-in basis only (no appointments). Hours: Monday - Saturday,11am - 7pm; Thursday, 3pm - 7pm. Address: 1016 E Pike [Pike and 11th], Seattle, WA 98122<br />
* [https://www.gaycity.org/testing/ Gay City Wellness Center]: HIV and STI testing for gay men, bi men and transgender individuals. Se habla español. The fees are donation-based (pay what you can). To schedule an appointment, please call (206) 860-6969 or stop by during business hours. Due to high demand, making an appointment is recommended. Hours: Monday – Friday, 3:00pm – 8:00pm; Saturdays, 12:30pm – 5:00pm. Address: Gay City Health Project, 517 E. Pike [Pike & Belmont], Seattle, WA 98122.<br />
* [http://www.multi-culturalhealth.org/programs_svcs/aatpbrotherslink.htm Center for Multicultural Health]: This organization provides testing for gay/bisexual/same gender loving African American men. To find out more info, contact @ (206) 461-6910 ext 212, email: austin@cschc.org<br />
* [http://entrehermanos.org/hiv-prevention/ Entre Hermanos]: Free testing with a focus on the Latino community. "Every Monday from 1:00 to 4:30 p.m. we offer testing that is quick, easy and confidential. Our testing is offered by bilingual staff that is culturally friendly to Latinos. We offer a $20 cash incentive to Latino men who have sex with men (MSM) to encourage them to receive an HIV test. We also offer the Ora-Quick In Home Test Kit that you can take, and use in the privacy of your home." Phone: (206) 322-7700. Email: info@entrehermanos.org. Address: 1105 23rd Ave., Seattle, WA 98122.<br />
<br />
===Support===<br />
<br />
* [http://www.babesnetwork.org/ BABES Network - YWCA]: "BABES Network-YWCA is a peer education and support program for women living with HIV; a sisterhood of women facing HIV together. BABES was started by a group of HIV positive women in Seattle, Washington who came together to share information, experiences and support." Address: 1118 5th Ave, Seattle, WA 98101. Phone: (206) 720-5566.<br />
* [http://www.lifelong.org/ Lifelong]: Lifelong provides meals, community support and resources for people living with HIV/AIDS.<br />
* [https://www.gaycity.org/ Gay City: Seattle's LGBTQ Center]: This community center provides HIV testing, support and resources. <br />
* [http://www.baileyboushay.org/ Bailey-Boushay House]: "Bailey-Boushay was founded as a way to address the housing and health care needs of people living with AIDS. Today, Bailey-Boushay continues to serve AIDS/HIV patients as well as those with other chronic illnesses s ch as ALS, also known as Lou Gehrig's disease."<br />
* [http://www.hepeducation.org/ Hepatitis Education Project (HEP)]: "The Hepatitis Education Project (HEP) is a nonprofit organization dedicated to ending the epidemics of hepatitis C and hepatitis B. Founded in 1993, HEP works with patients, medical providers, public health and policymakers, and provides direct services and advocacy for some of the community’s most underserved and marginalized populations." Address: 1621 South Jackson Street, Suite 201, Seattle, WA 98144. Phone: (206) 732-0311 or (800) 218-6932.<br />
* [http://www.uwmedicine.org/locations/hepatitis-and-liver-harborview Hepatitis and Liver Clinic at Harborview]: The Hepatitis and Liver Clinic at Harborview specializes in the evaluation and treatment of patients with chronic hepatitis B and C infections and other chronic liver diseases.<br />
* [https://www.meetup.com/Seattle-H-Scene/?_cookie-check=f_44ReAbysq4TiTH Seattle H Scene]: "Seattle H Scene is a social group for people with genital herpes (HSV1, HSV2) and HPV who live in Western Washington."<br />
* [https://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/HumanPapillomavirusHPV HPV Information from Washington Department of Health]: This website provides information on HPV for Washington residents, including basic HPV information, vaccination information, etc.<br />
* [http://syphilisinseattle.com/ Syphilis in Seattle]: This is an informational website on syphilis (testing, cure, etc) for residents of Seattle.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can access Pre-Exposure Prophylaxis (PrEP) in the Seattle area, including at Bellevue Family Medicine, Planned Parenthood, Country Doctor CHC, Downtown Public Health Center and many more locations. For a complete list of PrEP providers in Seattle, click [http://www.kingcounty.gov/healthservices/health/communicable/hiv/prevention/~/media/health/publichealth/documents/hiv/For-Patient-PrEP-Providers-List.ashx here] or [http://endaidswashington.org/getprep/ here]. You can also view a map with PrEP providers in Seattle [http://www.kingcounty.gov/depts/health/communicable-diseases/hiv-std/patients/pre-exposure-prophylaxis.aspx here].<br />
* You can access Post-exposure prophylaxis (PEP) in Seattle at many locations, including Harborview Medical Center (Address: 325 9th Ave, Seattle, WA 98104) during business hours (M-F, 8am-5pm); call 206-744- 4377. After hours, go to Harborview Emergency Department. For more details, click [http://www.kingcounty.gov/depts/health/communicable-diseases/hiv-std/patients/post-exposure-prophylaxis.aspx here].<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can '''pads/pantyliners''' and '''tampons''' in most convenience stores, drug stores and supermarkets, such as Walgreen's, Rite Aid and Safeway.<br />
* You can get '''menstrual cups''' in many stores in Seattle. You can also get the Lunette Menstrual Cup through Planned Parenthood in Seattle. Click [https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaiian-islands/campaigns/lunette-menstrual-cup here] for more details.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
''Note:'' For transgender patients, we recommend that you check out the [http://ingersollgendercenter.org/what-we-do/health-care-providers Health Care Providers Directory] from the Ingersoll Gender Center. You'll find recommended health care providers who have been trained to work with or have experience working with transgender patients.<br />
<br />
* [http://www.cedarriverclinics.org/ Cedar River Clinics]: This is a Title X and LGBTQ-friendly clinic that is run by the Feminist Women’s Health Center (FWHC). They've been providing care for over 30 years. They can typically give you a discounted rate and, if you live in Washington State, you may even qualify to get free care from them through [https://www.wahealthplanfinder.org/_content/Homepage.html?authn_try_count=0&contextType=external&username=string&contextValue=%2Foam&password=sercure_string&challenge_url=https%3A%2F%2Fwww.wahealthplanfinder.org%2F_content%2FHomepage.html&request_id=5541800201484018063&locale=en_US&resource_url=https%253A%252F%252Fwww.wahealthplanfinder.org%252FHBEWeb%252F Washington Apple Health Coverage]. They provide annual well-woman exams, which include the following: Physical Exam, Free Pregnancy Tests, Screening for breast cancer, cervical cancer, and ovarian cancer, Screening for sexually transmitted infections (STIs)m Treatment for vaginal infections, bladder infection and sexually transmitted infections, Answers to your questions about sexual health, A wide range of birth control options. To schedule an appointment, call 800-572-4223. Phones Answered Monday-Friday 8:00AM-5:00PM and Saturdays 9:00AM-2:00PM. Their Seattle location is at 509 Olive Way #1454 509 Olive Way #1454, Seattle, WA 98101. They also have locations in Renton and Tacoma.<br />
* [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810 Planned Parenthood]: As the leading reproductive and sexual health provider in the US, Planned Parenthood has been providing low-cost services to men, women and teens for decades. They have trained professionals who understand LGBTQ-sensitive services. Their women's health exams include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, fibroids evaluation, hormone replacement therapy, incontinence education, infertility education, mammogram referrals, menopause and midlife – testing and treatment, Pap test, urinary tract infections – testing and treatment, vaginal infections – testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon; HPV Test.<br />
** Location 1 -Seattle Health Center: Address: 2001 E Madison, Seattle, WA 98122. Phone: 800-769-0045. <br />
** Location 2 - First Hill Health Center: Address: 1229 Madison Street, Suite 1040, Seattle, WA, 98104. Phone: (800) 769-0045<br />
* [http://www.neighborcare.org/ Neighborcare Health]: They're the largest provider of medical care to uninsured and low-income families and individuals in the Seattle area, and they have multiple locations in the Seattle area. Aside from general and women's health services, Neighborcare also has a Homeless Youth Clinic (HYC), free Nurse Advice Line for all patients and midwifery services. Click [http://www.neighborcare.org/clinics here] to see their clinic locations. To learn about free or low-cost insurance, call 206-548-3013 or email enrollment@neighborcare.org<br />
* [http://www.sihb.org/ Seattle Indian Health Board]: This clinic focuses on helping urban American Indian and Alaska Native population in the greater Seattle/King County area. They provide women's health examinations and screenings. Services are available by appointment by calling (206) 324-9360. For more immediate care, services are available on a walk-in basis. Clinic hours are 9:00 a.m. to 6:00 p.m. Monday through Friday. A walk-in clinic is also available Saturday from 9:00 a.m. to 2:00 p.m. Address: 611 - 12th Avenue South, Seattle, WA 98144.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States. However, the Paid Parental Leave policy of Seattle may close some of these loopholes. In Seattle, if you've been in a position for at least 6 months, and if the position is regularly appointed position and/or temporary benefits-eligible, you're eligible for parental leave when you experience the birth of a child, placement of a child for adoption, placement of a child for foster care, placement of a child for legal guardianship.<ref>[http://www.seattle.gov/personnel/benefits/PaidParentalLeave.asp City of Seattle - Paid Parental Leave]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in the state of Washington.<ref>https://doh.wa.gov/you-and-your-family/sexual-and-reproductive-health/abortion</ref> Furthermore, restrictions, such as waiting periods, parental involvement for minors or limitations on public funding, are not present. This means that, in Washington, abortions can be generally obtained without significant legal issues.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-washington State Facts About Abortion: Washington, July 2017]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/washington/seattle/98122/seattle-health-center-3309-91810/abortion Planned Parenthood]: You can get: abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed.Abortion services may be covered by your insurance. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit.<br />
* [http://www.smawc.com/ Trust Women]: They provide non-surgical medication abortions - (available if less than 10 weeks), surgical Abortions - (available between five to 15.2 weeks). "We are an independently operated, woman-owned, woman-run abortion clinic." Call for an appointment: 1-800-522-0606 / 206-625-0202. Address: 1325 4th Ave Suite 1240, Seattle, WA 98101. Phone: (206) 625-0202.<br />
* [http://www.awcseattle.com/ All Women's Care]: They offer abortions for up to 26 weeks of pregnancy. Options: First Trimester Procedures (up to 12th week of pregnancy) - "The procedure used is suction aspiration, which is considered very low-risk. We offer a variety of options to manage your pain relief and comfort. Most of our patients report that they feel no discomfort during the procedure" Second Trimester Procedures (13 - 26 weeks) - "The procedure used is suction aspiration and dilation and evacuation, which are also considered very low-risk. We offer a variety of options to manage your pain relief and comfort. Most of our patients report that they feel no discomfort during the procedure." Address: 9730 3rd Ave NE #200, Seattle, WA 98115. Phone: (206) 985-9553.<br />
* [http://www.cedarriverclinics.org/abortion/ Cedar River Clinic]: "In the first trimester [before 12 weeks], two options are available: Aspiration abortion is done by a physician in our clinic or the Abortion Pill which you take at home. In the second trimester [after 12 weeks], Dilation and Evacuation (D&E) is used for abortions beyond 15 weeks. It is done by a physician in our clinic. Sedation is available." Call us 800-572-4223 for a free appointment for unbiased non-judgmental Options Counseling. Also, Backline offers you an opportunity to talk on the phone about pregnancy, parenting, abortion, adoption at 888-493-0092.<br />
<br />
<br />
'''Important Notes:''' <br />
* If you want a referral to an abortion provider, if you need help paying for your abortion, if you need transportation to/from an abortion provider, or if you need a place to stay when you travel to obtain an abortion, you should consider contacting the toll-free CAIR Hotline (888-644-CAIR). This hotline is associated with the National Network of Abortion Funds (NNAF) and covers people in Washington, Oregon, Idaho and Alaska.<br />
* Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, you can call the toll-free CAIR Hotline (888-644-CAIR) or tthe National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). These hotline can tell you where and how to get financial help for an abortion in the U.S. <br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* WithinReach Hotline: 1-800-322-2588.<br />
* Consumer Assistance Line: 1-800-525-0127 (statewide only).<br />
* Washington State HIV/AIDS Message Line 1-800-272-AIDS (2437).<br />
* Washington State Domestic Violence Hotline 1-800-562-6025.<br />
* Abused Deaf Women's Services Hotline: Local 206-812-1001; National 1-855-812-1001<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* [http://northwestfamilylife.org/ Northwest Family Life]: This Seattle-based organization provides services to people dealing with domestic violence, including counseling, survivor services, intervention, treatment, etc. You can reach the office by phoning (206) 363-9601 or send a fax to (206) 363-9639. A 24-hour crisis line is also available by dialing 1-800-244-5767. You can visit in person too. Address: 12360 Lake City Way NE, Suite 420, Seattle, WA<br />
* The [Seattle Indian Health Board] works on addressing domestic violence issues in the urban American Indian and Alaska Native community. They can help you with safety planning, locating shelters, obtaining restraining orders and emergency help. Services are available by calling (206) 324-9360 or by walk-in. For emergencies and 24-hour phone crisis intervention for sexual assault victims, the King County Sexual Assault Resource Center can be reached at 1-888-998-6423.<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* [http://novahs.seattleschools.org/cms/One.aspx?portalId=4783&pageId=26431877 Trans Resource Center at Nova]: This is a community resource to provide clothing, resources and support to transgender students, including students who do and don't attend Nova High School.<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://nowseattle.org/ National Organization for Women (NOW) - Seattle]: "For 35 years Seattle NOW has not strayed from the commitment made by our founding mothers to pushing buttons, breaking barriers and opening doors for women and girls." Address - 3720 Airport Way S. Seattle, WA 98134. Phone: 206-632-8547 (Message Only). E-mail: nowseattle@gmail.com.<br />
* [https://www.rewa.org/ Refugee Women's Alliance]: "Refugee Women’s Alliance (ReWA) is an award-winning, nationally recognized nonprofit that provides holistic services to help refugee and immigrant women and families thrive." Address: 4008 Martin Luther King, Jr. Way South, Seattle, WA 98108. Tel: 206.721.0243, WA Telecommunications Relay: 7-1-1, Fax: 206.721.0282.<br />
* [http://www.jwcenter.org/ Jubilee Women's Center]: "Jubilee Women’s Center opened its doors in 1983 to offer Seattle-area women experiencing poverty and homelessness an alternative to emergency shelters. Jubilee’s transitional and longer-term housing program and on-site services gave women the time and support to stabilize, heal, and make positive life changes."<br />
* [http://www.adwas.org/ Abused Deaf Women's Services]: "Abused Deaf Women’s Advocacy Services empowers Deaf and DeafBlind survivors of domestic violence, sexual assault and harassment to transform their lives, while striving to change the beliefs and behaviors that foster and perpetuate violence. We provide comprehensive services to individuals and families, community education, and advocacy on systems and policy issues."<br />
* [http://ingersollgendercenter.org/ Ingersoll Gender Center]: "Ingersoll is one of the oldest organizations of, by and for transgender and gender diverse in the United States. Officially formed in 1977, Ingersoll Gender Center has been building community, connecting folks to resources and advocating for our communities in the Puget Sound region for over four decades."<br />
* [http://www.lamberthouse.org/ Lambert House]: A resource and community for LGBTQ youth. Phone: 206-322-2515.<br />
* [https://sheswithmeseattle.wordpress.com/ She's With Me]: An online community calendar for Seattle feminists.<br />
* [https://www.gaycity.org/ Gay City: Seattle's LGBTQ Center]: "Gay City: Seattle's LGBTQ Center promotes wellness in LGBTQ communities by providing health services, connecting people to resources, fostering arts, and building community. Gay City is the leading provider of HIV and STI testing in King County."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
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|description=Find sexual, reproductive and women's health care in Seattle.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Phoenix&diff=186745Phoenix2022-06-25T22:58:35Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Arizona<br />
|City=Phoenix<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Phoenix.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law unclear; abortion unavailable<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Arizona, you will find many health care resources in Phoenix. Like most other US cities, you'll need a prescription to obtain birth control (with the exception of condoms and a few other methods). You don't need a prescription to purchase emergency contraception (the morning after pill), and everyone, including minors, can purchase Plan B. Like other US cities, you can find the HPV vaccine. You can also find PrEP and PEP in Arizona, and we have provided more information on vendors below (in the "Medications and Vaccines" section). <br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> <br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Arizona, you need a prescription to obtain most birth control. You don't need parental permission to get a birth control prescription. While you can go to many clinics, some people prefer to go to Title X clinics. These are clinics that are completely confidential, which means that your appointment and billing will be confidential. At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills. We provide a list of Title X clinics (as well as some low-cost clinics) below.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are some Title X clinics in Phoenix:<br />
* [http://www.arizonafamilyhealth.org/ North East Phoenix Health Center- Phoenix , AZ]: Address: 3131 E. Thunderbird Rd., Suite 48, Phoenix, AZ 85032, p: 602.277.7526 | f: 602.953.8052.<br />
* [http://www.arizonafamilyhealth.org/ Arizona Family Health Partnership (Navajo)]: Address: 3101 N. Central Ave, Ste 1120, Phoenix, AZ 85012, (602) 258-5777.<br />
<br />
Here are some clinics where you can get birth control:<br />
* [http://mihs.org/services/womens-health Women's Care Clinic]: They provide low-cost and LGBT-friendly services, including birth control pills, implants and IUDs. They accept the uninsured and can do same-day insertion for IUDs. Address: 2525 E Roosevelt St, Phoenix, AZ, 850084948, (602) 344-5988<br />
* [https://www.plannedparenthood.org/health-center/arizona/phoenix/85014/central-phoenix-health-center-4200-90030 Central Phoenix Health Center]: This is a Planned Parenthood center, so it should be more affordable. They birth control pills, birth control implant, birth control patch, birth control shot, birth control vaginal ring (NuvaRing), condoms, IUDs (hormonal) and IUDs (copper). Address: 4751 N 15th Street, #3, Phoenix, AZ, 85014. (602) 277-7526.<br />
* [http://camelbackfamilyplanning.com/ Camelback Family Medicine]: We're not sure if they're low-cost, but they do provide birth control pills, implants and IUDs. They do same-day insertion for IUDs. Address: 4141 North 32nd Street, Phoenix, AZ, 85018, (602) 279-2337.<br />
* [http://www.maricopaobgyn.com/index.php Maricopa OB/GYN]: They provide many birth control methods, including birth control pills, Vaginal Contraception – NuvaRing, Birth Control Patch – Ortho Evra, Progesterone Only Birth Control Methods, Depo Provera, Nexplanon, Oral Progesterone, Intrauterine Systems (Mirena and Paragard), and Permanent birth control (Essure and Tubal Ligation). They have 2 locations: 1661 E Camelback Road , Suite 160 and 4530 E. Ray Rd., Suite 125. Check out their website for details.<br />
* [https://fpamg.com/service/surgical-abortion-services/ abortion in arizona]: Address: 1331 N. 7th Street Suite 225 Phoenix, AZ 85006, p: 602-553-0440 | p: 00-558-0440 | Email: support@fpamg.com .<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get emergency contraception (the morning after pill) at pharmacies.<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===What to Get & Where to Get It===<br />
<br />
====Testing Facilities====<br />
<br />
====Support====<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can the HPV vaccines, such as Gardasil or Cervarix, in Phoenix at [plannedparenthood.org Planned Parenthood], [http://www.camelbackhealth.com/womens-health-care/hpv-screening-and-vaccination/ Camelback Health Center] or other clinics. You may also be able to get it CVS.<br />
* You can get Pre-Exposure Prophylaxis (PrEP) in Phoenix from many doctors. Here is the [https://www.hivaz.org/prevention/prep/phoenix-prep-providers list] of PrEp providers in Phoenix. Also, here is [http://igniteyourstatus.org/hiv_prep/ some information on PrEp from the Southwest Center for HIV/AIDS].<br />
* You can access Post-Exposure Prophylaxis (PEP) in Phoenix at Banner – University Medical Center, among other locations. Check out [http://igniteyourstatus.org/wp-content/uploads/2015/09/PEP-Emergency-Phoenix-Locations.pdf this list] of PEP vendors in Arizona.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Phoenix, you can find pads, tampons and menstrual cups. You'll be able to find pads and tampons in most grocery stores or convenience stores, like Walgreens and CVS. If you want to buy a DivaCup (menstrual cup), they're sold at CVS Pharmacy, Walgreens, Safeway (520 W. Osborn Rd), Sprouts and Sprouts Farmers Market. There are some other menstrual cup brands, like MoonCup, LadyCup or Lunette, which are best to buy online (and have delivered to your Phoenix address). You can buy eco-friendly and natural menstrual products at CVS, Food City, Bashas', A.J.'s, Safeway, Fry's Foods Food Store, Whole Foods and Natural Grocers by VC Phoenix. You can buy menstrual underwear online (check out the Thinx website).<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1" /> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2" /><br />
<br />
Prior to the overturning of Roe v. Wade, you could obtain an abortion but restrictions applied. Before you could receive an abortion, you needed to go through state-directed counseling, where the counselor would read a script that aimed to discourage you from seeking out an abortion. You needed to also obtain an ultrasound at least 24 hours before the abortion, and the provider would ask you if you wants to see the ultrasound image. Following the counseling and ultrasound, you would then go through a 24-hour wait period before the abortion can be performed. The use of telemedicine for an abortion is prohibited.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
If you're under 18 years old and want an abortion in Arizona, it's required that one of your parents consents to the abortion (i.e. "parental consent"). If you cannot manage to get the parental consent, you can try to get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/arizona Sex in the States: Arizona]</ref> For more information on minors and abortion laws in Arizona, click [https://www.plannedparenthood.org/planned-parenthood-arizona/online-health-center/minors-and-abortion-law here].<br />
<br />
In Arizona, which is considered a "battleground state," abortion has been recently challenged. In 2012, a law passed in Arizona that prohibited abortions after 20 weeks of gestation (except for in cases where the pregnancy endangered the woman's life). This was later ruled to be unconstitutional by the United States Court of Appeals for the Ninth Circuit in 2013.<br />
<br />
Like in many parts of the country, abortion clinics in Arizona have faced severe pressure in recent years. According to a Guttmacher report, "There were 12 abortion-providing facilities in Arizona in 2014, and 9 of those were clinics. These numbers represent a 29% decline since 2011 in overall providers, and a a 40% decline in clinics from 2011, when there were 17 abortion providers overall, of which 15 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New Mexico, California, and New York. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
* You can contact [https://www.plannedparenthood.org/planned-parenthood-arizona/ Planned Parenthood Arizona] or [https://fpamg.com/ Family Planning Associates Medical Group] to see what options may be available for you.<br />
'''Note:''' Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. They are also known as "crisis centers." For example, Crisis Pregnancy Centers of Arizona Phoenix Center is an example of this type of center.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in your city.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Phoenix&diff=186744Phoenix2022-06-25T22:55:35Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Arizona<br />
|City=Phoenix<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Phoenix.jpg||300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law currently unclear (but abortion unavailable)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Arizona, you will find many health care resources in Phoenix. Like most other US cities, you'll need a prescription to obtain birth control (with the exception of condoms and a few other methods). You don't need a prescription to purchase emergency contraception (the morning after pill), and everyone, including minors, can purchase Plan B. Like other US cities, you can find the HPV vaccine. You can also find PrEP and PEP in Arizona, and we have provided more information on vendors below (in the "Medications and Vaccines" section). <br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> <br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Arizona, you need a prescription to obtain most birth control. You don't need parental permission to get a birth control prescription. While you can go to many clinics, some people prefer to go to Title X clinics. These are clinics that are completely confidential, which means that your appointment and billing will be confidential. At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills. We provide a list of Title X clinics (as well as some low-cost clinics) below.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are some Title X clinics in Phoenix:<br />
* [http://www.arizonafamilyhealth.org/ North East Phoenix Health Center- Phoenix , AZ]: Address: 3131 E. Thunderbird Rd., Suite 48, Phoenix, AZ 85032, p: 602.277.7526 | f: 602.953.8052.<br />
* [http://www.arizonafamilyhealth.org/ Arizona Family Health Partnership (Navajo)]: Address: 3101 N. Central Ave, Ste 1120, Phoenix, AZ 85012, (602) 258-5777.<br />
<br />
Here are some clinics where you can get birth control:<br />
* [http://mihs.org/services/womens-health Women's Care Clinic]: They provide low-cost and LGBT-friendly services, including birth control pills, implants and IUDs. They accept the uninsured and can do same-day insertion for IUDs. Address: 2525 E Roosevelt St, Phoenix, AZ, 850084948, (602) 344-5988<br />
* [https://www.plannedparenthood.org/health-center/arizona/phoenix/85014/central-phoenix-health-center-4200-90030 Central Phoenix Health Center]: This is a Planned Parenthood center, so it should be more affordable. They birth control pills, birth control implant, birth control patch, birth control shot, birth control vaginal ring (NuvaRing), condoms, IUDs (hormonal) and IUDs (copper). Address: 4751 N 15th Street, #3, Phoenix, AZ, 85014. (602) 277-7526.<br />
* [http://camelbackfamilyplanning.com/ Camelback Family Medicine]: We're not sure if they're low-cost, but they do provide birth control pills, implants and IUDs. They do same-day insertion for IUDs. Address: 4141 North 32nd Street, Phoenix, AZ, 85018, (602) 279-2337.<br />
* [http://www.maricopaobgyn.com/index.php Maricopa OB/GYN]: They provide many birth control methods, including birth control pills, Vaginal Contraception – NuvaRing, Birth Control Patch – Ortho Evra, Progesterone Only Birth Control Methods, Depo Provera, Nexplanon, Oral Progesterone, Intrauterine Systems (Mirena and Paragard), and Permanent birth control (Essure and Tubal Ligation). They have 2 locations: 1661 E Camelback Road , Suite 160 and 4530 E. Ray Rd., Suite 125. Check out their website for details.<br />
* [https://fpamg.com/service/surgical-abortion-services/ abortion in arizona]: Address: 1331 N. 7th Street Suite 225 Phoenix, AZ 85006, p: 602-553-0440 | p: 00-558-0440 | Email: support@fpamg.com .<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get emergency contraception (the morning after pill) at pharmacies.<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===What to Get & Where to Get It===<br />
<br />
====Testing Facilities====<br />
<br />
====Support====<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can the HPV vaccines, such as Gardasil or Cervarix, in Phoenix at [plannedparenthood.org Planned Parenthood], [http://www.camelbackhealth.com/womens-health-care/hpv-screening-and-vaccination/ Camelback Health Center] or other clinics. You may also be able to get it CVS.<br />
* You can get Pre-Exposure Prophylaxis (PrEP) in Phoenix from many doctors. Here is the [https://www.hivaz.org/prevention/prep/phoenix-prep-providers list] of PrEp providers in Phoenix. Also, here is [http://igniteyourstatus.org/hiv_prep/ some information on PrEp from the Southwest Center for HIV/AIDS].<br />
* You can access Post-Exposure Prophylaxis (PEP) in Phoenix at Banner – University Medical Center, among other locations. Check out [http://igniteyourstatus.org/wp-content/uploads/2015/09/PEP-Emergency-Phoenix-Locations.pdf this list] of PEP vendors in Arizona.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Phoenix, you can find pads, tampons and menstrual cups. You'll be able to find pads and tampons in most grocery stores or convenience stores, like Walgreens and CVS. If you want to buy a DivaCup (menstrual cup), they're sold at CVS Pharmacy, Walgreens, Safeway (520 W. Osborn Rd), Sprouts and Sprouts Farmers Market. There are some other menstrual cup brands, like MoonCup, LadyCup or Lunette, which are best to buy online (and have delivered to your Phoenix address). You can buy eco-friendly and natural menstrual products at CVS, Food City, Bashas', A.J.'s, Safeway, Fry's Foods Food Store, Whole Foods and Natural Grocers by VC Phoenix. You can buy menstrual underwear online (check out the Thinx website).<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1" /> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2" /><br />
<br />
Prior to the overturning of Roe v. Wade, you could obtain an abortion but restrictions applied. Before you could receive an abortion, you needed to go through state-directed counseling, where the counselor would read a script that aimed to discourage you from seeking out an abortion. You needed to also obtain an ultrasound at least 24 hours before the abortion, and the provider would ask you if you wants to see the ultrasound image. Following the counseling and ultrasound, you would then go through a 24-hour wait period before the abortion can be performed. The use of telemedicine for an abortion is prohibited.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
If you're under 18 years old and want an abortion in Arizona, it's required that one of your parents consents to the abortion (i.e. "parental consent"). If you cannot manage to get the parental consent, you can try to get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/arizona Sex in the States: Arizona]</ref> For more information on minors and abortion laws in Arizona, click [https://www.plannedparenthood.org/planned-parenthood-arizona/online-health-center/minors-and-abortion-law here].<br />
<br />
In Arizona, which is considered a "battleground state," abortion has been recently challenged. In 2012, a law passed in Arizona that prohibited abortions after 20 weeks of gestation (except for in cases where the pregnancy endangered the woman's life). This was later ruled to be unconstitutional by the United States Court of Appeals for the Ninth Circuit in 2013.<br />
<br />
Like in many parts of the country, abortion clinics in Arizona have faced severe pressure in recent years. According to a Guttmacher report, "There were 12 abortion-providing facilities in Arizona in 2014, and 9 of those were clinics. These numbers represent a 29% decline since 2011 in overall providers, and a a 40% decline in clinics from 2011, when there were 17 abortion providers overall, of which 15 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New Mexico, California, and New York. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
* You can contact [https://www.plannedparenthood.org/planned-parenthood-arizona/ Planned Parenthood Arizona] or [https://fpamg.com/ Family Planning Associates Medical Group] to see what options may be available for you.<br />
'''Note:''' Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. They are also known as "crisis centers." For example, Crisis Pregnancy Centers of Arizona Phoenix Center is an example of this type of center.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in your city.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Phoenix&diff=186743Phoenix2022-06-25T22:55:05Z<p>Lani314: added infobox + updates due to overturning of roe v. wade</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Arizona<br />
|City=Phoenix<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[File:Phoenix.jpg||300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|law currently unclear (but abortion unavailable)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Arizona, you will find many health care resources in Phoenix. Like most other US cities, you'll need a prescription to obtain birth control (with the exception of condoms and a few other methods). You don't need a prescription to purchase emergency contraception (the morning after pill), and everyone, including minors, can purchase Plan B. Like other US cities, you can find the HPV vaccine. You can also find PrEP and PEP in Arizona, and we have provided more information on vendors below (in the "Medications and Vaccines" section). <br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2">https://www.theguardian.com/us-news/2022/jun/25/arizona-planned-parenthood-abortion-state-laws</ref> <br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Arizona, you need a prescription to obtain most birth control. You don't need parental permission to get a birth control prescription. While you can go to many clinics, some people prefer to go to Title X clinics. These are clinics that are completely confidential, which means that your appointment and billing will be confidential. At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills. We provide a list of Title X clinics (as well as some low-cost clinics) below.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are some Title X clinics in Phoenix:<br />
* [http://www.arizonafamilyhealth.org/ North East Phoenix Health Center- Phoenix , AZ]: Address: 3131 E. Thunderbird Rd., Suite 48, Phoenix, AZ 85032, p: 602.277.7526 | f: 602.953.8052.<br />
* [http://www.arizonafamilyhealth.org/ Arizona Family Health Partnership (Navajo)]: Address: 3101 N. Central Ave, Ste 1120, Phoenix, AZ 85012, (602) 258-5777.<br />
<br />
Here are some clinics where you can get birth control:<br />
* [http://mihs.org/services/womens-health Women's Care Clinic]: They provide low-cost and LGBT-friendly services, including birth control pills, implants and IUDs. They accept the uninsured and can do same-day insertion for IUDs. Address: 2525 E Roosevelt St, Phoenix, AZ, 850084948, (602) 344-5988<br />
* [https://www.plannedparenthood.org/health-center/arizona/phoenix/85014/central-phoenix-health-center-4200-90030 Central Phoenix Health Center]: This is a Planned Parenthood center, so it should be more affordable. They birth control pills, birth control implant, birth control patch, birth control shot, birth control vaginal ring (NuvaRing), condoms, IUDs (hormonal) and IUDs (copper). Address: 4751 N 15th Street, #3, Phoenix, AZ, 85014. (602) 277-7526.<br />
* [http://camelbackfamilyplanning.com/ Camelback Family Medicine]: We're not sure if they're low-cost, but they do provide birth control pills, implants and IUDs. They do same-day insertion for IUDs. Address: 4141 North 32nd Street, Phoenix, AZ, 85018, (602) 279-2337.<br />
* [http://www.maricopaobgyn.com/index.php Maricopa OB/GYN]: They provide many birth control methods, including birth control pills, Vaginal Contraception – NuvaRing, Birth Control Patch – Ortho Evra, Progesterone Only Birth Control Methods, Depo Provera, Nexplanon, Oral Progesterone, Intrauterine Systems (Mirena and Paragard), and Permanent birth control (Essure and Tubal Ligation). They have 2 locations: 1661 E Camelback Road , Suite 160 and 4530 E. Ray Rd., Suite 125. Check out their website for details.<br />
* [https://fpamg.com/service/surgical-abortion-services/ abortion in arizona]: Address: 1331 N. 7th Street Suite 225 Phoenix, AZ 85006, p: 602-553-0440 | p: 00-558-0440 | Email: support@fpamg.com .<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get emergency contraception (the morning after pill) at pharmacies.<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===What to Get & Where to Get It===<br />
<br />
====Testing Facilities====<br />
<br />
====Support====<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can the HPV vaccines, such as Gardasil or Cervarix, in Phoenix at [plannedparenthood.org Planned Parenthood], [http://www.camelbackhealth.com/womens-health-care/hpv-screening-and-vaccination/ Camelback Health Center] or other clinics. You may also be able to get it CVS.<br />
* You can get Pre-Exposure Prophylaxis (PrEP) in Phoenix from many doctors. Here is the [https://www.hivaz.org/prevention/prep/phoenix-prep-providers list] of PrEp providers in Phoenix. Also, here is [http://igniteyourstatus.org/hiv_prep/ some information on PrEp from the Southwest Center for HIV/AIDS].<br />
* You can access Post-Exposure Prophylaxis (PEP) in Phoenix at Banner – University Medical Center, among other locations. Check out [http://igniteyourstatus.org/wp-content/uploads/2015/09/PEP-Emergency-Phoenix-Locations.pdf this list] of PEP vendors in Arizona.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Phoenix, you can find pads, tampons and menstrual cups. You'll be able to find pads and tampons in most grocery stores or convenience stores, like Walgreens and CVS. If you want to buy a DivaCup (menstrual cup), they're sold at CVS Pharmacy, Walgreens, Safeway (520 W. Osborn Rd), Sprouts and Sprouts Farmers Market. There are some other menstrual cup brands, like MoonCup, LadyCup or Lunette, which are best to buy online (and have delivered to your Phoenix address). You can buy eco-friendly and natural menstrual products at CVS, Food City, Bashas', A.J.'s, Safeway, Fry's Foods Food Store, Whole Foods and Natural Grocers by VC Phoenix. You can buy menstrual underwear online (check out the Thinx website).<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The legal status of abortion in Arizona is currently unclear. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. Within hours of the overturning of Roe v. Wade, state senate Republicans of Arizona released a statement, which said that abortion was banned in the state.<ref name=":1" /> Planned Parenthood of Arizona announced that they would halt all abortion procedures in their 7 clinics in the state, since abortion laws were unclear.<ref name=":2" /><br />
<br />
Prior to the overturning of Roe v. Wade, you could obtain an abortion but restrictions applied. Before you could receive an abortion, you needed to go through state-directed counseling, where the counselor would read a script that aimed to discourage you from seeking out an abortion. You needed to also obtain an ultrasound at least 24 hours before the abortion, and the provider would ask you if you wants to see the ultrasound image. Following the counseling and ultrasound, you would then go through a 24-hour wait period before the abortion can be performed. The use of telemedicine for an abortion is prohibited.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
If you're under 18 years old and want an abortion in Arizona, it's required that one of your parents consents to the abortion (i.e. "parental consent"). If you cannot manage to get the parental consent, you can try to get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/arizona Sex in the States: Arizona]</ref> For more information on minors and abortion laws in Arizona, click [https://www.plannedparenthood.org/planned-parenthood-arizona/online-health-center/minors-and-abortion-law here].<br />
<br />
In Arizona, which is considered a "battleground state," abortion has been recently challenged. In 2012, a law passed in Arizona that prohibited abortions after 20 weeks of gestation (except for in cases where the pregnancy endangered the woman's life). This was later ruled to be unconstitutional by the United States Court of Appeals for the Ninth Circuit in 2013.<br />
<br />
Like in many parts of the country, abortion clinics in Arizona have faced severe pressure in recent years. According to a Guttmacher report, "There were 12 abortion-providing facilities in Arizona in 2014, and 9 of those were clinics. These numbers represent a 29% decline since 2011 in overall providers, and a a 40% decline in clinics from 2011, when there were 17 abortion providers overall, of which 15 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-arizona State Facts About Abortion: Arizona]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New Mexico, California, and New York. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
* You can contact [https://www.plannedparenthood.org/planned-parenthood-arizona/ Planned Parenthood Arizona] or [https://fpamg.com/ Family Planning Associates Medical Group] to see what options may be available for you.<br />
'''Note:''' Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. They are also known as "crisis centers." For example, Crisis Pregnancy Centers of Arizona Phoenix Center is an example of this type of center.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in your city.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Philadelphia&diff=186742Philadelphia2022-06-25T22:45:51Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Pennsylvania<br />
|City=Philadelphia<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Philadelphia.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Pennsylvania, you'll find many health care options in Philadelphia. You can find all forms of birth control, however you will need a prescription for most of them. If you're under 18 years and want to confidentially receive counseling or help with birth control, you should visit a Title X clinic (we provide information below). You can also purchase emergency contraception (the morning after pill) without a prescription. In particular, Plan B is available to everyone, regardless of age, without a prescription. There are services to receive free and confidential HIV tests, which we have listed below, and you can also find providers of PrEP and PEP in Philadelphia. Many health clinics offer the HPV vaccine, so you should find the one that is best for you. Abortion is legal but, if you're a minor, you may need to get parental consent.<br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Pennsylvania, you need a prescription to obtain most birth control. A minor can purchase birth control without parental permission in the following circumstances: if the minor is 14 years old and older, if the minor is a high school graduate, if the minor is married of if the minor is or has ever been pregnant. For all other minors, they need to get parental permission in order to get a birth control prescription. However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
In the state of Pennsylvania, it's not required to teach about sexuality or contraceptive methods, such as condoms, pills and patches, in public schools. However, Pennsylvania law does require education on HIV/AIDS and STD education.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can get condoms in Pennsylvania without a prescription. There are no age restrictions (you can be a minor or adult). You can buy them at drugstores, pharmacy, grocery stores or online. Generally, a 12-pack of condoms costs around $12. A female condom costs around $2-$4 per condom.<br />
<br />
* [https://www.plannedparenthood.org/health-center The Elizabeth Blackwell Health Center at Locust Street]: This is a Planned Parenthood center and Title X clinic. They provide low-cost services for birth control pills, IUDs and implants. They're also LGBT-friendly. Address: 1144 Locust Street, Philadelphia, PA, 19107, (215) 351-5560.<br />
* [https://www.plannedparenthood.org/health-center/pennsylvania/philadelphia/19152/castor-ave.-health-center-2512-91460 Castor Ave. Health Center]: This is a Planned Parenthood center (we're not sure if they're a Title X clinic). They provides low-cost services for birth control pills, IUDs and implants. Address: 8210 Castor Ave, Philadelphia, PA, 19152, (215) 745-5966.<br />
* [http://philadelphiawomenscenter.com/other-services/birth-control/ Philadelphia Women's Center]: "We offer a wide range of birth control methods including: the birth control pill, the vaginal ring, the implant, the Depo shot and hormonal and non-hormonal IUDs." Phone: (215) 574-3590 | (800) 869-2330. Address: 777 Appletree Street, 7th Floor, Philadelphia, PA, 19106.<br />
* [http://www.drexelmedicine.org/patient-services/obstetrics-and-gynecology/services/womens-care-center/ Women's Care Center of Drexel University]: This should be a Title X clinic (but you can call to confirm). Contraception included: Contraceptive supplies, Free condoms, Birth control pills, Orthro-Evra™ (the "patch"), Nuva Ring™ (vaginal contraceptive ring), Depro-Provera, IUD, Diaphragm. Address: 1427 Vine St, 7th Fl., Philadelphia, PA, 19102. Phone: (215) 762-7824<br />
* [https://www.mazzonicenter.org/ Mazzoni Center Family and Community Medicine]: This is a Title X clinic. They provide low-cost services for birth control pills, IUDs and implants. They're also LGBT-friendly and accept health insurance. Address: 809 Locust st., Philadelphia, PA, 19107, (215) 563-0658.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Pennsylvania, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/worldwide/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/worldwide/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://takecontrolphilly.org/help/ Take Control]: "Come to our free and confidential clinics at Health Centers 1 and 5. They provide exams, diagnosis, and treatment for a variety of STDs to all people over the age of 12. All services are free of charge. You don't even need an appointment. It's as easy as walking in after school." Health Center 1 (Center City): 500 S. Broad St. (Broad and Lombard). Health Center 5 (North Philadelphia): 1920 N 20th St. (20th and Berks).<br />
* St Christophers Hospital for Children Pediatric Adolescent HIV/AIDS Program: They give free HIV tests and rapid HIV blood tests to teens who are 14 years and older. No parental consent required. Walk-in testing open to general public. Address: 3601 A Street, Philadelphia, PA 19134, Phone: 215-427-5284.<br />
* [https://www.mazzonicenter.org/health-care/community-health/walk-hiv-and-std-testing Mazzoni Center]: "Mazzoni Center offers free, confidential rapid HIV testing and confidential STI (sexually transmitted infection) screening services Mondays-Saturdays at our community based testing location at Washington West Project (1201 Locust Street), and at various off-site locations throughout Philadelphia."<br />
* [http://www.congreso.net/ Congreso de Latinos Unidos]: They offer Free HIV Testing, Conventional HIV Blood Testing, Conventional HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing, Hepatitis B Vaccine and HPV Vaccine. Address: 216 W Somerset St, Philadelphia, PA 19133, USA. Phone: +1 215-763-8870.<br />
* [http://ppponline.org/ Prevention Point Philadelphia]: They offer Free HIV Testing, Conventional HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing, Hepatitis B Vaccine. Address: 166 W Lehigh Ave, Philadelphia, PA 19133, Phone: 215-634-5272.<br />
* Blacks Educating Blacks About Sexual Health Issues: Offers Free HIV Testing, Conventional HIV Blood Testing, Rapid HIV Blood Testing, Conventional HIV Oral Testing, Rapid HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing and Herpes Testing. Address: 1217 Spring Garden St 1st Fl, Philadelphia, PA 19123, Phone: 215-769-3561.<br />
<br />
====Support====<br />
<br />
* [http://www.phillyhepatitis.org/ Philly Hepatitis]: This website provides helpful information on hepatitis and care resources in Philly.<br />
* [http://www.hepcap.org/ Hepatitis C Allies of Philly (HepCAP)]: "HepCAP is positioning Philadelphia as �a national leader in the fight against hepatitis C. We aim to increase awareness of hep C as an urgent public health issue, while improving hep C prevention, diagnosis, care, and support services in our city."<br />
* [https://fight.org/ Philadelphia FIGHT]: They offer counseling, testing, PrEP services, women's health services, youth services and more. "A comprehensive health services organization providing primary care, consumer education, research, and advocacy for people living with HIV/AIDS and those at high risk." Address: 1233 Locust Street, 3rd floor, Philadelphia, PA 19107. P: (215) 985-4448. Email: fight@fight.org<br />
* [http://www.aidsfundphilly.org/ AIDS Fund Philly]: "AIDS Fund produces a variety of fundraising and awareness programs throughout the year, including AIDS Walk Philly, AIDS Run Philly, GayBINGO, Black-Tie GayBINGO, World AIDS Day, and Workplace Giving Campaigns. AIDS Fund provides emergency financial assistance to people living with HIV disease and organizations providing HIV services in the Greater Philadelphia region, while providing education and increasing public awareness of HIV/AIDS issues."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine at many clinics in Philadelphia, including Congreso de Latinos Unidos, Esperanza Health Center Fifth Street Office, Temple University Hospital Temple Center for Womens Health Temple OB/GYN Out-Patient Services, Quality Community Health Care Incorporated Cooke Family (Health Center), Philadelphia Department of Public Health Philadelphia (Health Care Center 5 and Health Center 9) and Quality Community Health Care Incorporated Vaux Family. You can also get it certain pharmacies, like at Walgreen's (call your local pharmacy to see if they offer it).<br />
* You can get PrEP at many clinics and health centers in Philadelphia, including: Mazzoni Center, Philadelphia FIGHT Community Health Centers, Temple University Health System, Congreso de Latinos Unidos and Philadelphia Department of Public Health. For a full list of PrEP providers in Philadelphia, click [http://www.greaterthan.org/wp-content/uploads/2016/01/PrEP-Providers-Philadelphia-DPH.pdf here].<br />
* You can get PEP in Philadelphia from a primary care provider. If you don't have insurance, you can get it at Health Center 1, which serves everyone regardless of insurance, residency or ability to pay. Call 215-985-2437 for details. You can also visit [http://doyouphilly.org/stop-hiv this website] for information on PEP in Philadelphia.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in Pennsylvania. While you can legally obtain an abortion in Pennsylvania, there are restrictions. For a woman to receive an abortion, she must first receive state-directed counseling. During this counseling, she will be discouraged from obtaining an abortion and she will receive materials/information that attempt to discourage her. Following the counseling, she will need to wait for 24 hours before being able to undergo the procedure.<ref>[http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-abortion-laws.html Pennsylvania Abortion Laws]</ref> <br />
<br />
If you're 18 years old and want an abortion in Pennsylvania, it's required that one of your parents gives consent (i.e. "parental consent"). If you cannot manage to get parental consent, you can potentially get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/pennsylvania Sex in the States: Pennsylvania]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/pennsylvania/philadelphia/19154/far-northeast-surgical-center-3441-91460/abortion Far Northeast Surgical Center- Philadelphia , PA]: The services they offer include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed. Address: 2751 Comly Road, Philadelphia, PA 19154. p: 215.464.2225 | f: 215.464.2246.<br />
* [http://philadelphiawomenscenter.com/ Philadelphia Women's Center]: They provide medical abortion (the abortion pill) and surgical abortions (for first trimester and second trimester). "All women who come to the clinic seeking abortion services are cared for with compassion and respect. Our services include a series of pre-operative assessments with medical and counseling staff." Address: 777 Appletree Street, 7th Floor, Philadelphia, Pennsylvania 19106, (800) 869-2330, (215) 574-3590.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
In Pennsylvania, state funds (under the Affordable Care Act) only cover women's abortions when the life is endangered by the pregnancy or in cases of rape or incest. Public employees can only have abortion covered under their insurance policies if the pregnancy endangers their life or if the result or rape or incest.<ref>[http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-abortion-laws.html Pennsylvania Abortion Laws]</ref><br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://http://www.womenagainstabuse.org/index.php/get-help/PDVH/ Philadelphia Domestic Violence Hotline] at 1-866-723-3014 or the [http://www.thehotline.org/ National Domestic Violence Hotline] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* [https://www.womenslawproject.org/ Women's Law Project]: "Established in 1974, the Women’s Law Project is a state-based public interest legal center devoted to protecting and expanding the rights of women, girls and LGBTQ people in Pennsylvania and beyond." Address: 125 S. 9th Street, Suite 300, Philadelphia, PA 19107; Email: info@womenslawproject.org; v: 215-928-9801Call: 215-928-9801; f: 215-928-9848Call: 215-928-9848<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in your city.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Philadelphia&diff=186741Philadelphia2022-06-25T22:45:37Z<p>Lani314: /* Laws & Social Stigmas */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Pennsylvania<br />
|City=Philadelphia<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Philadelphia.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[Houston]], [[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Pennsylvania, you'll find many health care options in Philadelphia. You can find all forms of birth control, however you will need a prescription for most of them. If you're under 18 years and want to confidentially receive counseling or help with birth control, you should visit a Title X clinic (we provide information below). You can also purchase emergency contraception (the morning after pill) without a prescription. In particular, Plan B is available to everyone, regardless of age, without a prescription. There are services to receive free and confidential HIV tests, which we have listed below, and you can also find providers of PrEP and PEP in Philadelphia. Many health clinics offer the HPV vaccine, so you should find the one that is best for you. Abortion is legal but, if you're a minor, you may need to get parental consent.<br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Pennsylvania, you need a prescription to obtain most birth control. A minor can purchase birth control without parental permission in the following circumstances: if the minor is 14 years old and older, if the minor is a high school graduate, if the minor is married of if the minor is or has ever been pregnant. For all other minors, they need to get parental permission in order to get a birth control prescription. However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
In the state of Pennsylvania, it's not required to teach about sexuality or contraceptive methods, such as condoms, pills and patches, in public schools. However, Pennsylvania law does require education on HIV/AIDS and STD education.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can get condoms in Pennsylvania without a prescription. There are no age restrictions (you can be a minor or adult). You can buy them at drugstores, pharmacy, grocery stores or online. Generally, a 12-pack of condoms costs around $12. A female condom costs around $2-$4 per condom.<br />
<br />
* [https://www.plannedparenthood.org/health-center The Elizabeth Blackwell Health Center at Locust Street]: This is a Planned Parenthood center and Title X clinic. They provide low-cost services for birth control pills, IUDs and implants. They're also LGBT-friendly. Address: 1144 Locust Street, Philadelphia, PA, 19107, (215) 351-5560.<br />
* [https://www.plannedparenthood.org/health-center/pennsylvania/philadelphia/19152/castor-ave.-health-center-2512-91460 Castor Ave. Health Center]: This is a Planned Parenthood center (we're not sure if they're a Title X clinic). They provides low-cost services for birth control pills, IUDs and implants. Address: 8210 Castor Ave, Philadelphia, PA, 19152, (215) 745-5966.<br />
* [http://philadelphiawomenscenter.com/other-services/birth-control/ Philadelphia Women's Center]: "We offer a wide range of birth control methods including: the birth control pill, the vaginal ring, the implant, the Depo shot and hormonal and non-hormonal IUDs." Phone: (215) 574-3590 | (800) 869-2330. Address: 777 Appletree Street, 7th Floor, Philadelphia, PA, 19106.<br />
* [http://www.drexelmedicine.org/patient-services/obstetrics-and-gynecology/services/womens-care-center/ Women's Care Center of Drexel University]: This should be a Title X clinic (but you can call to confirm). Contraception included: Contraceptive supplies, Free condoms, Birth control pills, Orthro-Evra™ (the "patch"), Nuva Ring™ (vaginal contraceptive ring), Depro-Provera, IUD, Diaphragm. Address: 1427 Vine St, 7th Fl., Philadelphia, PA, 19102. Phone: (215) 762-7824<br />
* [https://www.mazzonicenter.org/ Mazzoni Center Family and Community Medicine]: This is a Title X clinic. They provide low-cost services for birth control pills, IUDs and implants. They're also LGBT-friendly and accept health insurance. Address: 809 Locust st., Philadelphia, PA, 19107, (215) 563-0658.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Pennsylvania, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/worldwide/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/worldwide/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://takecontrolphilly.org/help/ Take Control]: "Come to our free and confidential clinics at Health Centers 1 and 5. They provide exams, diagnosis, and treatment for a variety of STDs to all people over the age of 12. All services are free of charge. You don't even need an appointment. It's as easy as walking in after school." Health Center 1 (Center City): 500 S. Broad St. (Broad and Lombard). Health Center 5 (North Philadelphia): 1920 N 20th St. (20th and Berks).<br />
* St Christophers Hospital for Children Pediatric Adolescent HIV/AIDS Program: They give free HIV tests and rapid HIV blood tests to teens who are 14 years and older. No parental consent required. Walk-in testing open to general public. Address: 3601 A Street, Philadelphia, PA 19134, Phone: 215-427-5284.<br />
* [https://www.mazzonicenter.org/health-care/community-health/walk-hiv-and-std-testing Mazzoni Center]: "Mazzoni Center offers free, confidential rapid HIV testing and confidential STI (sexually transmitted infection) screening services Mondays-Saturdays at our community based testing location at Washington West Project (1201 Locust Street), and at various off-site locations throughout Philadelphia."<br />
* [http://www.congreso.net/ Congreso de Latinos Unidos]: They offer Free HIV Testing, Conventional HIV Blood Testing, Conventional HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing, Hepatitis B Vaccine and HPV Vaccine. Address: 216 W Somerset St, Philadelphia, PA 19133, USA. Phone: +1 215-763-8870.<br />
* [http://ppponline.org/ Prevention Point Philadelphia]: They offer Free HIV Testing, Conventional HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing, Hepatitis B Vaccine. Address: 166 W Lehigh Ave, Philadelphia, PA 19133, Phone: 215-634-5272.<br />
* Blacks Educating Blacks About Sexual Health Issues: Offers Free HIV Testing, Conventional HIV Blood Testing, Rapid HIV Blood Testing, Conventional HIV Oral Testing, Rapid HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing and Herpes Testing. Address: 1217 Spring Garden St 1st Fl, Philadelphia, PA 19123, Phone: 215-769-3561.<br />
<br />
====Support====<br />
<br />
* [http://www.phillyhepatitis.org/ Philly Hepatitis]: This website provides helpful information on hepatitis and care resources in Philly.<br />
* [http://www.hepcap.org/ Hepatitis C Allies of Philly (HepCAP)]: "HepCAP is positioning Philadelphia as �a national leader in the fight against hepatitis C. We aim to increase awareness of hep C as an urgent public health issue, while improving hep C prevention, diagnosis, care, and support services in our city."<br />
* [https://fight.org/ Philadelphia FIGHT]: They offer counseling, testing, PrEP services, women's health services, youth services and more. "A comprehensive health services organization providing primary care, consumer education, research, and advocacy for people living with HIV/AIDS and those at high risk." Address: 1233 Locust Street, 3rd floor, Philadelphia, PA 19107. P: (215) 985-4448. Email: fight@fight.org<br />
* [http://www.aidsfundphilly.org/ AIDS Fund Philly]: "AIDS Fund produces a variety of fundraising and awareness programs throughout the year, including AIDS Walk Philly, AIDS Run Philly, GayBINGO, Black-Tie GayBINGO, World AIDS Day, and Workplace Giving Campaigns. AIDS Fund provides emergency financial assistance to people living with HIV disease and organizations providing HIV services in the Greater Philadelphia region, while providing education and increasing public awareness of HIV/AIDS issues."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine at many clinics in Philadelphia, including Congreso de Latinos Unidos, Esperanza Health Center Fifth Street Office, Temple University Hospital Temple Center for Womens Health Temple OB/GYN Out-Patient Services, Quality Community Health Care Incorporated Cooke Family (Health Center), Philadelphia Department of Public Health Philadelphia (Health Care Center 5 and Health Center 9) and Quality Community Health Care Incorporated Vaux Family. You can also get it certain pharmacies, like at Walgreen's (call your local pharmacy to see if they offer it).<br />
* You can get PrEP at many clinics and health centers in Philadelphia, including: Mazzoni Center, Philadelphia FIGHT Community Health Centers, Temple University Health System, Congreso de Latinos Unidos and Philadelphia Department of Public Health. For a full list of PrEP providers in Philadelphia, click [http://www.greaterthan.org/wp-content/uploads/2016/01/PrEP-Providers-Philadelphia-DPH.pdf here].<br />
* You can get PEP in Philadelphia from a primary care provider. If you don't have insurance, you can get it at Health Center 1, which serves everyone regardless of insurance, residency or ability to pay. Call 215-985-2437 for details. You can also visit [http://doyouphilly.org/stop-hiv this website] for information on PEP in Philadelphia.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legal in Pennsylvania. While you can legally obtain an abortion in Pennsylvania, there are restrictions. For a woman to receive an abortion, she must first receive state-directed counseling. During this counseling, she will be discouraged from obtaining an abortion and she will receive materials/information that attempt to discourage her. Following the counseling, she will need to wait for 24 hours before being able to undergo the procedure.<ref>[http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-abortion-laws.html Pennsylvania Abortion Laws]</ref> <br />
<br />
If you're 18 years old and want an abortion in Pennsylvania, it's required that one of your parents gives consent (i.e. "parental consent"). If you cannot manage to get parental consent, you can potentially get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/pennsylvania Sex in the States: Pennsylvania]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/pennsylvania/philadelphia/19154/far-northeast-surgical-center-3441-91460/abortion Far Northeast Surgical Center- Philadelphia , PA]: The services they offer include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams and referrals for other abortion services, as needed. Address: 2751 Comly Road, Philadelphia, PA 19154. p: 215.464.2225 | f: 215.464.2246.<br />
* [http://philadelphiawomenscenter.com/ Philadelphia Women's Center]: They provide medical abortion (the abortion pill) and surgical abortions (for first trimester and second trimester). "All women who come to the clinic seeking abortion services are cared for with compassion and respect. Our services include a series of pre-operative assessments with medical and counseling staff." Address: 777 Appletree Street, 7th Floor, Philadelphia, Pennsylvania 19106, (800) 869-2330, (215) 574-3590.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
In Pennsylvania, state funds (under the Affordable Care Act) only cover women's abortions when the life is endangered by the pregnancy or in cases of rape or incest. Public employees can only have abortion covered under their insurance policies if the pregnancy endangers their life or if the result or rape or incest.<ref>[http://statelaws.findlaw.com/pennsylvania-law/pennsylvania-abortion-laws.html Pennsylvania Abortion Laws]</ref><br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://http://www.womenagainstabuse.org/index.php/get-help/PDVH/ Philadelphia Domestic Violence Hotline] at 1-866-723-3014 or the [http://www.thehotline.org/ National Domestic Violence Hotline] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* [https://www.womenslawproject.org/ Women's Law Project]: "Established in 1974, the Women’s Law Project is a state-based public interest legal center devoted to protecting and expanding the rights of women, girls and LGBTQ people in Pennsylvania and beyond." Address: 125 S. 9th Street, Suite 300, Philadelphia, PA 19107; Email: info@womenslawproject.org; v: 215-928-9801Call: 215-928-9801; f: 215-928-9848Call: 215-928-9848<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in your city.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=New_Orleans&diff=186740New Orleans2022-06-25T22:44:05Z<p>Lani314: added infobox & updates after roe v. wade overturned</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Louisiana<br />
|City=New Orleans<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Neworleans.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
In New Orleans, you will find many health care resources and support groups, but there are notable restrictions. The city is renowned for its sexual openness and LGBT community. However, the state of Louisiana has also passed laws that make access to contraception and abortion more difficult for people. For these reasons, it's critical that one understands which organizations and resources to reach out to. Generally speaking, you will be able to obtain hormonal contraception (birth control pills) if you're an adult or married minor and hold a prescription. You can purchase condoms in pharmacies and markets. Emergency contraception (also known as the "morning after pill") is legally available to all women without a prescription. You can receive STI tests at public facilities if you're a Louisiana and/or New Orleans resident. If you are not a local resident, you can get tested at many clinics, non-profits or Planned Parenthood. You can also access PrEP in New Orleans. Regarding pregnancy, maternity leave is granted on a federal level under FMLA, although this only applies to some employees. Louisiana has an additional maternity leave policy, called Louisiana Pregnancy Disability Leave, which also only applies to some individuals and grants 6 weeks of leave for normal pregnancies and births. <br />
<br />
In Louisiana, abortion became illegal in June 2022.<ref name=":1">https://www.theadvertiser.com/story/news/2022/06/24/abortion-louisiana-illegal-now-after-supreme-court-ruling/7694143001/</ref> That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Louisiana, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, all three abortion clinics in Louisiana stopped performing abortions.<ref name=":1" /><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas=== <br />
<br />
In Louisiana, you need a prescription to obtain hormonal birth control. If you're an unmarried minor, you need parental consent to obtain birth control. If you're a married minor, you don't need parental consent to obtain birth control. However, if you're an unmarried minor, you should check out Title X clinics. Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. <br />
<br />
You can buy condoms in Louisiana in drugstores, pharmacies, grocery stores or online. Teenagers can legally buy condoms. You can also get condoms for a reduced cost at health clinics, STI Testing centers and local health departments.<br />
<br />
The age of consent in Louisiana is 17 years old. It is not required to teach sex-education in public schools, and local school boards decide whether to teach sex-ed. Furthermore, there is no state requirement to teach students about contraceptives, such as the pill, patch or shots. When sex education is included in public schools, the curriculum often stresses abstinence and saving sex for marriage.<ref>[https://www.guttmacher.org/state-policy/explore/sex-and-hiv-education Sex and HIV Education]</ref> This may contribute to the high HIV infection rate in New Orleans, as well as teen pregnancy. Since 2010, over 2500 New Orleans teenagers have participated in sex education programs, funded by new federal grants aimed at reducing teen pregnancy. Unfortunately, however, sex education remains both contentious and overlooked in many public schools.<ref>[http://www.nola.com/education/index.ssf/2015/09/sex_education_to_expand_in_sou.html Youth sex education to expand in southeast Louisiana]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
For a list of clinics that provide free or low-cost birth control in New Orleans, please visit this [https://bedsider.org/clinics?utf8=✓&location=New+Orleans&commit=search+» link]. For a full list of recommended women's clinics and health centers in New Orleans, visit the "Gynecological Exams" section. Below, you will find some recommendations of health centers and pharmacies to visit, but there are many more in the New Orleans area.<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-gulf-coast/who-we-are/ppgc-louisiana/new-orleans Planned Parenthood New Orleans Health Center]: You can obtain birth control prescriptions and birth control. If you qualify as low-income, you may even be able to obtain free birth control. They have the birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, IUD (hormonal), IUD (copper), spermicide. "We are open six days a week and walk-ins are welcome. Next-day appointments are available. We accept all Medicaid plans, Take Charge Plus, and many commercial insurance plans, including Blue Cross Blue Shield, Cigna, and Humana." Address: 4636 S Claiborne Ave, New Orleans, LA 70125, USA. p: 504.897.9200 | f: 404.494.7435<br />
* [http://www.svdpneworleans.org/community-pharmacy.html St. Vincent De Paul Community Pharmacy - New Orleans]: "Since 1998, The Society of Vincent de Paul Community Pharmacy has offered prescription medication to free of charge to the underserved population of the New Orleans Community; namely the homeless, indigent and elderly-this group of individuals on a fixed income and in most cases, cannot afford needed medication prescribed by physicians." Address: New Orleans, LA - 70119, (504) 940-1904. For more information, call 504-940-5031, ext. 15 or ext. 17.<br />
* [https://www2.tulane.edu/som/dropin/ Tulane Adolescent Drop-in Clinic]: Provides birth control, pregnancy tests, STI tests, etc. "For over 15 years the Drop-In Center has filled a void in New Orleans by providing both medical and social services for runaway and homeless youth. The overall mission of the Drop-In Center is to improve the health and quality of life of homeless youths, between the ages of 14 to 23 years, by providing for and broadening the comprehensive network of primary healthcare and substance abuse, mental health, case management and outreach services." Address: 1434 N Rampart St, New Orleans, LA, 70116-1912, (504) 988-1667<br />
* [http://www.stthomaschc.org/ St. Thomas Community Health Center]: "Our goal is to keep you and your family healthy, regardless of your insurance status or ability to pay. We accept most insurance plans, Medicaid, Medicare and offer services on a sliding scale for uninsured and underinsured. " Address: 1020 Saint Andrew St., New Orleans, LA, 70130, (504) 529-5558<br />
* Family Care Services Center (Crescent Care): 4640 South Carrollton Avenue, New Orleans, LA, 70119, (504) 378-0427<br />
<br />
===Costs===<br />
<br />
If you're interested in obtaining low-cost birth control, visit a women's clinic or Planned Parenthood. A pack of twelve condoms costs about $12. Female condoms are about $2 to $4 per condom.<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, you are legally entitled to purchase emergency contraception (also known as "the morning after pill" or "Plan B") at pharmacies. You can legally purchase Plan B-One Step without a prescription and regardless of age. However, some other emergency contraception pills, such as the LNG pills, may require a prescription in some states. <br />
<br />
While women are legally entitled to purchase emergency contraception, they are sometimes denied accessibility at some pharmacies, hospitals or clinics in the United States. If this is the case, please visit the facilities we visit below (in the "What to Get & Where to Get It" section).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can order emergency contraception online. Check out this [https://www.prjktruby.com/about/products/econtraez/ link] for details. <br />
* [https://www.plannedparenthood.org/planned-parenthood-gulf-coast/who-we-are/ppgc-louisiana/new-orleans Planned Parenthood New Orleans Health Center]: Address: 4636 S Claiborne Ave, New Orleans, LA 70125, USA. p: 504.897.9200 | f: 404.494.7435<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get PrEP in New Orleans. According to We PrEP Together: "Did you know that 1 in 8 Americans with HIV are unaware they are infected? In Louisiana, it’s 1 in 5. PrEP allows those who are at high risk of contracting HIV to take control of their sexual health. Taking PrEP once a day can decrease the risk of contracting HIV by up to 92%! If you are HIV-negative – and we all want to keep it that way – PrEP may be right for you!" Check out this [http://www.wepreptogether.com/ map] to see all the locations, which include:<br />
* [http://www.stthomaschc.org/ St. Thomas Community Health Center]: 1020 St Andrew St, New Orleans, LA 70130. 504.529.5558. Open 7:30AM – 5:00PM, M-F.<br />
* [http://www.mje-opsb.us/ St. Thomas at Mahalia Jackson]: Building B, Suite 222, 2405 Jackson Ave, New Orleans, LA 70113, +1 504-359-6950. Open 7:00AM – 3:00PM, M-F.<br />
* [http://www.columbiaparc.com/ Columbia Parc Health Center]: 3943 St Bernard Ave, New Orleans, LA 70122, +1 504-529-5558. 504.529.5558. Open 7:30AM – 4:30PM, M-F.<br />
* L.B. Landry Community Clinic: 1200 L B Landry Ave, New Orleans, LA 70114, +1 504-529-5558. Open 7:30AM – 4:30PM, M-F<br />
* Donald T. Erwin Center: 1936 Magazine Street, New Orleans, LA 70130, 504.529.5558. Open 7:30AM – 5:00PM, M-F<br />
<br />
====Testing Facilities====<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-gulf-coast/who-we-are/ppgc-louisiana/new-orleans Planned Parenthood New Orleans Health Center]: Tests for STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich) Other STD testing, diagnosis and treatment services are also available. "We are open six days a week and walk-ins are welcome. Next-day appointments are available. We accept all Medicaid plans, Take Charge Plus, and many commercial insurance plans, including Blue Cross Blue Shield, Cigna, and Humana." Address: 4636 S Claiborne Ave, New Orleans, LA 70125, USA. p: 504.897.9200 | f: 404.494.7435<br />
* [http://www.dhh.louisiana.gov/index.cfm/page/919 Louisiana Office of Public Health (Delgado STD Clinic]): Open to residents of Louisiana. Sliding scale basis.Bring photo ID and proof of income/address. Call for appointment. Address: 517 North Rampart Street, New Orleans, LA 70112, 504-658-2540. Mon-Fri 8:00AM-4:00PM<br />
* NO/AIDS Task Force - The Movement: HIV & Syphilis screening open to anyone, walk-ins welcome. Free screening and treatment for Syphilis, Gonorrhea, & Chlamydia for Gay, Bi, & Queer identified men and transgender individuals. Address: 2610 Esplanade Ave., Suite 2B (upstairs), New Orleans, LA 70119, (504) 267-4288<br />
* Covenant House Drop-in Clinic: Address: Tests Offered: HIV, Syphilis, Gonorrhea, & Chlamydia. Free for patients 14-23 years old & appointment only.611 N. Rampart St., New Orleans, LA 70112. (504) 584-1119<br />
* [http://hivtest.cdc.gov/Detail.aspx?id=37046 City of New Orleans Health Department (Ida Hymel Health Clinic)]: Call for appointment. Must be a resident of Orleans parish. Sliding scale basis. Bring photo ID and proof of income/address. Address: 1111 Newton Street, New Orleans, LA 70114, 504-364-2023, Mon-Fri 8:00AM-3:00PM.<br />
* [http://hivtest.cdc.gov/Detail.aspx?id=37042 City of New Orleans Health Department (Saint Bernard Health Clinic)]: Call for appointment. Open to residents of New Orleans. Sliding scale basis. Bring photo ID and proof of income/address.Address: 3639 Saint Bernard Avenue, New Orleans, LA 70122, 504-286-2165, Mon-Fri 8:00AM-4:00PM<br />
* [http://hivtest.cdc.gov/Detail.aspx?id=112231 Excelth Family Health Center]: Call for appointment. Open to residents of New Orleans. Sliding scale basis. Bring photo ID and proof of income/address.Address: 2050 Caton Street, New Orleans, LA 70122, 504-620-9868, Mon-Thu 7:00AM-6:00PM; Fri 8:00AM-5:00PM.<br />
<br />
====Support====<br />
<br />
* Louisiana Office of Public Health - STD/HIV Program: 1450 Poydras St., Suite 2136, New Orleans, LA 70112, phone: 504-568-7474, fax: 504-568-7044 <br />
* [http://norapc.org/ New Orleans Regional AIDS Planning Council]: "The mission of the New Orleans Regional AIDS Planning Council is to develop and maintain a comprehensive system of care for persons living with HIV/AIDS in the New Orleans area that is accessible, responsive, culturally sensitive and of the highest quality to ensure that all persons living with HIV/AIDS live with dignity."<br />
* [http://wwav-no.org/ Women with a Vision]: "Women With A Vision, Inc. (WWAV) is a community-based non-profit, founded in 1989 by a grassroots collective of African-American women in response to the spread of HIV/AIDS in communities of color. Created by and for women of color, WWAV is a social justice non-profit that addresses issues faced by women within our community and region. Major areas of focus include Sex Worker Rights, Drug Policy Reform, HIV Positive Women’s Advocacy, and Reproductive Justice outreach."<br />
* [http://www.noaidstaskforce.org/ NO AIDS Task Force]: "For 30 years, NO/AIDS Task Force has been providing hope, care and compassion to thousands of men, women and families affected by HIV & AIDS. The Task Force acknowledges that the complications of HIV-disease are not just physical, but mental, emotional and social as well. That is why our agency offers a full spectrum of care at low to no cost, including services such as: an HIV medical clinic, food pantry, home delivered meals, housing, mental health, peer support and many others. NO/AIDS also remains committed to the health of our entire community and reaches over 20,000 each year through HIV prevention education efforts."<br />
* [http://brotherhoodinc.org/ Brotherhood Incorporated]: "The agency provides housing (Transitional and Low Income), health education, various trainings and linkages to support services to the New Orleans community through various programs. Staff of the organization are members of various organizations such as; New Orleans Regional AIDS Planning Council, the Louisiana HIV Prevention Community Planning Group, the American Public Health Association, the American Red Cross, and the National Minority AIDS Council."<br />
* [http://www.bellerevenola.org Belle Reve]: Belle Reve is a live-in facility for people living with HIV/AIDS. 3027 Royal St., New Orleans, LA 70117. (504) 945-9455.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In New Orleans, you can find pads, tampons, pantyliners and menstrual cups. You can find many menstrual products, including menstrual cups, at drug stores like Walgreens and CVS. For organic menstrual products, you can visit Whole Foods, Winn Dixie or Rouses. You can also purchase menstrual underwear online through the [https://www.shethinx.com/ Thinx website].<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Check out this [http://www.neworleansmomsblog.com/2014/07/25/best-obgyns-in-and-near-new-orleans/ extensive list] of recommended ob/gyns in New Orleans.<br />
* [https://www.plannedparenthood.org/planned-parenthood-gulf-coast/who-we-are/ppgc-louisiana/new-orleans Planned Parenthood New Orleans Health Center]: "New Orleans Health Center offers the following women's health services: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, hormone replacement therapy, incontinence education, incontinence treatment, infertility education, mammogram referrals, menopause and midlife – testing and treatment, Pap test, urinary tract infections – testing and treatment, vaginal infections – testing and treatment Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon." f"We are open six days a week and walk-ins are welcome. Next-day appointments are available. We accept all Medicaid plans, Take Charge Plus, and many commercial insurance plans, including Blue Cross Blue Shield, Cigna, and Humana." Address: 4636 S Claiborne Ave, New Orleans, LA 70125, USA. p: 504.897.9200 | f: 404.494.7435<br />
* [http://www.stthomaschc.org/ St. Thomas Community Health]: Has multiple locations. Sliding scale fees. "St. Thomas Community Health Center is your medical home, offering high quality, affordable care. Our robust teams of dedicated Internal Medicine Physicians, Nurse Practitioners, Pediatricians, Psychologists, Licensed Clinical Social Workers, OB/GYNS, Dermatologists, and others work as a team to address your individual health needs and ensure you receive the highest quality of care."<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, some employees are entitled to maternity leave under the Family and Medical Leave Act (FMLA), but FMLA does not cover all companies. If a company has less than 50 employees, it is not required to comply with FMLA. However, Louisiana also provides Louisiana Disability Pregnancy Leave, which applies to companies with at least 25 employees. Under this law, women who has undergone normal pregnancies and childbirth receive six weeks of leave, while women who have experienced disabling pregnancies receive four months of leave.<ref>[http://www.nolo.com/legal-encyclopedia/louisiana-family-medical-leave-laws.html Louisiana Family and Medical Leave Laws]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Janet Ross, MD: 3525 Prytania St, Ste 206, New Orleans, LA 70115. Phone number (504) 897-8281.<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Louisiana, abortion became illegal in June 2022.<ref name=":1" /><ref>https://news.yahoo.com/abortion-louisiana-illegal-immediately-supreme-142914449.html</ref> That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Louisiana, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, all three abortion clinics in Louisiana stopped performing abortions.<ref name=":1" /><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Louisiana. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New York, Florida, New Mexico, or California, among other states. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
*You can contact the [http://neworleansabortionfund.org/ New Orleans Abortion Fund] or [https://lajudicialbypass.wordpress.com/ New Orleans Judicial Bypass Project] to learn more about what resources may be available to you.<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. Note that the ultrasound and procedures required by Louisiana state law will create additional expenses, which may be $150 or up. As reported by Guttmacher Institute, "Health plans that will be offered in the state’s health exchange under the Affordable Care Act may not provide coverage of abortion... Public funding is available for abortion only in cases of life endangerment, rape or incest."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-louisiana?gclid=CjwKEAiApLDBBRC8oICb9NvKsg0SJAD9yOHsaNgE1MMIEDPEjYiYhF3up61CvHvNtT0ZaHJ39fhCBxoC-l_w_wcB State Facts About Abortion: Louisiana]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.namineworleans.org/ NAMI New Orleans]: "NAMI Peer-to-Peer is a free, 10-session course for adults living with mental health problems. NAMI Peer‐to‐Peer provides an educational setting focused on recovery that offers respect, understanding, encouragement and hope. The NAMI Peer-to-Peer education program is: Free and confidential Held once a week for two hours..."<br />
* [http://mcwcgno.org/ Metropolitan Center for Women and Children]: Has a 24-hour crisis hotline: 504-837-5400. Toll Free: 1-888-411-1333. Mission: "To break the cycle of violence and aid survivors of domestic violence, sexual assault and stalking through advocacy, intervention, empowerment and transformation."<br />
* New Orleans Family Justice Center: 24 Hr Crisis Hotline (504) 866-9554. LA Statewide Hotline: 1-800 411-1333. "New Orleans Family Justice Center is a partnership of agencies dedicated to ending family violence, child abuse, sexual assault, and stalking through prevention and coordinated response by providing comprehensive client-centered, empowerment services in a single location."<br />
* [https://nowcs.org/ New Orleans Women & Children's Shelter]: "As the largest organization serving homeless women and children in New Orleans, we are dedicated to creating a safe, secure and stable environment where classes, tools and resources build the pathway to success. Our wraparound programs keep families together and empower self-sufficiency—every step of the journey." Seeking shelter? The first step to seeking shelter in our community is to reach out in one of the following ways: In Person (7 AM to 3 PM): Community Resource Referral Center, 1530 Gravier Street, New Orleans, LA, By Phone (9 AM to 4:30 PM): 504-899-4589 ext. 100, By Phone (4:30 PM to 9:00 AM): 504-570-9812<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://www.meetup.com/New-Orleans-NOW/ New Orleans NOW]: "Your local NOW chapter brings feminists together to address issues concerning women's rights and health in our community and state. We host and share social activities and educational programs throughout the year designed to encourage participation, friendship and connecting with others who share our views. Our six core issues are: Reproductive Rights and Justice, Ending, Violence Against Women, Economic Justice, LGBT Rights, Racial Justice, Constitutional Equality Amendment."<br />
* [http://lgbtccneworleans.org/ LGBT Community Center of New Orleans]: "Our mission is to provide resources and advocacy that foster community development and social and economic justice efforts. We undertake these efforts to strengthen the collective power of gender and sexual minorities and their allies in the Greater New Orleans area."<br />
* [http://www.forumforequality.org/ Forum for Equality Louisiana]: "We advocate for policy change at the local, state, and federal levels. We organize grassroots equality advocates to engage in the political process. We educate the public about the experiences, values, and needs of LGBTQ people."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=new orleans, louisiana, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in New Orleans.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Nashville&diff=186739Nashville2022-06-25T22:06:13Z<p>Lani314: added infobox + updates due to overturning of roe v. wade</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Tennessee<br />
|City=Nashville<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:nashville.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal, but set to become illegal soon<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
In Tennessee, you need a prescription for contraception (birth control). If you're a minor, you don't need parental consent or notification to get a prescription. You don't need a prescription for emergency contraception (the morning after pill) -- and, if you're a minor, you can get one emergency contraceptive brand (Plan B One Step) without a prescription. Everyone, no matter their age, needs to get a prescription for ella, which is currently considered the most effective emergency contraceptive on the market. You can easily get low-cost STI tests in the city, and some clinics offer free HIV testing. In supermarkets and convenience stores, you can find pads, tampons and menstrual cups, such as DivaCup. <br />
<br />
In Tennessee, abortion is currently legal (as of June 2022), but it is expected that abortion will become illegal around July 2022. This is because, in June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Tennessee, a near-total abortion ban is supposed to take effect 30 days after the overturning of Roe v. Wade.<ref name=":0">https://www.tennessean.com/story/news/2022/06/24/tn-abortion-law-tennessee-attorney-general-files-emergency-motion-roe-vs-wade/7723483001/</ref><br />
<br />
In Tennessee, you want to obtain an abortion, you must first undergo a one-on-one counseling session followed by a 48-hour wait period. If you're under 18 years old, you must usually get consent from one of parents before you receive an abortion (though you can sometimes get a judicial bypass). As of December 2018, there are no abortion providers in Nashville, so people are referred to clinics in Memphis and Knoxville for abortion services.<br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Tennessee, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide). If you're a minor (under 18 years old), you can get a prescription without parental consent.<ref>[https://sexetc.org/states/tennessee Sex in the States: Tennessee]</ref> If you want to be especially confidential, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some clinics that you can visit to get birth control (these are just some):<br />
<br />
* [https://www.plannedparenthood.org/health-center/tennessee/nashville/37203/nashville-health-center-2716-91560/birth-control Planned Parenthood - Nashville Health Center]: The provide low-cost and LGBT-friendly services, including the birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, counseling on the fertility awareness method, IUD (copper), spermicide. Some of the birth control pills offered are Micronor, Microgestin 1/20, Modicon, Ortho-Novum 1/35, Ortho Novum 777, Ortho-Cyclen, Ortho-Tricyclen, Ortho-Tricyclen-Lo. Pills by Mail is available at this health center – a service that delivers birth control pills to your home each month. Birth control services are available during all business hours on a walk-in basis and during all business hours by appointment.<br />
* [http://www.neighborhoodhealthtn.org/ Neighborhood Health]: Birth Control is available including Birth Control pills, Implants and IUDs. They can also provide free counseling related to health insurance and how you may be able to pay for the services. They have multiple locations in Nashville, including the Downtown Clinic (526 8th Ave S) and Youth Clinic (1900 Charlotte Ave) - click [http://www.neighborhoodhealthtn.org/locations here] to see all locations.<br />
* [http://www.nashville.gov/Health-Department/Clinical-Health-Services/Family-Planning.aspx Davidson County Health Department]: They provide birth control, including condoms, birth control pills, patch, ring, injections, IUDs, and implants. Click [http://www.nashville.gov/Health-Department/Clinic-Locations.aspx here] to view all clinic locations. Address: 425 5th Ave N, Cordell Hull Bldg, Nashville, TN, 37243. (615) 340-5616<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Tennessee, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if you are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. In 2013, there were 4004 people living with HIV in Nashville. For details on HIV rates and transmission in Nashville, click [https://aidsvu.org/state/tennessee/nashville/ here].<br />
<br />
We include information on PrEP and PEP availability in the "Medications & Vaccines" section.<br />
<br />
===Testing Facilities===<br />
<br />
* [https://www.plannedparenthood.org/health-center/tennessee/nashville/37203/nashville-health-center-2716-91560/std-testing-treatment Planned Parenthood - Nashville Health Center]: They provide low-cost STD tests, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (free testing and diagnosis only), syphilis, trichomoniasis (trich). "Some STD testing and treatment services may be covered by your insurance. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit."<br />
* Nashville Metro Public Health Department Lentz Public Health Center: Free HIV Testing, Conventional HIV Blood Testing, Conventional HIV Oral Testing, Rapid HIV Oral Testing, Chlamydia Testing, Syphilis Testing, Gonorrhea Testing, Herpes Testing. Address: 311 23rd Ave N,Nashville, TN 37203. Phone: 615-340-5647 <br />
* [http://www.nashvillecares.org/hiv-testing Nashville CARES]: "Nashville CARES offers confidential, rapid, oral testing at our offices. Testing is with a certified HIV counselor, and takes about 20 minutes. Walk-ins are welcome Monday through Friday 8 a.m. to 6 p.m." Need Help? Call 1.800.845.4266. Address: 633 Thomson Lane, Nashville, TN 37207. Phone: 615-259-4866.<br />
* Street Works: Free HIV Testing, Rapid HIV Blood Testing, Conventional HIV Oral Testing. Address: 520 Sylvan Street, Nashville, TN 37206. Phone: 615-259-7676.<br />
<br />
You can find more HIV & STI testing sites in Nashville [http://www.youthaidscoalition.org/std-testing-in-nashville-tn.html here].<br />
<br />
====Support====<br />
<br />
* [http://www.nashvillecares.org/ Nashville Cares]: "Our mission is to end the HIV/AIDS epidemic in Middle Tennessee. We work to achieve this through education, advocacy and support for those at risk for or living with HIV."<br />
* [https://medschool.vanderbilt.edu/tncfar/ Tennessee Center for AIDS Research]: "The vision of the Tennessee CFAR is to have transformative impact locally, nationally and globally."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* At Metro Public Health or Planned Parenthood, you can get treatment for many STIs, including chlamydia, gonorrhea and syphilis.<br />
* You should be able to access the HPV vaccine in Tennessee. Contact your doctor to ask about Gardasil or other HPV vaccines.<br />
* You can get PrEP in Nashville from Planned Parenthood Nashville Health Center, Walgreens Specialty Pharmacy (218 20th Ave N, Suite 4), Meharry Community Wellness Center, Vanderbilt Infectious Disease Clinic, or from doctors like Tracy Osbourne and Joseph H. Maness. You can check out this [https://www.greaterthan.org/get-prep/ website] to find PrEP providers in your area.<br />
* You should be able PEP in Tennessee. Call your local hospital or emergency room for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get pads, tampons, menstrual cups and menstrual underwear. You'll be able to find pads and tampons in most grocery stores and convenience stores. For menstrual cups, you can find them at Walgreens, CVS and Target Store (2050 Gallatin Rd N). For menstrual underwear, you can check out the Thinx website or search for "menstrual underwear" or "period panties."<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Tennessee, abortion is currently legal (as of June 2022), but it is expected that abortion will become illegal around July 2022. This is because, in June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02" /> This means that states can determine their own abortion laws. In the state of Tennessee, a near-total abortion ban is supposed to take effect 30 days after the overturning of Roe v. Wade.<ref name=":0" /><br />
<br />
For a person to legally obtain an abortion, they must first seek state-directed counseling. During this time, the counselor usually reads from a script, which will aim to discourage people from obtaining abortions. They will then have to wait 48 hours before receiving the abortion. This means that the pregnant person must visit the clinic at least two times before obtaining the abortion.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-tennessee State Facts About Abortion in Tennessee]</ref><br />
<br />
If you're 18 years old and want an abortion in Tennessee, it's required that one of your parents gives consent (i.e. "parental consent"). If you cannot manage to get parental consent, you can potentially get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/tennessee Sex in the States: Tennessee]</ref> For more information on parental consent laws, click [https://www.plannedparenthood.org/health-topics/abortion/parental-consent-notification-laws-25268.htm here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* '''NOTICE''': There are currently no abortion clinics or services in Nashville, as of December 2018. [https://www.plannedparenthood.org/health-center/tennessee/nashville/37203/nashville-health-center-2716-91560/abortion Planned Parenthood - Nashville Health Center] has stopped offering abortion services, and they are now referring patients to clinics in Knoxville and Memphis.<ref>[https://www.tennessean.com/story/news/2018/12/10/planned-parenthood-nashville-abortion-clinic/2266196002/ Planned Parenthood, the only abortion provider left in Nashville, suspends abortion services]</ref> [http://www.nashvillewomenscenter.com/ The Women's Center] is also closed. However, you can receive support and help from [https://www.facebook.com/groups/2189054658000588/ Tennessee Abortion Access Network], which is a Facebook group and community effort. They say: "We are working with existing reproductive rights and justice organizations as well as abortion providers to identify how Nashville-area volunteers can best support their ongoing work and additional needs."<br />
* Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [https://www.facebook.com/nashvillenow2 Nashville Chapter National Organization for Women - NOW]: "Nashville NOW is the Nashville, Tennessee chapter of the National Organization for Women, a multi-issue progressive organization working for equality."<br />
* [https://nashvillefeministcollective.com/ Nashville Feminist Collective]: "We aim to use our collective skills to foster a thriving feminist community in Nashville and to dismantle sexist oppressions intersectionally through advocacy, education, and action."<br />
* [http://www.outcentral.org/ OutCentral]: "Our Mission OutCentral's mission is to connect, educate, empower, and build a positive, energy-filled space for greater Nashville's diverse lesbian, gay, bisexual, and transgender community. "<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=nashville, tennessee, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Nashville.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Miami&diff=186738Miami2022-06-25T21:51:04Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Florida<br />
|City=Miami<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Miami.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal with restrictions<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you can find many health care resources in Miami. For most forms of birth control, you will need a prescription. If you're a minor, you'll typically need parental permission to obtain birth control. You can purchase many brands of emergency contraception (the morning after pill), regardless of age, but note that this may not apply to all ECP brands. There are many places where you can receive free or low-cost STI tests. There is a large LGBTQ community in Miami, and some STI resources focus on the community. Regarding pregnancy, parental leave is covered under FMLA, though this does not cover all individuals. <br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022. Before July 1, 2022, abortion is illegal for up to 24 weeks of pregnancy.<ref name=":1">https://www.tallahassee.com/story/news/politics/2022/06/24/roe-v-wade-overturned-meaning-supreme-court-vote-affect-florida-abortion-law/7622991001/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Florida, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide).If you're a minor (under 18 years old), you typically need parental permission to get a birth control prescription. The only exception to the rule is if you're married, if you're a parent, if you're pregnant (or if you've ever been pregnant or if you have a health reason (as approved by a physician) for taking birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States: Florida]</ref> However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some places to get contraception (birth control):<br />
<br />
* [http://www.jtchc.org/#/welcome Jessie Trice Community Health Center Incorporated - Main Clinic]: This is a community healthcare center that accept both uninsured and insured people; sliding-scale fees. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 5361 NW 22nd Ave, Miami, FL, 33142. Phone: (305) 637-6400<br />
* Dade County Health Department - Health District Family Planning Clinic: They provide low-cost services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1350 N.W. 14th St, Ste. 325, Miami, FL, 33125. Phone: (863) 361-4437<br />
* University of Miami: They accept insured people and provide LGBT-friendly services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1400 Nw 12th Avenue, Miami, FL, 33136, (305) 243-4530.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://miamidade.floridahealth.gov/programs-and-services/infectious-disease-services/std/index.html Florida Department of Health - Miami Dade County]: "You can now make an appointment for STD Clinic Services. Health District Center: 305-575-3800, West Perrine: 305-256-3800." Email: miamidade@flhealth.gov<br />
* [https://outofthecloset.org/testing/ Miami Out of the Closeti]: Out of the Closet is a thrift store that also offers HIV test (with a focus on the LGBT community). Give them a call to find details about testing. "Tests are performed by certified testing counselors, using the most advanced testing technology and test results are ready in 20 minutes or less. There is no more paperwork to fill out, and you can use our Touch Screens or iPads to complete your test!" Address: 2900 Biscayne Blvd., Miami, Fl 33137. Phone: 1-877-259-8728<br />
* [https://locations.aidshealth.org/ AHF Wellness Center]: They provide free testing services with a focus on the LGBT community. Address: 2900 Biscayne Blvd, Miami, FL 33137, USA. Phone: +1 877-259-8727.<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33176/kendall-health-center-2258-90320/std-testing-treatment Kendall Health Center - Miami, FL]: "Kendall Health Center offers the following services related to the testing and treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Please ask our staff for more information., STD/safer sex education, Vaccines are available: during all business hours on a walk-in basis." Address: 11440 SW 88th Street, Suite 109, Miami, FL 33176. Phone: 786.263.0001 | f: 786.263.0004.<br />
* [http://www.careresource.org/hivaids/testing-hours-locations/ Care Resource]: "STD Testing is done for syphilis (blood sample), gonorrhea and chlamydia (urine sample), free of charge. In our Broward location the test results are returned in 3-4 business days; in our Dade locations the results are returned in 2 – 2 1/2 weeks. Treatment options are provided as well as additional support services." Care Resource is a nonprofit organization providing health care to children, adolescents and adults. They have many locations for testing in Miami, including Care Resource Midtown (3510 Biscayne Blvd., Miami, FL 33137) and Care Resource Little Havana (Care Resource Little Havana). For a complete list of locations, click [http://www.careresource.org/hivaids/testing-hours-locations/ here].<br />
<br />
===Support===<br />
<br />
* [http://aidsnet.org/ Miami-Dade HIV/AIDS Partnership]: "Our vision is to eliminate disparities and improve health outcomes for all people living with or at risk for HIV/AIDS." <br />
* [http://www.jacksonhealth.org/services-sfan.asp#gref South Florida AIDS Network (SFAN)]: They provide many HIV/AIDS services, including education, confidential HIV tests, Medicaid waiver program, etc.<br />
* [http://hepatitisfoundation.org/ Hepatitis Foundation]: This is a national organization focused on hepatitis.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine in Florida. The Florida Department of Health also helps young girls get their vaccines. Click [http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/immunizations/index.html here] for more details.<br />
* You can get PrEP in Miami, even if you're uninsured, at places like Care Resource (Little Havana), Care Resource (Miami-Dade), Care Resource (Miami Beach), Empower "U" Inc., Community Health Center and other locations. Check out this [https://www.greaterthan.org/get-prep/ link] to find PrEP in your area.<br />
* You can get PEP at [http://www.miamiurgentcare.com/hiv-post-exposureprophylaxis.html Miami Urgent Care] (callː 305 494-0536) and other health care locations.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Pads and tampons are incredibly common in the United States. You should be able to find them at most convenience stores and grocery stores in Miami. If you want organic tampons, you may be able to find them at Whole Foods (299 Se 3rd Street or 1020 Alton Rd.), Publix Super Market (multiple locations), CVS, Winn Dixie and Target. There's also company called [http://www.kaliboxes.com/ Kali], which is based out of Ft. Lauderdale and sends you organic menstrual products (pads and/or tampons) in the mail each month.<br />
* You can buy many menstrual cup brands, such as DivaCup and Lunette, at stores like Walgreens and CVS.<ref>[http://menstrualcupmap.com/ Menstrual Cup Map]</ref><br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For lower-cost services, one option is to visit Planned Parenthood. You should try to book an appointment online or via phone before visiting, if possible. Services provided may include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, LEEP (treatment of abnormal pap), mammogram referrals, menopause and midlife education, Pap test, urinary tract infection (UTI) testing and treatment, vaginal infection testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon."There are three main locations:<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/womens-health Planned Parenthood - Jean Shehan Health Center]ː Address: 1378 Coral Way, 4th Fl, Miami, FL, 33145. Phone: 305-285-5535<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33186/kendall-health-center-2258-90320/womens-health Planned Parenthood - Kendall Health Center]: Address: 8900 SW 117th Avenue Unit 207-B, Miami, FL, 33186. Phone: 786-263-0001.<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33169/golden-glades-miami-health-center-4183-90320?utm_campaign=golden-glades-miami-health-center&utm_medium=organic&utm_source=local-listing Planned Parenthood - Golden Glade Center]: Address: 585 NW 161st St, Miami, FL 33169. Phone: 305-831-4111.<br />
* [https://www.miamiobgyns.com/gynecology/ Miami Center of Excellence for Obstetrics & Gynecology]ː This provider seems to be recommended by Miami locals, and they also seem to take uninsured people.<br />
* [http://evewomensmedical.com/OBGYN-checkup-gynecological-services.html Eve Women's Health Center]ː "At Eve Women’s Medical Centers, we are here to help you and to provide you with comprehensive, low cost, quality health care, in a safe, serene and supportive atmosphere." 24Hr Hotlines 305-591-2288 305-670-9797.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02" /> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022. Before July 1, 2022, abortion is illegal for up to 24 weeks of pregnancy.<ref name=":1" /><br />
<br />
In February 2022, the Florida House approved a ban on most abortions after fifteen weeks of pregnancy.<ref name=":0">https://www.npr.org/2022/02/17/1081450530/florida-house-abortion-ban</ref> This was a departure from the previous state policy, in which people could obtain abortions upon request in the first 24 weeks after the last menstrual cycle. After 24 weeks, people could only obtain an abortion if their life or health is endangered by the pregnancy. <br />
<br />
If someone is a minor (under 18 years old), their parents must be notified before they obtain an abortion. Furthermore, before someone obtains an abortion, they must receive an ultrasound and the health care provider must ask if they want to see the image.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
In 2014, there were 86 facilities that provided abortions in Florida, and 70% of Florida counties had no clinics that provided abortions.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/abortion Jean Shehan Health Center- Miami, FL]ː Services includeː "abortion pill (medication abortion), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed." Addressː 3119A Coral Way, Miami, FL 33145. Phone: 305.285.5535. Fax: 305.285.6956<br />
* [http://www.eveabortioncarespecialists.com/ Eve Medical Centers]ː They provide abortions for first and second trimester.<br />
* [http://www.aastrawomenscenter.com/ Aastra Women's Center]ː Services includeː surgical abortion, abortion pill. Addressː 10 Southwest 44th Avenue, Plantation, Florida 33317 | Phoneː 954-792-9198<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=miami, florida, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Miami.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Miami&diff=186737Miami2022-06-25T21:49:30Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Florida<br />
|City=Miami<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Miami.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal with restrictions<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you can find many health care resources in Miami. For most forms of birth control, you will need a prescription. If you're a minor, you'll typically need parental permission to obtain birth control. You can purchase many brands of emergency contraception (the morning after pill), regardless of age, but note that this may not apply to all ECP brands. There are many places where you can receive free or low-cost STI tests. There is a large LGBTQ community in Miami, and some STI resources focus on the community. Regarding pregnancy, parental leave is covered under FMLA, though this does not cover all individuals. <br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1">https://www.tallahassee.com/story/news/politics/2022/06/24/roe-v-wade-overturned-meaning-supreme-court-vote-affect-florida-abortion-law/7622991001/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Florida, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide).If you're a minor (under 18 years old), you typically need parental permission to get a birth control prescription. The only exception to the rule is if you're married, if you're a parent, if you're pregnant (or if you've ever been pregnant or if you have a health reason (as approved by a physician) for taking birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States: Florida]</ref> However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some places to get contraception (birth control):<br />
<br />
* [http://www.jtchc.org/#/welcome Jessie Trice Community Health Center Incorporated - Main Clinic]: This is a community healthcare center that accept both uninsured and insured people; sliding-scale fees. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 5361 NW 22nd Ave, Miami, FL, 33142. Phone: (305) 637-6400<br />
* Dade County Health Department - Health District Family Planning Clinic: They provide low-cost services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1350 N.W. 14th St, Ste. 325, Miami, FL, 33125. Phone: (863) 361-4437<br />
* University of Miami: They accept insured people and provide LGBT-friendly services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1400 Nw 12th Avenue, Miami, FL, 33136, (305) 243-4530.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://miamidade.floridahealth.gov/programs-and-services/infectious-disease-services/std/index.html Florida Department of Health - Miami Dade County]: "You can now make an appointment for STD Clinic Services. Health District Center: 305-575-3800, West Perrine: 305-256-3800." Email: miamidade@flhealth.gov<br />
* [https://outofthecloset.org/testing/ Miami Out of the Closeti]: Out of the Closet is a thrift store that also offers HIV test (with a focus on the LGBT community). Give them a call to find details about testing. "Tests are performed by certified testing counselors, using the most advanced testing technology and test results are ready in 20 minutes or less. There is no more paperwork to fill out, and you can use our Touch Screens or iPads to complete your test!" Address: 2900 Biscayne Blvd., Miami, Fl 33137. Phone: 1-877-259-8728<br />
* [https://locations.aidshealth.org/ AHF Wellness Center]: They provide free testing services with a focus on the LGBT community. Address: 2900 Biscayne Blvd, Miami, FL 33137, USA. Phone: +1 877-259-8727.<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33176/kendall-health-center-2258-90320/std-testing-treatment Kendall Health Center - Miami, FL]: "Kendall Health Center offers the following services related to the testing and treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Please ask our staff for more information., STD/safer sex education, Vaccines are available: during all business hours on a walk-in basis." Address: 11440 SW 88th Street, Suite 109, Miami, FL 33176. Phone: 786.263.0001 | f: 786.263.0004.<br />
* [http://www.careresource.org/hivaids/testing-hours-locations/ Care Resource]: "STD Testing is done for syphilis (blood sample), gonorrhea and chlamydia (urine sample), free of charge. In our Broward location the test results are returned in 3-4 business days; in our Dade locations the results are returned in 2 – 2 1/2 weeks. Treatment options are provided as well as additional support services." Care Resource is a nonprofit organization providing health care to children, adolescents and adults. They have many locations for testing in Miami, including Care Resource Midtown (3510 Biscayne Blvd., Miami, FL 33137) and Care Resource Little Havana (Care Resource Little Havana). For a complete list of locations, click [http://www.careresource.org/hivaids/testing-hours-locations/ here].<br />
<br />
===Support===<br />
<br />
* [http://aidsnet.org/ Miami-Dade HIV/AIDS Partnership]: "Our vision is to eliminate disparities and improve health outcomes for all people living with or at risk for HIV/AIDS." <br />
* [http://www.jacksonhealth.org/services-sfan.asp#gref South Florida AIDS Network (SFAN)]: They provide many HIV/AIDS services, including education, confidential HIV tests, Medicaid waiver program, etc.<br />
* [http://hepatitisfoundation.org/ Hepatitis Foundation]: This is a national organization focused on hepatitis.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine in Florida. The Florida Department of Health also helps young girls get their vaccines. Click [http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/immunizations/index.html here] for more details.<br />
* You can get PrEP in Miami, even if you're uninsured, at places like Care Resource (Little Havana), Care Resource (Miami-Dade), Care Resource (Miami Beach), Empower "U" Inc., Community Health Center and other locations. Check out this [https://www.greaterthan.org/get-prep/ link] to find PrEP in your area.<br />
* You can get PEP at [http://www.miamiurgentcare.com/hiv-post-exposureprophylaxis.html Miami Urgent Care] (callː 305 494-0536) and other health care locations.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Pads and tampons are incredibly common in the United States. You should be able to find them at most convenience stores and grocery stores in Miami. If you want organic tampons, you may be able to find them at Whole Foods (299 Se 3rd Street or 1020 Alton Rd.), Publix Super Market (multiple locations), CVS, Winn Dixie and Target. There's also company called [http://www.kaliboxes.com/ Kali], which is based out of Ft. Lauderdale and sends you organic menstrual products (pads and/or tampons) in the mail each month.<br />
* You can buy many menstrual cup brands, such as DivaCup and Lunette, at stores like Walgreens and CVS.<ref>[http://menstrualcupmap.com/ Menstrual Cup Map]</ref><br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For lower-cost services, one option is to visit Planned Parenthood. You should try to book an appointment online or via phone before visiting, if possible. Services provided may include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, LEEP (treatment of abnormal pap), mammogram referrals, menopause and midlife education, Pap test, urinary tract infection (UTI) testing and treatment, vaginal infection testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon."There are three main locations:<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/womens-health Planned Parenthood - Jean Shehan Health Center]ː Address: 1378 Coral Way, 4th Fl, Miami, FL, 33145. Phone: 305-285-5535<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33186/kendall-health-center-2258-90320/womens-health Planned Parenthood - Kendall Health Center]: Address: 8900 SW 117th Avenue Unit 207-B, Miami, FL, 33186. Phone: 786-263-0001.<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33169/golden-glades-miami-health-center-4183-90320?utm_campaign=golden-glades-miami-health-center&utm_medium=organic&utm_source=local-listing Planned Parenthood - Golden Glade Center]: Address: 585 NW 161st St, Miami, FL 33169. Phone: 305-831-4111.<br />
* [https://www.miamiobgyns.com/gynecology/ Miami Center of Excellence for Obstetrics & Gynecology]ː This provider seems to be recommended by Miami locals, and they also seem to take uninsured people.<br />
* [http://evewomensmedical.com/OBGYN-checkup-gynecological-services.html Eve Women's Health Center]ː "At Eve Women’s Medical Centers, we are here to help you and to provide you with comprehensive, low cost, quality health care, in a safe, serene and supportive atmosphere." 24Hr Hotlines 305-591-2288 305-670-9797.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02" /> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1" /><br />
<br />
In February 2022, the Florida House approved a ban on most abortions after fifteen weeks of pregnancy.<ref name=":0">https://www.npr.org/2022/02/17/1081450530/florida-house-abortion-ban</ref> This was a departure from the previous state policy, in which people could obtain abortions upon request in the first 24 weeks after the last menstrual cycle. After 24 weeks, people could only obtain an abortion if their life or health is endangered by the pregnancy. <br />
<br />
If someone is a minor (under 18 years old), their parents must be notified before they obtain an abortion. Furthermore, before someone obtains an abortion, they must receive an ultrasound and the health care provider must ask if they want to see the image.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
In 2014, there were 86 facilities that provided abortions in Florida, and 70% of Florida counties had no clinics that provided abortions.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/abortion Jean Shehan Health Center- Miami, FL]ː Services includeː "abortion pill (medication abortion), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed." Addressː 3119A Coral Way, Miami, FL 33145. Phone: 305.285.5535. Fax: 305.285.6956<br />
* [http://www.eveabortioncarespecialists.com/ Eve Medical Centers]ː They provide abortions for first and second trimester.<br />
* [http://www.aastrawomenscenter.com/ Aastra Women's Center]ː Services includeː surgical abortion, abortion pill. Addressː 10 Southwest 44th Avenue, Plantation, Florida 33317 | Phoneː 954-792-9198<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=miami, florida, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Miami.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Miami&diff=186736Miami2022-06-25T21:49:15Z<p>Lani314: added infobox</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Florida<br />
|City=Miami<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Miami.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal with restrictions<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[Houston]], [[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you can find many health care resources in Miami. For most forms of birth control, you will need a prescription. If you're a minor, you'll typically need parental permission to obtain birth control. You can purchase many brands of emergency contraception (the morning after pill), regardless of age, but note that this may not apply to all ECP brands. There are many places where you can receive free or low-cost STI tests. There is a large LGBTQ community in Miami, and some STI resources focus on the community. Regarding pregnancy, parental leave is covered under FMLA, though this does not cover all individuals. <br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1">https://www.tallahassee.com/story/news/politics/2022/06/24/roe-v-wade-overturned-meaning-supreme-court-vote-affect-florida-abortion-law/7622991001/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Florida, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide).If you're a minor (under 18 years old), you typically need parental permission to get a birth control prescription. The only exception to the rule is if you're married, if you're a parent, if you're pregnant (or if you've ever been pregnant or if you have a health reason (as approved by a physician) for taking birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States: Florida]</ref> However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some places to get contraception (birth control):<br />
<br />
* [http://www.jtchc.org/#/welcome Jessie Trice Community Health Center Incorporated - Main Clinic]: This is a community healthcare center that accept both uninsured and insured people; sliding-scale fees. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 5361 NW 22nd Ave, Miami, FL, 33142. Phone: (305) 637-6400<br />
* Dade County Health Department - Health District Family Planning Clinic: They provide low-cost services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1350 N.W. 14th St, Ste. 325, Miami, FL, 33125. Phone: (863) 361-4437<br />
* University of Miami: They accept insured people and provide LGBT-friendly services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1400 Nw 12th Avenue, Miami, FL, 33136, (305) 243-4530.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://miamidade.floridahealth.gov/programs-and-services/infectious-disease-services/std/index.html Florida Department of Health - Miami Dade County]: "You can now make an appointment for STD Clinic Services. Health District Center: 305-575-3800, West Perrine: 305-256-3800." Email: miamidade@flhealth.gov<br />
* [https://outofthecloset.org/testing/ Miami Out of the Closeti]: Out of the Closet is a thrift store that also offers HIV test (with a focus on the LGBT community). Give them a call to find details about testing. "Tests are performed by certified testing counselors, using the most advanced testing technology and test results are ready in 20 minutes or less. There is no more paperwork to fill out, and you can use our Touch Screens or iPads to complete your test!" Address: 2900 Biscayne Blvd., Miami, Fl 33137. Phone: 1-877-259-8728<br />
* [https://locations.aidshealth.org/ AHF Wellness Center]: They provide free testing services with a focus on the LGBT community. Address: 2900 Biscayne Blvd, Miami, FL 33137, USA. Phone: +1 877-259-8727.<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33176/kendall-health-center-2258-90320/std-testing-treatment Kendall Health Center - Miami, FL]: "Kendall Health Center offers the following services related to the testing and treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Please ask our staff for more information., STD/safer sex education, Vaccines are available: during all business hours on a walk-in basis." Address: 11440 SW 88th Street, Suite 109, Miami, FL 33176. Phone: 786.263.0001 | f: 786.263.0004.<br />
* [http://www.careresource.org/hivaids/testing-hours-locations/ Care Resource]: "STD Testing is done for syphilis (blood sample), gonorrhea and chlamydia (urine sample), free of charge. In our Broward location the test results are returned in 3-4 business days; in our Dade locations the results are returned in 2 – 2 1/2 weeks. Treatment options are provided as well as additional support services." Care Resource is a nonprofit organization providing health care to children, adolescents and adults. They have many locations for testing in Miami, including Care Resource Midtown (3510 Biscayne Blvd., Miami, FL 33137) and Care Resource Little Havana (Care Resource Little Havana). For a complete list of locations, click [http://www.careresource.org/hivaids/testing-hours-locations/ here].<br />
<br />
===Support===<br />
<br />
* [http://aidsnet.org/ Miami-Dade HIV/AIDS Partnership]: "Our vision is to eliminate disparities and improve health outcomes for all people living with or at risk for HIV/AIDS." <br />
* [http://www.jacksonhealth.org/services-sfan.asp#gref South Florida AIDS Network (SFAN)]: They provide many HIV/AIDS services, including education, confidential HIV tests, Medicaid waiver program, etc.<br />
* [http://hepatitisfoundation.org/ Hepatitis Foundation]: This is a national organization focused on hepatitis.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine in Florida. The Florida Department of Health also helps young girls get their vaccines. Click [http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/immunizations/index.html here] for more details.<br />
* You can get PrEP in Miami, even if you're uninsured, at places like Care Resource (Little Havana), Care Resource (Miami-Dade), Care Resource (Miami Beach), Empower "U" Inc., Community Health Center and other locations. Check out this [https://www.greaterthan.org/get-prep/ link] to find PrEP in your area.<br />
* You can get PEP at [http://www.miamiurgentcare.com/hiv-post-exposureprophylaxis.html Miami Urgent Care] (callː 305 494-0536) and other health care locations.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Pads and tampons are incredibly common in the United States. You should be able to find them at most convenience stores and grocery stores in Miami. If you want organic tampons, you may be able to find them at Whole Foods (299 Se 3rd Street or 1020 Alton Rd.), Publix Super Market (multiple locations), CVS, Winn Dixie and Target. There's also company called [http://www.kaliboxes.com/ Kali], which is based out of Ft. Lauderdale and sends you organic menstrual products (pads and/or tampons) in the mail each month.<br />
* You can buy many menstrual cup brands, such as DivaCup and Lunette, at stores like Walgreens and CVS.<ref>[http://menstrualcupmap.com/ Menstrual Cup Map]</ref><br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For lower-cost services, one option is to visit Planned Parenthood. You should try to book an appointment online or via phone before visiting, if possible. Services provided may include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, LEEP (treatment of abnormal pap), mammogram referrals, menopause and midlife education, Pap test, urinary tract infection (UTI) testing and treatment, vaginal infection testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon."There are three main locations:<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/womens-health Planned Parenthood - Jean Shehan Health Center]ː Address: 1378 Coral Way, 4th Fl, Miami, FL, 33145. Phone: 305-285-5535<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33186/kendall-health-center-2258-90320/womens-health Planned Parenthood - Kendall Health Center]: Address: 8900 SW 117th Avenue Unit 207-B, Miami, FL, 33186. Phone: 786-263-0001.<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33169/golden-glades-miami-health-center-4183-90320?utm_campaign=golden-glades-miami-health-center&utm_medium=organic&utm_source=local-listing Planned Parenthood - Golden Glade Center]: Address: 585 NW 161st St, Miami, FL 33169. Phone: 305-831-4111.<br />
* [https://www.miamiobgyns.com/gynecology/ Miami Center of Excellence for Obstetrics & Gynecology]ː This provider seems to be recommended by Miami locals, and they also seem to take uninsured people.<br />
* [http://evewomensmedical.com/OBGYN-checkup-gynecological-services.html Eve Women's Health Center]ː "At Eve Women’s Medical Centers, we are here to help you and to provide you with comprehensive, low cost, quality health care, in a safe, serene and supportive atmosphere." 24Hr Hotlines 305-591-2288 305-670-9797.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02" /> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1" /><br />
<br />
In February 2022, the Florida House approved a ban on most abortions after fifteen weeks of pregnancy.<ref name=":0">https://www.npr.org/2022/02/17/1081450530/florida-house-abortion-ban</ref> This was a departure from the previous state policy, in which people could obtain abortions upon request in the first 24 weeks after the last menstrual cycle. After 24 weeks, people could only obtain an abortion if their life or health is endangered by the pregnancy. <br />
<br />
If someone is a minor (under 18 years old), their parents must be notified before they obtain an abortion. Furthermore, before someone obtains an abortion, they must receive an ultrasound and the health care provider must ask if they want to see the image.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
In 2014, there were 86 facilities that provided abortions in Florida, and 70% of Florida counties had no clinics that provided abortions.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/abortion Jean Shehan Health Center- Miami, FL]ː Services includeː "abortion pill (medication abortion), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed." Addressː 3119A Coral Way, Miami, FL 33145. Phone: 305.285.5535. Fax: 305.285.6956<br />
* [http://www.eveabortioncarespecialists.com/ Eve Medical Centers]ː They provide abortions for first and second trimester.<br />
* [http://www.aastrawomenscenter.com/ Aastra Women's Center]ː Services includeː surgical abortion, abortion pill. Addressː 10 Southwest 44th Avenue, Plantation, Florida 33317 | Phoneː 954-792-9198<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=miami, florida, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Miami.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Miami&diff=186735Miami2022-06-25T21:48:08Z<p>Lani314: updated abortion law</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|State=Florida<br />
|City=Miami<br />
}}<br />
<br />
[[File:Miami.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you can find many health care resources in Miami. For most forms of birth control, you will need a prescription. If you're a minor, you'll typically need parental permission to obtain birth control. You can purchase many brands of emergency contraception (the morning after pill), regardless of age, but note that this may not apply to all ECP brands. There are many places where you can receive free or low-cost STI tests. There is a large LGBTQ community in Miami, and some STI resources focus on the community. Regarding pregnancy, parental leave is covered under FMLA, though this does not cover all individuals. <br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1">https://www.tallahassee.com/story/news/politics/2022/06/24/roe-v-wade-overturned-meaning-supreme-court-vote-affect-florida-abortion-law/7622991001/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Florida, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide).If you're a minor (under 18 years old), you typically need parental permission to get a birth control prescription. The only exception to the rule is if you're married, if you're a parent, if you're pregnant (or if you've ever been pregnant or if you have a health reason (as approved by a physician) for taking birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States: Florida]</ref> However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some places to get contraception (birth control):<br />
<br />
* [http://www.jtchc.org/#/welcome Jessie Trice Community Health Center Incorporated - Main Clinic]: This is a community healthcare center that accept both uninsured and insured people; sliding-scale fees. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 5361 NW 22nd Ave, Miami, FL, 33142. Phone: (305) 637-6400<br />
* Dade County Health Department - Health District Family Planning Clinic: They provide low-cost services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1350 N.W. 14th St, Ste. 325, Miami, FL, 33125. Phone: (863) 361-4437<br />
* University of Miami: They accept insured people and provide LGBT-friendly services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1400 Nw 12th Avenue, Miami, FL, 33136, (305) 243-4530.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://miamidade.floridahealth.gov/programs-and-services/infectious-disease-services/std/index.html Florida Department of Health - Miami Dade County]: "You can now make an appointment for STD Clinic Services. Health District Center: 305-575-3800, West Perrine: 305-256-3800." Email: miamidade@flhealth.gov<br />
* [https://outofthecloset.org/testing/ Miami Out of the Closeti]: Out of the Closet is a thrift store that also offers HIV test (with a focus on the LGBT community). Give them a call to find details about testing. "Tests are performed by certified testing counselors, using the most advanced testing technology and test results are ready in 20 minutes or less. There is no more paperwork to fill out, and you can use our Touch Screens or iPads to complete your test!" Address: 2900 Biscayne Blvd., Miami, Fl 33137. Phone: 1-877-259-8728<br />
* [https://locations.aidshealth.org/ AHF Wellness Center]: They provide free testing services with a focus on the LGBT community. Address: 2900 Biscayne Blvd, Miami, FL 33137, USA. Phone: +1 877-259-8727.<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33176/kendall-health-center-2258-90320/std-testing-treatment Kendall Health Center - Miami, FL]: "Kendall Health Center offers the following services related to the testing and treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Please ask our staff for more information., STD/safer sex education, Vaccines are available: during all business hours on a walk-in basis." Address: 11440 SW 88th Street, Suite 109, Miami, FL 33176. Phone: 786.263.0001 | f: 786.263.0004.<br />
* [http://www.careresource.org/hivaids/testing-hours-locations/ Care Resource]: "STD Testing is done for syphilis (blood sample), gonorrhea and chlamydia (urine sample), free of charge. In our Broward location the test results are returned in 3-4 business days; in our Dade locations the results are returned in 2 – 2 1/2 weeks. Treatment options are provided as well as additional support services." Care Resource is a nonprofit organization providing health care to children, adolescents and adults. They have many locations for testing in Miami, including Care Resource Midtown (3510 Biscayne Blvd., Miami, FL 33137) and Care Resource Little Havana (Care Resource Little Havana). For a complete list of locations, click [http://www.careresource.org/hivaids/testing-hours-locations/ here].<br />
<br />
===Support===<br />
<br />
* [http://aidsnet.org/ Miami-Dade HIV/AIDS Partnership]: "Our vision is to eliminate disparities and improve health outcomes for all people living with or at risk for HIV/AIDS." <br />
* [http://www.jacksonhealth.org/services-sfan.asp#gref South Florida AIDS Network (SFAN)]: They provide many HIV/AIDS services, including education, confidential HIV tests, Medicaid waiver program, etc.<br />
* [http://hepatitisfoundation.org/ Hepatitis Foundation]: This is a national organization focused on hepatitis.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine in Florida. The Florida Department of Health also helps young girls get their vaccines. Click [http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/immunizations/index.html here] for more details.<br />
* You can get PrEP in Miami, even if you're uninsured, at places like Care Resource (Little Havana), Care Resource (Miami-Dade), Care Resource (Miami Beach), Empower "U" Inc., Community Health Center and other locations. Check out this [https://www.greaterthan.org/get-prep/ link] to find PrEP in your area.<br />
* You can get PEP at [http://www.miamiurgentcare.com/hiv-post-exposureprophylaxis.html Miami Urgent Care] (callː 305 494-0536) and other health care locations.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Pads and tampons are incredibly common in the United States. You should be able to find them at most convenience stores and grocery stores in Miami. If you want organic tampons, you may be able to find them at Whole Foods (299 Se 3rd Street or 1020 Alton Rd.), Publix Super Market (multiple locations), CVS, Winn Dixie and Target. There's also company called [http://www.kaliboxes.com/ Kali], which is based out of Ft. Lauderdale and sends you organic menstrual products (pads and/or tampons) in the mail each month.<br />
* You can buy many menstrual cup brands, such as DivaCup and Lunette, at stores like Walgreens and CVS.<ref>[http://menstrualcupmap.com/ Menstrual Cup Map]</ref><br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For lower-cost services, one option is to visit Planned Parenthood. You should try to book an appointment online or via phone before visiting, if possible. Services provided may include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, LEEP (treatment of abnormal pap), mammogram referrals, menopause and midlife education, Pap test, urinary tract infection (UTI) testing and treatment, vaginal infection testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon."There are three main locations:<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/womens-health Planned Parenthood - Jean Shehan Health Center]ː Address: 1378 Coral Way, 4th Fl, Miami, FL, 33145. Phone: 305-285-5535<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33186/kendall-health-center-2258-90320/womens-health Planned Parenthood - Kendall Health Center]: Address: 8900 SW 117th Avenue Unit 207-B, Miami, FL, 33186. Phone: 786-263-0001.<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33169/golden-glades-miami-health-center-4183-90320?utm_campaign=golden-glades-miami-health-center&utm_medium=organic&utm_source=local-listing Planned Parenthood - Golden Glade Center]: Address: 585 NW 161st St, Miami, FL 33169. Phone: 305-831-4111.<br />
* [https://www.miamiobgyns.com/gynecology/ Miami Center of Excellence for Obstetrics & Gynecology]ː This provider seems to be recommended by Miami locals, and they also seem to take uninsured people.<br />
* [http://evewomensmedical.com/OBGYN-checkup-gynecological-services.html Eve Women's Health Center]ː "At Eve Women’s Medical Centers, we are here to help you and to provide you with comprehensive, low cost, quality health care, in a safe, serene and supportive atmosphere." 24Hr Hotlines 305-591-2288 305-670-9797.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion in Florida is legal, but there are restrictions. In June 2022, the United States Supreme Court struck down Roe v. Wade.<ref name=":02" /> This means that states can determine their own abortion laws. For the state of Florida, abortion is permitted until 15 weeks of pregnancy, beginning July 2022.<ref name=":1" /><br />
<br />
In February 2022, the Florida House approved a ban on most abortions after fifteen weeks of pregnancy.<ref name=":0">https://www.npr.org/2022/02/17/1081450530/florida-house-abortion-ban</ref> This was a departure from the previous state policy, in which people could obtain abortions upon request in the first 24 weeks after the last menstrual cycle. After 24 weeks, people could only obtain an abortion if their life or health is endangered by the pregnancy. <br />
<br />
If someone is a minor (under 18 years old), their parents must be notified before they obtain an abortion. Furthermore, before someone obtains an abortion, they must receive an ultrasound and the health care provider must ask if they want to see the image.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
In 2014, there were 86 facilities that provided abortions in Florida, and 70% of Florida counties had no clinics that provided abortions.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/abortion Jean Shehan Health Center- Miami, FL]ː Services includeː "abortion pill (medication abortion), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed." Addressː 3119A Coral Way, Miami, FL 33145. Phone: 305.285.5535. Fax: 305.285.6956<br />
* [http://www.eveabortioncarespecialists.com/ Eve Medical Centers]ː They provide abortions for first and second trimester.<br />
* [http://www.aastrawomenscenter.com/ Aastra Women's Center]ː Services includeː surgical abortion, abortion pill. Addressː 10 Southwest 44th Avenue, Plantation, Florida 33317 | Phoneː 954-792-9198<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=miami, florida, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Miami.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=San_Francisco&diff=186734San Francisco2022-06-25T21:26:18Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=California<br />
|City=San Francisco<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:SF1.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[Los Angeles]], [[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW'''<br />
<br />
While every city has its challenges and hurdles, San Francisco offers a rather progressive environment regarding health care. Abortion is legal, Plan B is widely accessible, and there are many low-cost clinics, especially concentrated in the Mission, SOMA, Tenderloin and Haight districts. Due to the recent tech boom, the city has grown increasingly expensive. But there are still quite a few free or sliding-scale clinics, women's clinics, and STD testing facilities. Outside of San Francisco, there are many resources in neighboring Oakland and Berkeley, as well, which can be accessed via BART, the Bay Area's underground rapid public transit.<br />
<br />
Abortion is legally available upon request in California.<ref>[https://www.capradio.org/articles/2022/06/24/abortion-is-still-legal-in-california-here-are-answers-to-questions-about-access-in-the-state/ Abortion is still legal in California. Here are answers to questions about access in the state.]</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In San Francisco, birth control pills are legal for both minors (under 18 years old) and adults. Minors do not need parental permission to obtain birth control. <br />
While you do need a prescription for birth control, this prescription can be obtained at a pharmacy. Unlike many other US states, which require that you actually visit a physician for a prescription, California (as of April 2016) does not require that you visit a physician for self-administered hormonal contraception, which includes patches, pills and vaginal rings. For birth control that requires a physician, like IUDs, you will still need to visit a doctor.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* You can get '''condoms''' in grocery stores, drug stores, convenience stores (like CVS, Rite-Aid and Walgreens) and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Internal condoms (also known as "female condoms") cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area. <br />
* If you want '''birth control pills,''' you will probably still need a prescription. While you technically can buy birth control pills without a prescription in California, most pharmacists don't seem to honor this. In other words, they still require a prescription. You can get a 12-month prescription for birth control through the [https://www.plannedparenthood.org/get-care/birth-control-online/california Planned Parenthood app] (available for Android or iPhone). If you're uninsured, you can also get a low-cost prescription directly at a Planned Parenthood office. Once you have a prescription, you can fill it at SF pharmacies, such as CVS, Rite-Aid or Walgreens. Note that, if you don't have health insurance, the costs can be pretty expensive to fill a prescription (so you may want to go through a low-cost clinic).<br />
* The most common pharmacies in San Francisco are Walgreens, CVS and Rite-Aid. For uninsured patients, you can typically receive a prescription write-up as well as the actual medication at Planned Parenthood or low-cost clinics, such as Haight Ashbury Free Clinic (1735 Mission Street or 558 Clayton Street) or San Francisco Free Clinic (4900 California Street).<br />
<br />
===Contraception Resources===<br />
<br />
* [https://www.plannedparenthood.org/health-center/california/san-francisco/94110/san-francisco-health-center-3997-90200 Planned Parenthood - San Francisco Health Center]: You can visit them, regardless of whether or not you have health insurance, and they have staff that speak both English and Spanish. Planned Parenthood has many lower-cost birth control services, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, external condoms (also known as "male condoms"), internal condoms (also known as "female condoms"), fertility awareness method, IUD (hormonal), IUD (copper), etc. For a relatively low cost, Planned Parenthood writes and fulfills birth control prescriptions. If you don't have a prescription, you can receive the prescription and pills in the same day. Address: 1650 Valencia St, San Francisco, CA 94110. Phone: 415-821-1282. Fax: 415-821-9047.<br />
* [http://womenscommunityclinic.org/ Women's Community Clinic]: This clinic is run by all women and comes highly recommended - very sensitive to people's needs. They provide low-cost (sometimes free) services, and they accept all visitors, regardless of insurance status. They provide contraception options, including IUDs, and they can work with low-income or non-insured individuals to provide affordable service options. Address: 1833 Fillmore Street, 3rd Floor (between Bush and Sutter), San Francisco, CA 94115. Phone: 415.379.7800<br />
* [https://newgen.ucsf.edu/ New Generation Health Center]: This s is a place for young people to come and get non-judgmental services, including dispendsng of birth control, condoms, emergency contraception, STI tests, etc. with a focus on youth. You should call in advance to make an appointment. "New Gen continues to provide confidential, youth friendly reproductive health services." Services currently available at: Women's Health Center (5M) at ZSFG, Bldg. 5, 1001 Potrero Ave., SF. Phone: (415) 502-TEEN/ (415) 502-8336.<br />
* [http://www.sfcityclinic.org/ San Francisco City Clinic]: This clinic serves everyone, regardless of insurance coverage or immigration status. They also have free condoms. "Some birth control (condoms, Depo Provera injections) are available on-site. If you choose oral contraceptives (the Pill), the contraceptive patch, or the vaginal ring (NuvaRing), you will leave your appointment with a prescription that you can get filled at a local pharmacy... You can get Confidential sexual health services for women age 12 and older are available at City Clinic both on a drop-in and appointment basis. Call 415-487-5552 for information or if you would like to make an appointment." You can also email them to schedule an appointment: SFCCwomensclinic@sfdph.org. Address: 356 7th Street, San Francisco, CA 94103. Phone: 415-487-5500<br />
<br />
===Costs===<br />
<br />
* There is no one standard birth control price, as this greatly depends on which method is used. But, if you are uninsured, you can expect to pay between $20-$150/month supply of pills.<br />
* If you are insured under your employer in California, there is also a very good chance that you are insured under Kaiser Permanente. Their main site, including the pharmacy, is found at 2238 Geary, but they have many facilities all over the wider Bay Area.<br />
* If you don't have insurance in California, or if you're low-income, you may qualify for reduced cost of free visits. There are many clinics and facilities that accept low-income and uninsured visitors in the Bay Area, such as Women's Community Clinic and Planned Parenthood. You may also qualify for Medi-Cal, which provides a core set of health benefits under the state.<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In San Francisco, emergency contraception is legal. You do not need a prescription to purchase emergency contraception, and there is typically little stigma related to the act. You can buy Plan B at many drug stores, such as Walgreens.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
Nearly all SF pharmacies should have Plan B. But be aware that most pharmacies in SF are not 24 hours, with the exception of some Walgreens locations (3201 Divisadero, 498 Castro and 459 Powell Street).<br />
<br />
===Costs===<br />
<br />
Plan B pills typically cost between $35-$60/pill. This cost is often covered by private insurance, MediCal and Family Pact. However, if you are uninsured, you may be charged an additional $10 consult fee. To avoid this free, San Francisco City Clinic has provided an online means of obtaining an emergency contraception prescription. Check out this link [http://www.sfcityclinic.org/services/planb.asp] for more details.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
There are many low-cost and free STI/STD testing services in SF. They typically do not require appointments, and they run on a first come, first serve basis. So it is recommended that you arrange for a test on a day when you have time to wait to receive your tests and results.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
There are many facilities to receive free or low-cost STD testing facilities. But keep in mind that many facilities test for some -- not all -- STDs. So do your research in advance. They typically do not require appointments, and they run on a first come, first serve basis. So it is recommended that you arrange for a test on a day when you have time to wait to receive your tests and results. Some STD clinics also offer vaccines for meningitis, Hepatitis A and Hepatitis B, as well as alcohol and drug treatment.<br />
<br />
Here are some clinics: San Francisco City Clinic (for HIV, chlamydia, gonorrhea, herpes @ 356 7th Street), Women's Community Clinic (for HIV, HPV, chlamydia, gonorrhea, syphilis, Hepatitis A, B and C @ 1833 Fillmore), New Generation Health Center (for people under 25, tests for HIV, chlamydia,gonorrhea, HIV, and syphilis @ 625 Potrero), Lyon Martin Health Services (for HIV, chlamydia, herpes, gonorrhea @ 1748 Market Street) and Haight-Ashbury Free Clinic (for HIV, chlamydia, gonorrhea, hepatitis B, hepatitis C, herpes, syphilis @558 Clayton).<br />
<br />
Check out this awesome article by Broke Ass Stuart, a local SF writer, for more local details: [http://brokeassstuart.com/blog/2015/07/17/9-best-places-for-free-std-testing-in-san-francisco/]<br />
<br />
===Costs===<br />
<br />
At SF City Clinic, tests will run from free to $10, depending on need. At Lyon Martin, tests should be free. At Women's Health Clinic, testing is free. At Haight-Ashbury Free Clinic, tests will be $20 or under.<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In SF, some medications can be obtained over-the-counter while others require a prescription. For yeast infections, you do not need a prescription. But, for urinary tract infections, it is necessary to have a doctor test for a possible UTI -- and, if tests come back positive, then you will be given a prescription for UTI medication. For STD medication that require antibiotics, such as gonorrhea, you will also need a prescription.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a '''urinary tract infection (UTI)''', you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a '''yeast infection''', you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the '''HPV vaccine''', like Gardasil, in SF. Contact your health provider for details.<br />
* You can access '''PrEP (Pre-Exposure Prophylaxis)''' in San Francisco at the following locations: [http://www.sfcityclinic.org/services/prep.asp San Francisco City Clinic], Planned Parenthood, SF General Hospital, HIVE, Native American Health Center, Mission Neighborhood Health Center, AIDS Healthcare Foundation, San Francisco Health Network, HealthRIGHT 360, Latino Wellness Center, Lyon-Martin Health Services, Haight-Ashbury Medical Clinic, Cole Street Youth Clinic @ Huckleberry Center, San Francisco VA Medical Center, and other locations. To find where PrEP is available in your zip code, click [https://www.pleaseprepme.org/ here].<br />
* You can access '''PEP (Post-Exposure Prophylaxis)''' in San Francisco.<br />
<br />
===Costs===<br />
<br />
Costs vary greatly according to the medication. For uninsured consumers, some medication costs may seem very steep, so you may want to seek out clinics with sliding-scale payment options if you do not have any insurance. For yeast infections, Monistat 7 at Walgreens is $14.99 while Walgreens generic brand is $11.49 (which seems just as effective). For UTIs, you can expect to pay about $60 for the antibiotics. Chlamydia medication generally costs $10 but can go up to $50. Gonorrhea medication usually costs about $17 for a single dose. For uninsured consumers, some medications may be steep, so you may want to seek out sliding-scale clinics.<br />
<br />
==Menstruation==<br />
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===Laws & Social Stigmas===<br />
<br />
There is no social stigma against tampons in SF or generally in the USA. They can be obtained as readily as pads in most drug stores.<br />
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===What to Get & Where to Get It===<br />
<br />
You can find tampons and pads in most drug stores, pharmacies, grocery stores, etc.<br />
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===Costs===<br />
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Prices will vary, but as an example: You can get a box with 36 tampons for $7 at Walgreens.<br />
<br />
==Gynecological Exams==<br />
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===Laws & Social Stigmas===<br />
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===What to Get & Where to Get It===<br />
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* Click [https://en.wikipedia.org/wiki/Category:Hospitals_in_San_Francisco here] for a list of all the hospitals in San Francisco.<br />
* [http://womenscommunityclinic.org/ Women's Community Clinic]: This clinic is run by all women and comes highly recommended - very sensitive to people's needs. They provide contraception options, including IUDs, and they can work with low-income or non-insured individuals to provide affordable service options. Address: 1833 Fillmore Street, 3rd Floor (between Bush and Sutter), San Francisco, CA 94115. Phone: 415.379.7800<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
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===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
As of January 2017, many new parents with jobs in San Francisco are eligible for six weeks of fully paid maternity and paternity leave. California requires 55% paid leave for six weeks.<ref>[http://www.sfgate.com/politics/article/Historic-SF-parental-leave-law-kicks-in-10831209.php Historic SF parental leave law kicks in]</ref><br />
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===What to Get & Where to Get It===<br />
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* [http://www.homelessprenatal.org/ The Homeless Prenatal Program (HPP)]: They provide prenatal and parenting support, housing services and other resources to homeless and poor families. "The Homeless Prenatal Program (HPP) is an award-winning San Francisco Family Resource Center. For 25 years, HPP has provided poor and homeless families the ability to end childhood poverty." Email: info@homelessprenatal.org. Address: 2500 18th St. San Francisco, CA, 94110 USA. Phone: 415.546.6756. Fax: 415.546.6778.<br />
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===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Abortion is legally available upon request in California.<ref>[https://www.capradio.org/articles/2022/06/24/abortion-is-still-legal-in-california-here-are-answers-to-questions-about-access-in-the-state/ Abortion is still legal in California. Here are answers to questions about access in the state.]</ref> If you're a minor (under 18 years old), you don't need permission from your parents to receive an abortion in California, and you don't need to notify them either.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States - California]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/california/san-francisco/94110/san-francisco-health-center-3997-90200/abortion Planned Parenthood - San Francisco Health Center]: Planned Parenthood: Services include: abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion, patient education, post-abortion follow-up exams and referrals for other abortion services, as needed. Languages: English; Spanish; Interpretation by telephone available for other languages. Address: 1650 Valencia St, San Francisco, CA 94110. Phone: 415-821-1282. <br />
* Women's Option's Health Center @ USCF (for 1st and 2nd trimester; 1001 Potrero Ave, Building 5, 6th Floor – Ward 6G). <br />
* [http://womenscommunityclinic.org/medication-abortion/ Women's Community Clinic]: "As of July 20, 2016, Women’s Community Clinic is offering Medication Abortion as part of our integrated women’s health services. Call us at (415) 379-7800 to make an appointment." Address: 356 7th Street, San Francisco, CA 94103. Phone: 415-487-5500.<br />
* There are also many options in the East Bay, such as Choice Medical Group in Oakland (400 29th St, Ste#301).<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
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===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), Medicaid (which is called "Medi-Cal" in CA) can be used for abortions. There is also a separate Medi-Cal program for pregnant women called Medi-Cal for Pregnancy, which covers abortion and is often easier to get onto than general Medi-Cal. Other names for the program are the 200% program, Restricted Medi-Cal for Pregnancy, or the Pregnant Women’s Program.<br />
<br />
From Planned Parenthood: "Abortion services may be covered by your insurance. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. Medi-cal accepted. If you are uninsured, you may be eligible to receive financial assistance for your procedure. You can confidentially find out if you qualify by calling us at 800.576.5544."<br />
<br />
==Advocacy & Counseling==<br />
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===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
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* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* [http://www.mnhc.org/medical-services-categories/san-francisco-teen-clinic/ San Francisco Teen Clinic]: "MNHC offers sensitive, respectful and non-judgmental services that are FREE and CONFIDENTIAL for all young people of all genders from ages 12 to 21. At the Shotwell site there is a Teen Clinic just for youth. Bilingual services offered cover physical, mental, emotional, sexual and reproductive health. If you are a young person over the age of 12, you can register for services on your own."<br />
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===Costs===<br />
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==List of Additional Resources==<br />
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* [https://www.healthiersf.org/resources/documents/Bay%20Area%20Family%20Planning%20and%20Youth%20Clinics.pdf List of Bay Area Family Planning and Youth Clinics]<br />
* [http://www.sexandculture.org/ Center for Sex & Culture]: "The Mission of the Center for Sex & Culture is to provide judgment-free education, cultural events, a library/media archive, and other resources to audiences across the sexual and gender spectrum; and to research and disseminate factual information, framing and informing issues of public policy and public health." Address: 1349 Mission St, San Francisco, CA 94103, United States, Phone: +1 415-902-207<br />
* San Francisco LGBT Community Center: Address: 1800 Market St, San Francisco, CA 94102, United States, Phone: +1 415-865-5555<br />
* [https://lyric.org/ LYRIC (Lavender Youth)]: Community & space for queer youth. Address: 127 Collingwood St, San Francisco, CA 94114, United States. Phone: +1 415-703-6150.<br />
* [http://www.bayswan.org/ Bay Area Sex Worker Advocacy Network]<br />
* [https://www.sfaf.org/ San Francisco AIDS Foundation]<br />
<br />
==References==<br />
<references /><br />
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|description=Find sexual, reproductive and women's health care in San Francisco.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Los_Angeles&diff=186733Los Angeles2022-06-25T21:24:49Z<p>Lani314: </p>
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<div>{{setLocation<br />
|Country=United States of America<br />
|State=California<br />
|City=Los Angeles<br />
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{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Losangeles2.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|legal<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[San Francisco]], [[United States of America]]<br />
|-<br />
|}<br />
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<!--T:2--><br />
'''OVERVIEW'''<br />
<br />
<!--T:3--><br />
As the second largest city in the United States, Los Angeles has an incredible variety of resources. The city is renowned for its large and thriving artist/entertainment, LGBT and immigrant communities, and California overall tends to have progressive laws compared to many other US states. Generally speaking, Los Angeles is a progressive city that is pro-choice, and it has many options to help the uninsured. However, the political scene in Southern California is a more complex picture. There are pockets of the SoCal region, especially in Orange County, that are quite religious and conservative, and this is something to bear in mind. <br />
<br />
Abortion is legally available upon request in California.<ref>[https://www.capradio.org/articles/2022/06/24/abortion-is-still-legal-in-california-here-are-answers-to-questions-about-access-in-the-state/ Abortion is still legal in California. Here are answers to questions about access in the state.]</ref><br />
<br />
==Contraception (Birth Control)== <!--T:4--><br />
<br />
<!--T:5--><br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas=== <!--T:6--><br />
<br />
<!--T:7--><br />
In California, the laws around contraception (birth control) recently changed in 2016. You can now purchase birth control pills from a pharmacist without a prescription. However, in reality, most pharmacists in California refuse to sell birth control without a prescription.<ref>[https://ww2.kqed.org/stateofhealth/2016/05/19/law-allows-women-to-obtain-birth-control-without-prescription-but-few-pharmacies-offer-service/ Law Allows Women to Obtain Birth Control Without Prescription, But Few Pharmacies Offer Service]</ref> In Los Angeles, birth control pills are legal for both minors (under 18 years old) and adults. Minors do not need parental permission to obtain birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States - California]</ref> While you do need a prescription for birth control, this prescription can be obtained at a pharmacy. Unlike many other US states, which require that you actually visit a physician for a prescription, California (as of April 2016) does not require that you visit a physician for self-administered hormonal contraception, which includes patches, pills and vaginal rings. For birth control that requires a physician, like IUDs, you will still need to visit a doctor.<br />
<br />
<!--T:8--><br />
If you want to be on the safe side, there are some confidential and Title X clinics that you can visit. Title X clinics are completely confidential, which means that your appointment and billing will be confidential. At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It=== <!--T:9--><br />
<br />
<!--T:10--><br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
<!--T:11--><br />
* You can get '''condoms''' in grocery stores, drug stores, convenience stores (like CVS, Rite-Aid and Walgreens) and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Internal condoms (also known as "female condoms") cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area. If you live in LA, you can also have 10 free condoms mailed to your home address (click [http://lacondom.com/order-condoms/ here] for details), or you can find free condoms distributed at locations throughout LA, including at UCLA LGBT Campus Resource Center, nightclubs in West Hollywood (like Rage), Saban Community Clinic, Westside Family Health, AIDS Project Los Angeles and many more locations. For a full list of where to find free condoms in LA, click [http://lacondom.com/find-free-condoms/ here].<br />
* If you want '''birth control pills,''' you will probably still need a prescription. While you technically can buy birth control pills without a prescription in California, most pharmacists don't seem to honor this. In other words, they still require a prescription. You can get a 12-month prescription for birth control through the [https://www.plannedparenthood.org/get-care/birth-control-online/california Planned Parenthood app] (available for Android or iPhone). If you're uninsured, you can also get a low-cost prescription directly at a Planned Parenthood office. Once you have a prescription, you can fill it at LA pharmacies, such as CVS or Rite-Aid. Note that, if you don't have health insurance, the costs can be pretty expensive to fill a prescription (so you may want to go through a low-cost clinic).<br />
* If you are insured under your employer in California, there is also a very good chance that you are insured under Kaiser Permanente. Their main Kaiser site in LA, including the pharmacy, is found at 4867 Sunset Blvd. <br />
* Planned Parenthood, which has over 10 locations in LA, provides many lower-cost birth control services, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, external condom (known as the "male condom"), internal condom (also known as the "female condom"), fertility awareness method, IUD (hormonal), IUD (copper), etc. For a relatively low cost, Planned Parenthood writes and fulfills birth control prescriptions. If you don't have a prescription, you can receive the prescription and pills in the same day. <br />
* FPA Women's Health offers free services if you are a California resident, have no other health coverage for the procedure you need and meet specific income requirements. They have Mirena, Paragard, Nexplanon, Skyla, Essure, tubal sterilization, the depo shot, the pill and the vaginal ring. They have locations in Downtown LA, Santa Monica, San Fernando Valley, etc.<br />
<br />
===Costs=== <!--T:12--><br />
<br />
<!--T:13--><br />
If you are an American citizen, your birth control exam/consultation may be covered for free, with no copay. As for birth control prices, there is no one standard price, as this greatly depends on which method is used. But, if you are uninsured, you can expect to pay between $20-$150/month supply of pills. For IUD insertion, you can expect to pay $175-600 if uninsured (or $10-$30 copay if insured). There are some clinics that offer free coverage (FPA Women's Clinic) if you fall under specific criteria.<br />
<br />
==Emergency Contraception (Morning After Pill)== <!--T:14--><br />
<br />
===Laws & Social Stigmas=== <!--T:15--><br />
<br />
<!--T:16--><br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It=== <!--T:17--><br />
<br />
<!--T:18--><br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
<!--T:19--><br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
<!--T:20--><br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
<!--T:21--><br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
<!--T:22--><br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs=== <!--T:23--><br />
<br />
<!--T:24--><br />
Plan B pills typically cost between $35-$60/pill. If you can't afford Plan B, call up your local hospitals and Planned Parenthood. Some hospitals offer free pills, and Planned Parenthood does give free pills to some people in need. Also, consider seeing if Medicaid can cover the pill. There's also [https://afterpill.com/ AfterPill], which is a cheaper morning after pill, which costs $20 and can be bought online. Since you usually want to take the morning after pill as quickly as possible, it's recommended to only purchase AfterPill as backup for future events -- not if you're currently in need of a pill.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)== <!--T:25--><br />
<br />
<!--T:26--><br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas=== <!--T:27--><br />
<br />
===What to Get & Where to Get It=== <!--T:28--><br />
<br />
<!--T:29--><br />
* [https://healthvana.com/free-std-testing-aids-healthcare-foundation-1300-n-vermont-ave-los-angeles--ca-90027-26/ AHF Wellness Center Hollywood]: Free testing services. They have HIV Antibody Testing, HIV DNA/RNA Testing, Chlamydia Urine Testing, Chlamydia Oral Testing, Chlamydia Anal Testing, Gonorrhea Urine Testing, Gonorrhea Oral Testing, Gonorrhea Anal Testing and Syphilis Testing. They also offer treatment. Address: 1300 N Vermont Ave Los Angeles , CA, 90027. Phone: (866) 339-2525<br />
* [https://www.plannedparenthood.org/]: They have 2 locations in LA and provide low-cost services, including testing for the following treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Address: 1014 1/2 N Vermont Ave, Los Angeles, CA 90029. Phone: 800.576.5544. Here's the location information:<br />
** [https://www.plannedparenthood.org/health-center/california/los-angeles/90029/hollywood-health-center-2466-90070 Planned Parenthood - Hollywood Health Center]: Address: 1014 1/2 N Vermont Ave, Los Angeles, CA 90029, p: 800.576.5544 | f: 323.664.3602<br />
** [https://www.plannedparenthood.org/health-center/california/los-angeles/90016/planned-parenthood-basics,-baldwin-hills-crenshaw-3939-90070?utm_campaign=basics,-baldwin-hills/crenshaw-health-center&utm_medium=referral&utm_source=yelp.com&utm_content=link Planned Parenthood - Baldwin Hills/Crenshaw]: Address: 3637 S. La Brea Ave Los Angeles CA 90016. p: 800.576.5544 | f: 213.284.3383.<br />
* Hollywood Walk-in Clinic -- Offers an urgent care visit, which includes an STD evaluation, for $79. Address: 6430 Selma Avenue, 1st Floor, Los Angeles, CA 90028, United States.<br />
* [http://www.hsfreeclinic.org/ Hollywood Sunset Free Clinic]: You should be able to get low-cost or free STI tests at this clinic. Address: 3324 W Sunset Blvd, Los Angeles, CA 90026. Phone: +1 0323 6607959. Email: hollywoodsunsetfreeclinic.1968@gmail.com<br />
<br />
===Costs=== <!--T:30--><br />
<br />
==Medications & Vaccines== <!--T:31--><br />
<br />
===Laws & Social Stigmas=== <!--T:32--><br />
<br />
===What to Get & Where to Get It=== <!--T:33--><br />
<br />
<!--T:34--><br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine, like Gardasil, in Los Angeles. Contact your health provider for details.<br />
* You can access PrEP (Pre-Exposure Prophylaxis) in Los Angeles. For a list of providers, click [http://publichealth.lacounty.gov/dhsp/docs/LACountyPEP-PrEP-ProviderDirectory5-15.pdf here].<br />
* You can access PEP (Post-Exposure Prophylaxis) in Los Angeles. For a list of providers, click [http://publichealth.lacounty.gov/dhsp/docs/LACountyPEP-PrEP-ProviderDirectory5-15.pdf here].<br />
<br />
===Costs=== <!--T:35--><br />
<br />
<!--T:36--><br />
For yeast infections, Monistat 7 at Walgreens is $14.99 while Walgreens generic brand is $11.49 (which seems just as effective). For UTIs, you can expect to pay about $60 for the antibiotics. Chlamydia medication generally costs $10 but can go up to $50. Gonorrhea medication usually costs about $17 for a single dose. For uninsured consumers, some medications may be steep, so you may want to seek out sliding-scale clinics.<br />
<br />
==Menstruation== <!--T:37--><br />
<br />
<!--T:38--><br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas=== <!--T:39--><br />
<br />
===What to Get & Where to Get It=== <!--T:40--><br />
<br />
===Costs=== <!--T:41--><br />
<br />
==Gynecological Exams== <!--T:42--><br />
<br />
===Laws & Social Stigmas=== <!--T:43--><br />
<br />
===What to Get & Where to Get It=== <!--T:44--><br />
<br />
<!--T:45--><br />
* Hollywood Walk-In Clinic gives pap smears for $135 or pap smears with HPV test for $185. No appointment needed -- just walk in. The clinic is mostly for the uninsured but they do accept Blue Shield PPO and Anthem Blue Cross PPO. They're located on the corner of Selma and Wilcox Avenues with adjacent parking. Our address is 6430 Selma Avenue, Los Angeles, CA 90028. 323.848.4522.<br />
* [http://womenshealthsces.com/ Women's Health Services]: They provide affordable (sometimes free) gynecological exams to low-income individuals. Address: 1233 N Vermont Ave #2, Los Angeles, CA 90029. <br />
* FPA Women's Health has locations in Downtown LA, Santa Monica, San Fernando Valley, etc. (877) 883.7264.<br />
<br />
===Costs=== <!--T:46--><br />
<br />
==Pregnancy== <!--T:47--><br />
<br />
===Laws & Social Stigmas=== <!--T:48--><br />
<br />
<!--T:49--><br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It=== <!--T:50--><br />
<br />
===Costs=== <!--T:51--><br />
<br />
==Abortion== <!--T:52--><br />
<br />
<!--T:53--><br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas=== <!--T:54--><br />
<br />
<!--T:55--><br />
Abortion is legally available upon request in California.<ref>[https://www.capradio.org/articles/2022/06/24/abortion-is-still-legal-in-california-here-are-answers-to-questions-about-access-in-the-state/ Abortion is still legal in California. Here are answers to questions about access in the state.]</ref> If you're a minor (under 18 years old), you don't need permission from your parents to receive an abortion in California, and you don't need to notify them either.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States - California]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:56--><br />
<br />
<!--T:57--><br />
* [http://www.mychoicemedicalcenter.com/ My Choice Medical Center]: Offers surgical and medical abortions. "My Choice Medical Center is the only private abortion practice in Los Angeles that is certified by the National Abortion Federation (NAF)." Address: 4903 W. Pico Blvd #202. Los Angeles, CA, 90019. Phone: (866) 397-3070<br />
* [https://www.plannedparenthood.org/health-center/california/los-angeles/90029/hollywood-health-center-2466-90070/abortion Planned Parenthood Hollywood Health Center]: Offers medical abortions (the abortion pill). Address: 1014 1/2 N Vermont Ave, Los Angeles, CA 90029. p: 800.576.5544 | f: 323.664.3602.<br />
* [http://www.fpawomenshealth.com/family-planning/abortion/ FPA Women's Health]: It appears that they offer medical and surgical abortions. The clinic was established in 1969, shortly after abortion became legal in California. They have multiple locations in LA (and other parts of California) so check out the website to find which location is best for you.<br />
* Her Medical Clinic: There doesn't seem to be a website but they have positive reviews on Yelp. "Her Medical Clinic is a family planning and abortion clinic offering confidential care in Los Angeles. Here at Her Medical Clinic, we pride ourselves on our confidential, individualized approach in offering birth control and family planning programs." Address: 1414 S Grand Ave #400, Los Angeles, CA 90015, USA. Phone: +1 213-747-4391.<br />
<br />
<!--T:58--><br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs=== <!--T:59--><br />
<br />
<!--T:60--><br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of program in Chicago that can help pay for these costs.<br />
<br />
<!--T:61--><br />
From Planned Parenthood: "Abortion services may be covered by your insurance. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. Medi-cal accepted. If you are uninsured, you may be eligible to receive financial assistance for your procedure. You can confidentially find out if you qualify by calling us at 800.576.5544."<br />
<br />
==Advocacy & Counseling== <!--T:62--><br />
<br />
===Laws & Social Stigmas=== <!--T:63--><br />
<br />
===What to Get & Where to Get It=== <!--T:64--><br />
<br />
<!--T:65--><br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs=== <!--T:66--><br />
<br />
==List of Additional Resources== <!--T:67--><br />
<br />
==References== <!--T:68--><br />
<references /><br />
<br />
<!--T:69--><br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=los angeles, southern california, socal, california, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, mooncup, divacup, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Los Angeles.<br />
}}<br />
<br />
</translate></div>Lani314https://gynopedia.org/w/index.php?title=Houston&diff=186732Houston2022-06-25T21:17:47Z<p>Lani314: added infobox</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Houston<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Houston night.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[Dallas]], [[United States of America]]<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Houston has an incredible range of medical facilities and providers. While there are certainly restrictions that impose great difficulty, there are also a wealth of resources that can be sought after. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
==Contraception==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Houston). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood in were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
Title X Clinics in Houston:<br />
* [http://hacstxs.org/locations/hacs-spring-cypress/ HACS] – Spring Cypress: 17010 Sugar Pine Dr., Houston, Texas 77090 Directions | Website<br />
* [http://www.houstontx.gov/health/HealthCenters/Sharpstown.html City of Houston HHS – Sharpstown Health Services] - 6201 Bonhomme, Suite 300, Houston Texas 77036 <br />
* [http://hacstxs.org/locations/hacs-main-campus/ HACS – Main Campus] - 2150 W. 18th St., Suite 300, Houston, Texas 77008<br />
* [http://www.legacycommunityhealth.org/ Legacy Baker-Ripley Campus] - 6500 Rookin St. Bldg B, Suite 200, Houston, Texas 77074<br />
* Legacy Mapleridge Campus: 6550 Mapleridge St., Suite 106, Houston, Texas 77081.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
====Support====<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
* [http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
* [http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
* [http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
* [http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
* [http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can find PrEP in Houston. Check out this [http://www.aidshelp.org/index.cfm?fuseaction=cms.page&id=1120 link] for local information.<br />
* You should be able to access PEP in Houston as well. Contact a local health center or hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|frame|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New Mexico or California. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
*You can contact [https://www.plannedparenthood.org/health-center/texas/houston/77081/southwest-health-center-2293-91650 Planned Parenthood Southwest Health Center] to see what options may be available for you.<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* [http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=houston, texas, contraception, emergency contraception, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Houston.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Dallas&diff=186731Dallas2022-06-25T21:17:16Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Dallas<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Dallas Texas Skyline bei Nacht.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[Houston]], [[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also resources available to people.<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
<br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
'''Title X Clinics in Dallas''' -- clinics that do not require parental consent for minors to obtain birth control<br />
<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – East Dallas Women’s Health Center]: 3320 Live Oak, 5th Floor , Dallas , Texas 75204, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Hatcher Station Health Center]: 4600 Scyene Rd., Dallas, Texas 75210, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland Hospital Main Campus – WISH Tubal Clinic]: 5201 Harry Hines Blvd, Dallas, Texas 75235, Phone: (469) 419-1341<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Lakewest Women’s Health Center]: 3737 Goldman Ave, Dallas , Texas 75212, Phone: (214) 266-0900<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Maple Women’s Health Center]: 6300 Harry Hines Blvd, Suite 600, Dallas , Texas 75235, Phone: (214) 266-0130<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Deharo Saldivar Women’s Health Center]: 1400 N. Westmoreland Road, Dallas , Texas 75211, Phone: (214) 266-0580<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Oakwest Women’s Health Center]: 4201 Brook Spring Dr., Dallas , Texas 75224, Phone: (214) 266-1400<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Southeast Dallas Women’s Health Center]: 9202 Elam Road, Dallas , Texas 75217, Phone: (214) 266-1500<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Irving Women’s Health Center]: 1800 N. Britain Rd, Irving, Texas 75061, Phone: (214) 266-3200 (close to Dallas)<br />
<br />
===Costs ===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
* My Way<br />
*Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
Here's a list of pharmacies/resources in the Dallas area that sell EC:<br />
<br />
*Tom Thumb: 9 Highland Park Village, Dallas, TX , (214) 599-1978<br />
* Tom Thumb: 315 S. Hampton, Dallas, TX, (214) 331-0169<br />
*Tom Thumb: 6333 East Mockingbird Lane, Dallas, TX, (214) 823-9916<br />
*Tom Thumb: 7000 Snider Plaza, University Park, TX, (214) 346-4586<br />
*Tom Thumb: 5809 E. Lovers Lane, Dallas, TX , (214) 750-3210<br />
*Tom Thumb: 6770 Abrams Road, Dallas, TX , (214) 341-4590<br />
*Tom Thumb: 10455 N. Central Expressway, Dallas, TX, (214) 369-7328<br />
* Tom Thumb: 11920 Preston Road, Dallas, TX, (972) 980-4915<br />
*Tom Thumb: 8698 Skillman, Dallas, TX, (214) 340-1368<br />
*Tom Thumb: 3757 Forest Lane, Dallas, TX, 972) 241-7442<br />
*Dallas Surgical Health Services Center - Planned Parenthood of Greater Texas, Inc.: 7424 Greenville Avenue, Ste 211A, Dallas, TX , (214) 373-1868<br />
*North Dallas Shelburne Health Center - Planned Parenthood of Greater Texas, Inc.: 9100 N. Central Expwy, #169, Dallas, TX , (214) 368-1485<br />
*Mesquite Health Center - Planned Parenthood of Greater Texas, Inc.: 1220 Town East Blvd. #240, Mesquite, TX , (972) 613-0915<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
== Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
====Testing Facilities ====<br />
<br />
*[http://www.aidsarms.org/ AIDS Arms Incorporated]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 1906 Peabody Ave, Dallas, TX 75215, 214-521-5191.<br />
*[http://www.aboundingprosperity.org Abounding Prosperity Incorporated Black Men and Gay Bisexual Transgender Empowerment Center]: Testing open to the general public. Conventional HIV Blood Test, Free HIV Test, Free STD Test, Rapid HIV Blood Test, Syphilis Test. 1816 Peabody Ave, Dallas, TX 75215, United States, 214-421-4800. E-mail: info@aboundingprosperity.org<br />
*[http://www.foremostfhc.org Foremost Family Health Centers Martin Luther King Jr Family Clinic]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, Herpes Test, Syphilis Test. 2922-B MLK Jr Blvd, Dallas, TX 75215, United States, 214-426-3645.<br />
*[http://www.losbarriosunidos.org/ Los Barrios Unidos Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Vaccine, HPV Vaccine, Syphilis Test. Need to register as a patient. Bring to 1st appt: identification, proof of address, proof of insurance (if you have it), proof of income. 3111 Sylvan Ave, Dallas, TX 75212, United States, 214-540-0300. Email: jalvarez@lbucc.org<br />
*[http://www.myresourcecenter.org Resource Center Nelson-Tebedo Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 4012 Cedar Springs Rd, Dallas, TX 75219, United States. 214-528-2336. Email: clinic@myresourcecenter.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Trinity Health and Wellness Center]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis A Vaccine, Hepatitis B Vaccine, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 219 Sunset Ave Ste 116-A, Dallas, TX 75208, United States. 972-807-7370. Email: info@aidsarms.org<br />
*[http://www.utsouthwestern.edu/cpiu University of Texas Southwestern Medical Center Community Prevention and Intervention Unit]: Conventional HIV Blood Test, Free HIV Test, Hepatitis B Test, Hepatitis C Test, Syphilis Test. 400 S Zang Blvd, Ste 520, Dallas, TX 75208, United States, 214-645-7300. Email: tracee.belzle@utsouthwestern.edu<br />
*[http://www.dallascounty.org/department/hhs/home.html Dallas County Department of Health and Human Services]: Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 2377 N Stemmons Fwy, Ste 132, Dallas, TX 75207, United States. 214-819-2155. Email: LWorthey@dallascounty.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Main Office]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 351 W Jefferson Blvd, Ste 300, Dallas, TX 75208, United States. 214-521-5191. Email: info@aidsarms.org<br />
*[http://www.parklandhospital.com/phhs/hiv-aids-services.aspx Parkland Health and Hospital System Amelia Court Clinic]: Must be HIV/AIDS patient for STD/TB testing. Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 1936 Amelia Ct, Dallas, TX 75235, United States. 214-590-5632.<br />
*[http://www.dallascouncil.org Greater Dallas Council on Alcohol and Drug Abuse]: Free HIV Testing, Rapid HIV Blood Test. 1349 Empire Central Dr, Ste 800, Dallas, TX 75247, United States. Email: sblake@dallascouncil.org.<br />
*[http://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas, Family Planning and Preventative Health Services, North Dallas Shelburne Health Center]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, HPV Vaccine, Herpes Test, Syphilis Test. Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. 9100 N Central Expy, Ste 169, Dallas, TX 75231, United States. 214-368-1485/800-230-7526.<br />
<br />
====Support====<br />
<br />
*[http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while."<br />
*HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493.<br />
*Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832<br />
*Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
*[http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals."<br />
*[http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
*[http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
*[http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
*[http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
*[http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref><br />
<br />
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833<br />
*[http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033<br />
<br />
===Costs ===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
<br />
* You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
* You can get an abortion in other states, such as New Mexico or California. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
* You can contact [https://www.plannedparenthood.org/health-center/texas/dallas/75231/north-dallas-shelburne-health-center-2521-91620 Planned Parenthood North Dallas] or [https://www.plannedparenthood.org/health-center/texas/dallas/75237/south-dallas-abortion-services-center-4149-21342 Planned Parenthood South Dallas] to see what options may be available for you.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
*[https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670.<br />
<br />
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: <br />
<br />
*[http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700<br />
*River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/<br />
*Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988.<br />
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104<br />
*Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000<br />
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337<br />
*The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374<br />
<br />
=== Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604<br />
*[http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/<br />
*[http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
*[https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world."<br />
*[http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities."<br />
<br />
== References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=dallas, texas, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, mooncup, divacup, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Dallas.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Dallas&diff=186730Dallas2022-06-25T21:16:38Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Dallas<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Dallas Texas Skyline bei Nacht.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also resources available to people.<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
<br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
'''Title X Clinics in Dallas''' -- clinics that do not require parental consent for minors to obtain birth control<br />
<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – East Dallas Women’s Health Center]: 3320 Live Oak, 5th Floor , Dallas , Texas 75204, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Hatcher Station Health Center]: 4600 Scyene Rd., Dallas, Texas 75210, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland Hospital Main Campus – WISH Tubal Clinic]: 5201 Harry Hines Blvd, Dallas, Texas 75235, Phone: (469) 419-1341<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Lakewest Women’s Health Center]: 3737 Goldman Ave, Dallas , Texas 75212, Phone: (214) 266-0900<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Maple Women’s Health Center]: 6300 Harry Hines Blvd, Suite 600, Dallas , Texas 75235, Phone: (214) 266-0130<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Deharo Saldivar Women’s Health Center]: 1400 N. Westmoreland Road, Dallas , Texas 75211, Phone: (214) 266-0580<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Oakwest Women’s Health Center]: 4201 Brook Spring Dr., Dallas , Texas 75224, Phone: (214) 266-1400<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Southeast Dallas Women’s Health Center]: 9202 Elam Road, Dallas , Texas 75217, Phone: (214) 266-1500<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Irving Women’s Health Center]: 1800 N. Britain Rd, Irving, Texas 75061, Phone: (214) 266-3200 (close to Dallas)<br />
<br />
===Costs ===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
* My Way<br />
*Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
Here's a list of pharmacies/resources in the Dallas area that sell EC:<br />
<br />
*Tom Thumb: 9 Highland Park Village, Dallas, TX , (214) 599-1978<br />
* Tom Thumb: 315 S. Hampton, Dallas, TX, (214) 331-0169<br />
*Tom Thumb: 6333 East Mockingbird Lane, Dallas, TX, (214) 823-9916<br />
*Tom Thumb: 7000 Snider Plaza, University Park, TX, (214) 346-4586<br />
*Tom Thumb: 5809 E. Lovers Lane, Dallas, TX , (214) 750-3210<br />
*Tom Thumb: 6770 Abrams Road, Dallas, TX , (214) 341-4590<br />
*Tom Thumb: 10455 N. Central Expressway, Dallas, TX, (214) 369-7328<br />
* Tom Thumb: 11920 Preston Road, Dallas, TX, (972) 980-4915<br />
*Tom Thumb: 8698 Skillman, Dallas, TX, (214) 340-1368<br />
*Tom Thumb: 3757 Forest Lane, Dallas, TX, 972) 241-7442<br />
*Dallas Surgical Health Services Center - Planned Parenthood of Greater Texas, Inc.: 7424 Greenville Avenue, Ste 211A, Dallas, TX , (214) 373-1868<br />
*North Dallas Shelburne Health Center - Planned Parenthood of Greater Texas, Inc.: 9100 N. Central Expwy, #169, Dallas, TX , (214) 368-1485<br />
*Mesquite Health Center - Planned Parenthood of Greater Texas, Inc.: 1220 Town East Blvd. #240, Mesquite, TX , (972) 613-0915<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
== Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
====Testing Facilities ====<br />
<br />
*[http://www.aidsarms.org/ AIDS Arms Incorporated]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 1906 Peabody Ave, Dallas, TX 75215, 214-521-5191.<br />
*[http://www.aboundingprosperity.org Abounding Prosperity Incorporated Black Men and Gay Bisexual Transgender Empowerment Center]: Testing open to the general public. Conventional HIV Blood Test, Free HIV Test, Free STD Test, Rapid HIV Blood Test, Syphilis Test. 1816 Peabody Ave, Dallas, TX 75215, United States, 214-421-4800. E-mail: info@aboundingprosperity.org<br />
*[http://www.foremostfhc.org Foremost Family Health Centers Martin Luther King Jr Family Clinic]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, Herpes Test, Syphilis Test. 2922-B MLK Jr Blvd, Dallas, TX 75215, United States, 214-426-3645.<br />
*[http://www.losbarriosunidos.org/ Los Barrios Unidos Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Vaccine, HPV Vaccine, Syphilis Test. Need to register as a patient. Bring to 1st appt: identification, proof of address, proof of insurance (if you have it), proof of income. 3111 Sylvan Ave, Dallas, TX 75212, United States, 214-540-0300. Email: jalvarez@lbucc.org<br />
*[http://www.myresourcecenter.org Resource Center Nelson-Tebedo Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 4012 Cedar Springs Rd, Dallas, TX 75219, United States. 214-528-2336. Email: clinic@myresourcecenter.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Trinity Health and Wellness Center]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis A Vaccine, Hepatitis B Vaccine, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 219 Sunset Ave Ste 116-A, Dallas, TX 75208, United States. 972-807-7370. Email: info@aidsarms.org<br />
*[http://www.utsouthwestern.edu/cpiu University of Texas Southwestern Medical Center Community Prevention and Intervention Unit]: Conventional HIV Blood Test, Free HIV Test, Hepatitis B Test, Hepatitis C Test, Syphilis Test. 400 S Zang Blvd, Ste 520, Dallas, TX 75208, United States, 214-645-7300. Email: tracee.belzle@utsouthwestern.edu<br />
*[http://www.dallascounty.org/department/hhs/home.html Dallas County Department of Health and Human Services]: Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 2377 N Stemmons Fwy, Ste 132, Dallas, TX 75207, United States. 214-819-2155. Email: LWorthey@dallascounty.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Main Office]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 351 W Jefferson Blvd, Ste 300, Dallas, TX 75208, United States. 214-521-5191. Email: info@aidsarms.org<br />
*[http://www.parklandhospital.com/phhs/hiv-aids-services.aspx Parkland Health and Hospital System Amelia Court Clinic]: Must be HIV/AIDS patient for STD/TB testing. Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 1936 Amelia Ct, Dallas, TX 75235, United States. 214-590-5632.<br />
*[http://www.dallascouncil.org Greater Dallas Council on Alcohol and Drug Abuse]: Free HIV Testing, Rapid HIV Blood Test. 1349 Empire Central Dr, Ste 800, Dallas, TX 75247, United States. Email: sblake@dallascouncil.org.<br />
*[http://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas, Family Planning and Preventative Health Services, North Dallas Shelburne Health Center]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, HPV Vaccine, Herpes Test, Syphilis Test. Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. 9100 N Central Expy, Ste 169, Dallas, TX 75231, United States. 214-368-1485/800-230-7526.<br />
<br />
====Support====<br />
<br />
*[http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while."<br />
*HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493.<br />
*Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832<br />
*Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
*[http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals."<br />
*[http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
*[http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
*[http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
*[http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
*[http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref><br />
<br />
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833<br />
*[http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033<br />
<br />
===Costs ===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
<br />
* You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
* You can get an abortion in other states, such as New Mexico or California. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
* You can contact [https://www.plannedparenthood.org/health-center/texas/dallas/75231/north-dallas-shelburne-health-center-2521-91620 Planned Parenthood North Dallas] or [https://www.plannedparenthood.org/health-center/texas/dallas/75237/south-dallas-abortion-services-center-4149-21342 Planned Parenthood South Dallas] to see what options may be available for you.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
*[https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670.<br />
<br />
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: <br />
<br />
*[http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700<br />
*River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/<br />
*Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988.<br />
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104<br />
*Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000<br />
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337<br />
*The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374<br />
<br />
=== Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604<br />
*[http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/<br />
*[http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
*[https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world."<br />
*[http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities."<br />
<br />
== References==<br />
<references /><br />
<br />
{{#seo:<br />
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|keywords=dallas, texas, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, mooncup, divacup, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Dallas.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Houston&diff=186729Houston2022-06-25T21:16:20Z<p>Lani314: /* What to Get & Where to Get It */</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Houston<br />
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<br />
[[File:Houston night.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Houston has an incredible range of medical facilities and providers. While there are certainly restrictions that impose great difficulty, there are also a wealth of resources that can be sought after. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
==Contraception==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Houston). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood in were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
Title X Clinics in Houston:<br />
* [http://hacstxs.org/locations/hacs-spring-cypress/ HACS] – Spring Cypress: 17010 Sugar Pine Dr., Houston, Texas 77090 Directions | Website<br />
* [http://www.houstontx.gov/health/HealthCenters/Sharpstown.html City of Houston HHS – Sharpstown Health Services] - 6201 Bonhomme, Suite 300, Houston Texas 77036 <br />
* [http://hacstxs.org/locations/hacs-main-campus/ HACS – Main Campus] - 2150 W. 18th St., Suite 300, Houston, Texas 77008<br />
* [http://www.legacycommunityhealth.org/ Legacy Baker-Ripley Campus] - 6500 Rookin St. Bldg B, Suite 200, Houston, Texas 77074<br />
* Legacy Mapleridge Campus: 6550 Mapleridge St., Suite 106, Houston, Texas 77081.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
====Support====<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
* [http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
* [http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
* [http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
* [http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
* [http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can find PrEP in Houston. Check out this [http://www.aidshelp.org/index.cfm?fuseaction=cms.page&id=1120 link] for local information.<br />
* You should be able to access PEP in Houston as well. Contact a local health center or hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|frame|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
*You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
*You can get an abortion in other states, such as New Mexico or California. You can call National Abortion Federation (1-800-772-9100) for potential financial and transportation support in obtaining abortions in another state.<br />
*You can contact [https://www.plannedparenthood.org/health-center/texas/houston/77081/southwest-health-center-2293-91650 Planned Parenthood Southwest Health Center] to see what options may be available for you.<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* [http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
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|keywords=houston, texas, contraception, emergency contraception, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Houston.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Houston&diff=186728Houston2022-06-25T21:11:37Z<p>Lani314: changes after overturning roe v. wade</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Houston<br />
}}<br />
<br />
[[File:Houston night.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Houston has an incredible range of medical facilities and providers. While there are certainly restrictions that impose great difficulty, there are also a wealth of resources that can be sought after. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
==Contraception==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Houston). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood in were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
Title X Clinics in Houston:<br />
* [http://hacstxs.org/locations/hacs-spring-cypress/ HACS] – Spring Cypress: 17010 Sugar Pine Dr., Houston, Texas 77090 Directions | Website<br />
* [http://www.houstontx.gov/health/HealthCenters/Sharpstown.html City of Houston HHS – Sharpstown Health Services] - 6201 Bonhomme, Suite 300, Houston Texas 77036 <br />
* [http://hacstxs.org/locations/hacs-main-campus/ HACS – Main Campus] - 2150 W. 18th St., Suite 300, Houston, Texas 77008<br />
* [http://www.legacycommunityhealth.org/ Legacy Baker-Ripley Campus] - 6500 Rookin St. Bldg B, Suite 200, Houston, Texas 77074<br />
* Legacy Mapleridge Campus: 6550 Mapleridge St., Suite 106, Houston, Texas 77081.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
====Support====<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
* [http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
* [http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
* [http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
* [http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
* [http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can find PrEP in Houston. Check out this [http://www.aidshelp.org/index.cfm?fuseaction=cms.page&id=1120 link] for local information.<br />
* You should be able to access PEP in Houston as well. Contact a local health center or hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|frame|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [http://houstonwomensclinic.com/houston-abortion-services/ Houston Women's Abortion Clinic]: They provide surgical abortions and MAYBE medical abortions (we'll need to confirm this). About $100 total for sonogram and pregnancy options counseling. "Since 1976, the Houston Women's Clinic has been the trusted leader in providing safe, compassionate and confidential abortion care." Address: 4820 San Jacinto Street, Houston, TX 77004. Hours: Mon – Fri 7:30 am – 5 pm, Sat 7:30 am – until done. Phone: 713-868-4483, 1-800-646-4483 (Toll Free).<br />
* [https://www.plannedparenthood.org/health-center/texas/houston/77023/planned-parenthood-center-for-choice-ambulatory-surgical-center-(abortion)-2292-91650/abortion Planned Parenthood Center for Choice Ambulatory Surgical Center (Abortion)- Houston , TX]: Services offered: abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed. About $150 total for sonogram and pregnancy options counseling. "Please contact this health center for abortion services pricing information. They may not perform abortions on minors under 15 or on pregnant minors who are over 11 weeks pregnant. If you are uninsured, you may be eligible to receive financial assistance for your procedure. You can confidentially find out if you qualify by calling us at 713.535.2400." Address: 4600 Gulf Freeway, Ste.300, Houston, TX 77023. p: 713.535.2400 | f: 713.535.2418.<br />
* [http://www.texasabortioninformation.com/ Aaron Family Planning Clinic/Women’s Pavilion]: Provides surgical abortions. May not provide medical abortions (abortion pill), so you should call to confirm. About $100 total for sonogram and pregnancy options counseling. They don't provide medical abortions (the abortion pill). Address: 2505 North Shepherd Dr., Houston, TX 77008. Phone: 713-272-6900.<br />
* [http://www.suburbanwomensclinic.com/houstonabortionservices.shtml Suburban Women’s Medical Center of Northwest Houston]: Provides medical abortions and surgical abortions. About $200-$250 for sonogram and pregnancy options counseling. "Some insurance plans cover abortion services and we accept insurance. We must verify this information before your appointment. Please call the office so that we may verify coverage prior to your appointment." They have 2 locations. Address #1: 17070 Red Oak Dr., Ste. 505, Houston, TX 77090. Phone: 800-233-0608, 281-440-1796. Address #2: 3101 Richmond #250, Houston, TX 77098. Phone: 713-222-9832.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* [http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=houston, texas, contraception, emergency contraception, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Houston.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Dallas&diff=186727Dallas2022-06-25T21:10:05Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Texas<br />
|City=Dallas<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Dallas Texas Skyline bei Nacht.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref>https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also resources available to people.<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
<br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
'''Title X Clinics in Dallas''' -- clinics that do not require parental consent for minors to obtain birth control<br />
<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – East Dallas Women’s Health Center]: 3320 Live Oak, 5th Floor , Dallas , Texas 75204, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Hatcher Station Health Center]: 4600 Scyene Rd., Dallas, Texas 75210, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland Hospital Main Campus – WISH Tubal Clinic]: 5201 Harry Hines Blvd, Dallas, Texas 75235, Phone: (469) 419-1341<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Lakewest Women’s Health Center]: 3737 Goldman Ave, Dallas , Texas 75212, Phone: (214) 266-0900<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Maple Women’s Health Center]: 6300 Harry Hines Blvd, Suite 600, Dallas , Texas 75235, Phone: (214) 266-0130<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Deharo Saldivar Women’s Health Center]: 1400 N. Westmoreland Road, Dallas , Texas 75211, Phone: (214) 266-0580<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Oakwest Women’s Health Center]: 4201 Brook Spring Dr., Dallas , Texas 75224, Phone: (214) 266-1400<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Southeast Dallas Women’s Health Center]: 9202 Elam Road, Dallas , Texas 75217, Phone: (214) 266-1500<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Irving Women’s Health Center]: 1800 N. Britain Rd, Irving, Texas 75061, Phone: (214) 266-3200 (close to Dallas)<br />
<br />
===Costs ===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
* My Way<br />
*Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
Here's a list of pharmacies/resources in the Dallas area that sell EC:<br />
<br />
*Tom Thumb: 9 Highland Park Village, Dallas, TX , (214) 599-1978<br />
* Tom Thumb: 315 S. Hampton, Dallas, TX, (214) 331-0169<br />
*Tom Thumb: 6333 East Mockingbird Lane, Dallas, TX, (214) 823-9916<br />
*Tom Thumb: 7000 Snider Plaza, University Park, TX, (214) 346-4586<br />
*Tom Thumb: 5809 E. Lovers Lane, Dallas, TX , (214) 750-3210<br />
*Tom Thumb: 6770 Abrams Road, Dallas, TX , (214) 341-4590<br />
*Tom Thumb: 10455 N. Central Expressway, Dallas, TX, (214) 369-7328<br />
* Tom Thumb: 11920 Preston Road, Dallas, TX, (972) 980-4915<br />
*Tom Thumb: 8698 Skillman, Dallas, TX, (214) 340-1368<br />
*Tom Thumb: 3757 Forest Lane, Dallas, TX, 972) 241-7442<br />
*Dallas Surgical Health Services Center - Planned Parenthood of Greater Texas, Inc.: 7424 Greenville Avenue, Ste 211A, Dallas, TX , (214) 373-1868<br />
*North Dallas Shelburne Health Center - Planned Parenthood of Greater Texas, Inc.: 9100 N. Central Expwy, #169, Dallas, TX , (214) 368-1485<br />
*Mesquite Health Center - Planned Parenthood of Greater Texas, Inc.: 1220 Town East Blvd. #240, Mesquite, TX , (972) 613-0915<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
== Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
====Testing Facilities ====<br />
<br />
*[http://www.aidsarms.org/ AIDS Arms Incorporated]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 1906 Peabody Ave, Dallas, TX 75215, 214-521-5191.<br />
*[http://www.aboundingprosperity.org Abounding Prosperity Incorporated Black Men and Gay Bisexual Transgender Empowerment Center]: Testing open to the general public. Conventional HIV Blood Test, Free HIV Test, Free STD Test, Rapid HIV Blood Test, Syphilis Test. 1816 Peabody Ave, Dallas, TX 75215, United States, 214-421-4800. E-mail: info@aboundingprosperity.org<br />
*[http://www.foremostfhc.org Foremost Family Health Centers Martin Luther King Jr Family Clinic]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, Herpes Test, Syphilis Test. 2922-B MLK Jr Blvd, Dallas, TX 75215, United States, 214-426-3645.<br />
*[http://www.losbarriosunidos.org/ Los Barrios Unidos Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Vaccine, HPV Vaccine, Syphilis Test. Need to register as a patient. Bring to 1st appt: identification, proof of address, proof of insurance (if you have it), proof of income. 3111 Sylvan Ave, Dallas, TX 75212, United States, 214-540-0300. Email: jalvarez@lbucc.org<br />
*[http://www.myresourcecenter.org Resource Center Nelson-Tebedo Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 4012 Cedar Springs Rd, Dallas, TX 75219, United States. 214-528-2336. Email: clinic@myresourcecenter.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Trinity Health and Wellness Center]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis A Vaccine, Hepatitis B Vaccine, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 219 Sunset Ave Ste 116-A, Dallas, TX 75208, United States. 972-807-7370. Email: info@aidsarms.org<br />
*[http://www.utsouthwestern.edu/cpiu University of Texas Southwestern Medical Center Community Prevention and Intervention Unit]: Conventional HIV Blood Test, Free HIV Test, Hepatitis B Test, Hepatitis C Test, Syphilis Test. 400 S Zang Blvd, Ste 520, Dallas, TX 75208, United States, 214-645-7300. Email: tracee.belzle@utsouthwestern.edu<br />
*[http://www.dallascounty.org/department/hhs/home.html Dallas County Department of Health and Human Services]: Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 2377 N Stemmons Fwy, Ste 132, Dallas, TX 75207, United States. 214-819-2155. Email: LWorthey@dallascounty.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Main Office]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 351 W Jefferson Blvd, Ste 300, Dallas, TX 75208, United States. 214-521-5191. Email: info@aidsarms.org<br />
*[http://www.parklandhospital.com/phhs/hiv-aids-services.aspx Parkland Health and Hospital System Amelia Court Clinic]: Must be HIV/AIDS patient for STD/TB testing. Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 1936 Amelia Ct, Dallas, TX 75235, United States. 214-590-5632.<br />
*[http://www.dallascouncil.org Greater Dallas Council on Alcohol and Drug Abuse]: Free HIV Testing, Rapid HIV Blood Test. 1349 Empire Central Dr, Ste 800, Dallas, TX 75247, United States. Email: sblake@dallascouncil.org.<br />
*[http://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas, Family Planning and Preventative Health Services, North Dallas Shelburne Health Center]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, HPV Vaccine, Herpes Test, Syphilis Test. Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. 9100 N Central Expy, Ste 169, Dallas, TX 75231, United States. 214-368-1485/800-230-7526.<br />
<br />
====Support====<br />
<br />
*[http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while."<br />
*HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493.<br />
*Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832<br />
*Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
*[http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals."<br />
*[http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
*[http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
*[http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
*[http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
*[http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref><br />
<br />
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833<br />
*[http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033<br />
<br />
===Costs ===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
<br />
* You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
* You can get an abortion in other states, such as New Mexico or California.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
*[https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670.<br />
<br />
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: <br />
<br />
*[http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700<br />
*River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/<br />
*Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988.<br />
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104<br />
*Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000<br />
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337<br />
*The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374<br />
<br />
=== Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604<br />
*[http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/<br />
*[http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
*[https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world."<br />
*[http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities."<br />
<br />
== References==<br />
<references /><br />
<br />
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| colspan="8" style="text-align:center" |[[File:Dallas Texas Skyline bei Nacht.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|illegal (see section for options)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also resources available to people.<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
<br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
'''Title X Clinics in Dallas''' -- clinics that do not require parental consent for minors to obtain birth control<br />
<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – East Dallas Women’s Health Center]: 3320 Live Oak, 5th Floor , Dallas , Texas 75204, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Hatcher Station Health Center]: 4600 Scyene Rd., Dallas, Texas 75210, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland Hospital Main Campus – WISH Tubal Clinic]: 5201 Harry Hines Blvd, Dallas, Texas 75235, Phone: (469) 419-1341<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Lakewest Women’s Health Center]: 3737 Goldman Ave, Dallas , Texas 75212, Phone: (214) 266-0900<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Maple Women’s Health Center]: 6300 Harry Hines Blvd, Suite 600, Dallas , Texas 75235, Phone: (214) 266-0130<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Deharo Saldivar Women’s Health Center]: 1400 N. Westmoreland Road, Dallas , Texas 75211, Phone: (214) 266-0580<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Oakwest Women’s Health Center]: 4201 Brook Spring Dr., Dallas , Texas 75224, Phone: (214) 266-1400<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Southeast Dallas Women’s Health Center]: 9202 Elam Road, Dallas , Texas 75217, Phone: (214) 266-1500<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Irving Women’s Health Center]: 1800 N. Britain Rd, Irving, Texas 75061, Phone: (214) 266-3200 (close to Dallas)<br />
<br />
===Costs ===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
* My Way<br />
*Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
Here's a list of pharmacies/resources in the Dallas area that sell EC:<br />
<br />
*Tom Thumb: 9 Highland Park Village, Dallas, TX , (214) 599-1978<br />
* Tom Thumb: 315 S. Hampton, Dallas, TX, (214) 331-0169<br />
*Tom Thumb: 6333 East Mockingbird Lane, Dallas, TX, (214) 823-9916<br />
*Tom Thumb: 7000 Snider Plaza, University Park, TX, (214) 346-4586<br />
*Tom Thumb: 5809 E. Lovers Lane, Dallas, TX , (214) 750-3210<br />
*Tom Thumb: 6770 Abrams Road, Dallas, TX , (214) 341-4590<br />
*Tom Thumb: 10455 N. Central Expressway, Dallas, TX, (214) 369-7328<br />
* Tom Thumb: 11920 Preston Road, Dallas, TX, (972) 980-4915<br />
*Tom Thumb: 8698 Skillman, Dallas, TX, (214) 340-1368<br />
*Tom Thumb: 3757 Forest Lane, Dallas, TX, 972) 241-7442<br />
*Dallas Surgical Health Services Center - Planned Parenthood of Greater Texas, Inc.: 7424 Greenville Avenue, Ste 211A, Dallas, TX , (214) 373-1868<br />
*North Dallas Shelburne Health Center - Planned Parenthood of Greater Texas, Inc.: 9100 N. Central Expwy, #169, Dallas, TX , (214) 368-1485<br />
*Mesquite Health Center - Planned Parenthood of Greater Texas, Inc.: 1220 Town East Blvd. #240, Mesquite, TX , (972) 613-0915<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
== Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
====Testing Facilities ====<br />
<br />
*[http://www.aidsarms.org/ AIDS Arms Incorporated]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 1906 Peabody Ave, Dallas, TX 75215, 214-521-5191.<br />
*[http://www.aboundingprosperity.org Abounding Prosperity Incorporated Black Men and Gay Bisexual Transgender Empowerment Center]: Testing open to the general public. Conventional HIV Blood Test, Free HIV Test, Free STD Test, Rapid HIV Blood Test, Syphilis Test. 1816 Peabody Ave, Dallas, TX 75215, United States, 214-421-4800. E-mail: info@aboundingprosperity.org<br />
*[http://www.foremostfhc.org Foremost Family Health Centers Martin Luther King Jr Family Clinic]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, Herpes Test, Syphilis Test. 2922-B MLK Jr Blvd, Dallas, TX 75215, United States, 214-426-3645.<br />
*[http://www.losbarriosunidos.org/ Los Barrios Unidos Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Vaccine, HPV Vaccine, Syphilis Test. Need to register as a patient. Bring to 1st appt: identification, proof of address, proof of insurance (if you have it), proof of income. 3111 Sylvan Ave, Dallas, TX 75212, United States, 214-540-0300. Email: jalvarez@lbucc.org<br />
*[http://www.myresourcecenter.org Resource Center Nelson-Tebedo Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 4012 Cedar Springs Rd, Dallas, TX 75219, United States. 214-528-2336. Email: clinic@myresourcecenter.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Trinity Health and Wellness Center]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis A Vaccine, Hepatitis B Vaccine, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 219 Sunset Ave Ste 116-A, Dallas, TX 75208, United States. 972-807-7370. Email: info@aidsarms.org<br />
*[http://www.utsouthwestern.edu/cpiu University of Texas Southwestern Medical Center Community Prevention and Intervention Unit]: Conventional HIV Blood Test, Free HIV Test, Hepatitis B Test, Hepatitis C Test, Syphilis Test. 400 S Zang Blvd, Ste 520, Dallas, TX 75208, United States, 214-645-7300. Email: tracee.belzle@utsouthwestern.edu<br />
*[http://www.dallascounty.org/department/hhs/home.html Dallas County Department of Health and Human Services]: Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 2377 N Stemmons Fwy, Ste 132, Dallas, TX 75207, United States. 214-819-2155. Email: LWorthey@dallascounty.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Main Office]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 351 W Jefferson Blvd, Ste 300, Dallas, TX 75208, United States. 214-521-5191. Email: info@aidsarms.org<br />
*[http://www.parklandhospital.com/phhs/hiv-aids-services.aspx Parkland Health and Hospital System Amelia Court Clinic]: Must be HIV/AIDS patient for STD/TB testing. Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 1936 Amelia Ct, Dallas, TX 75235, United States. 214-590-5632.<br />
*[http://www.dallascouncil.org Greater Dallas Council on Alcohol and Drug Abuse]: Free HIV Testing, Rapid HIV Blood Test. 1349 Empire Central Dr, Ste 800, Dallas, TX 75247, United States. Email: sblake@dallascouncil.org.<br />
*[http://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas, Family Planning and Preventative Health Services, North Dallas Shelburne Health Center]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, HPV Vaccine, Herpes Test, Syphilis Test. Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. 9100 N Central Expy, Ste 169, Dallas, TX 75231, United States. 214-368-1485/800-230-7526.<br />
<br />
====Support====<br />
<br />
*[http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while."<br />
*HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493.<br />
*Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832<br />
*Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
*[http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals."<br />
*[http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
*[http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
*[http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
*[http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
*[http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref><br />
<br />
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833<br />
*[http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033<br />
<br />
===Costs ===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
<br />
* You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
* You can get an abortion in other states, such as New Mexico or California.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
*[https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670.<br />
<br />
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: <br />
<br />
*[http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700<br />
*River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/<br />
*Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988.<br />
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104<br />
*Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000<br />
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337<br />
*The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374<br />
<br />
=== Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604<br />
*[http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/<br />
*[http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
*[https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world."<br />
*[http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities."<br />
<br />
== References==<br />
<references /><br />
<br />
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|description=Find sexual, reproductive and women's health care in Dallas.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Dallas&diff=186725Dallas2022-06-25T21:05:05Z<p>Lani314: update added after supreme court struck down roe v. wade</p>
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[[File:Dallas Texas Skyline bei Nacht.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW''' <br />
<br />
As a major American city, Dallas has an incredible range of medical facilities and providers. Due to federal regulations, contraception is legal, though a prescription is required. Emergency contraception is also legal and no prescription is required; it can be purchased at pharmacies, drug stores and many clinics. However, there have been reported cases of pharmacists refusing to sell emergency contraception due to personal religious or moral beliefs. In general, Texas as a state is largely conservative with a strong religious Christian base. This heavily impacts the political and social climate of the state, and in particular abortion law. <br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1">https://www.wfaa.com/article/news/local/roe-v-wade-abortion-scotus-supreme-court-ruling-texas-trigger-law-explainer/287-75949629-4a17-4b50-9cea-0810cc5bef69</ref> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
Overall, Dallas is a huge city and Texas is a huge state. This means that, while there are certainly restrictions that impose great difficulty, there are also resources available to people.<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
In Texas, contraception is generally legal but restrictions apply. You need a prescription to obtain birth control. Furthermore, if you are under 18 years old, you typically need permission from your parents. In fact, Texas is one of only two US states that does not allow state funds to be used for contraceptive use without parental consent.<ref>[http://www.contracept.org/articles/contraception/texas-birth-control-laws-for-teens Texas Birth Control Laws for Teens]</ref><br />
If you cannot get permission from your parents, you can confidentially get birth control from Title X clinics (see section below where you can find them in Dallas). Note that Title X clinics are available to all people, regardless of their age or if they have parental consent, and they may even be able to give you birth control at a reduced cost or no cost at all depending on your financial situation. Also, if you're on Medicaid, you can get birth control at Texas clinics that accept Medicaid (even if you're under 18 and with no parental consent required).<ref>[http://janesdueprocess.org/title-x-clinics/ Jane's Due Process: Where Can I Get Birth Control?]</ref><br />
<br />
For many women, access to contraception in Texas is hampered by little government funding. This began in 2011, when 66% of state funds for Planned Parenthood were cut. Later in 2013, the state replaced its Medicaid program with the [http://www.texaswomenshealth.org/ Texas Women's Health Program], thereby allowing them to cut all former Medicaid funding for Planned Parenthood. These Planned Parenthood facilities served 60% of the state's low-income women.<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref> <br />
<br />
As reported by the Houston Chronicle, "In Texas, limits on abortion get the big headlines. But access to effective birth control has been weakened in the crossfire. When lawmakers kicked Planned Parenthood out of the state's Women's Health Program in 2013, they assured Texans that women would find providers elsewhere for family planning. This week, a University of Texas study published in the New England Journal of Medicine produced strong evidence that Texas has failed to fill the void. In counties affected by the Planned Parenthood exclusion, claims for long-acting contraceptives dropped by more than 35 percent, and requests for injectable contraceptives dropped 31 percent. Meanwhile, Medicaid-paid births spiked among women who previously had used injectable methods."<ref>[http://www.houstonchronicle.com/news/columnists/falkenberg/article/The-numbers-don-t-lie-Texans-need-access-to-6812535.php The numbers don't lie: Texans need access to birth control]</ref><br />
<br />
Furthermore, the decreased accessibility of affordable birth control has increased pregnancy rates. As reported by the LA Times, "The researchers calculated that the relative increase in births was 27% for women who lost access to Planned Parenthood. Many of these births were probably unplanned, since the increase was only seen in counties where women faced new hurdles in access to contraception, the study authors wrote... The study doesn’t prove that the change in Texas policy was directly responsible for the increase in births, the researchers noted. But after making it more difficult for women to get safe, reliable birth control, women switched to less reliable contraceptive methods, or skipped them altogether. The result is dozens of additional babies born to some of the thousands of women who had been served by the shuttered clinics."<ref>[http://www.latimes.com/science/sciencenow/la-sci-sn-planned-parenthood-texas-births-20160203-story.html After Texas stopped funding Planned Parenthood, low-income women had more babies]</ref><br />
<br />
From an educational standpoint, contraception has also struggled to receive state support. In 2009, it was found over half of Texas teenagers lost their virginity in high school. However, 94% of Texas high school students receive an abstinence-only education. This is largely due to the fact that Texas financially awards schools that teach abstinence-only curricula whereas it does not provide financial incentives for those that do. Furthermore, schools often feel that they need to cater to the needs of their students' parents who may object to sex-education.<ref>[http://www.texasmonthly.com/articles/lets-talk-about-sex/ Texas Monthly: Let's Talk About Sex]</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
'''Title X Clinics in Dallas''' -- clinics that do not require parental consent for minors to obtain birth control<br />
<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – East Dallas Women’s Health Center]: 3320 Live Oak, 5th Floor , Dallas , Texas 75204, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Hatcher Station Health Center]: 4600 Scyene Rd., Dallas, Texas 75210, Phone: (214) 266-1200<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland Hospital Main Campus – WISH Tubal Clinic]: 5201 Harry Hines Blvd, Dallas, Texas 75235, Phone: (469) 419-1341<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Lakewest Women’s Health Center]: 3737 Goldman Ave, Dallas , Texas 75212, Phone: (214) 266-0900<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Maple Women’s Health Center]: 6300 Harry Hines Blvd, Suite 600, Dallas , Texas 75235, Phone: (214) 266-0130<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Deharo Saldivar Women’s Health Center]: 1400 N. Westmoreland Road, Dallas , Texas 75211, Phone: (214) 266-0580<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Oakwest Women’s Health Center]: 4201 Brook Spring Dr., Dallas , Texas 75224, Phone: (214) 266-1400<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Southeast Dallas Women’s Health Center]: 9202 Elam Road, Dallas , Texas 75217, Phone: (214) 266-1500<br />
*[http://www.parklandhospital.com/phhs/home.aspx Parkland – Irving Women’s Health Center]: 1800 N. Britain Rd, Irving, Texas 75061, Phone: (214) 266-3200 (close to Dallas)<br />
<br />
===Costs ===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Emergency contraception is available without a prescription in Texas. There are no age restrictions for purchase. According to [http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.323.htm#323.005 Tex. Health and Safety Code Ann. § 323.005], the Department of Health Services must provide information to sexual assault survivors, including methods to prevent pregnancy and STIs. Furthermore, emergency rooms in Texas are required to provide information on EC. But, unlike emergency rooms in many other states, they are not required to actually dispense EC on request.<ref>[https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_EC.pdf State Policies in Brief: Emergency Contraception]</ref><br />
<br />
In Texas, anyone (male or female) can purchase EC in pharmacies, clinics or Planned Parenthood facilities. They are legally entitled to buy EC. However, there are reported cases throughout Texas of pharmacists refusing to sell EC, particularly due to personal moral or religious beliefs. For example, in 2004, a rape victim was denied EC at a Texas pharmacy. The pharmacist cited religious reasons for his denial, despite the fact that he was legally required to provide EC to the woman.<ref>[http://www.nbcnews.com/id/4359430/ns/health-womens_health/t/denial-rape-victims-pills-raises-debate/#.V8FIRpN96uU Denial of Rape Victim's Pills Raises Debate]</ref> In 2010, Adam Drake was denied the right to buy non-prescription EC at a Walgreen's in Houston.<ref>[https://nwlc.org/resources/pharmacy-refusals-101/ Pharmacy Refusals 101]</ref><br />
<br />
As the Princeton EC website writes: "You have the right to buy progestin-only EC at a pharmacy without showing ID. If someone denies you EC, [mailto:asec@americansocietyforec.org let us know]. The American Society for Emergency Contraception has a fact sheet explaining the current regulations for purchase of EC that you can print and bring to the pharmacy: [http://americansocietyforec.org/uploads/3/4/5/6/34568220/pharmacy_ec_access_overview.pdf Emergency Contraception: A Guide for Pharmacies and Retailers]." Also, we have provided a list below (see 'What to Get & Where to Get It') for legitimate EC sellers in the Dallas area. <br />
<br />
'''Warning:''' There are misinformation campaigns in Texas that falsely state that certain emergency contraceptives are abortion pills. For example, when one searches for information on ellaOne in Texas via Google, the [https://www.texasrighttolife.com/the-dangers-of-ellaone/ Texas Right to Life] website comes up very high in Google rankings. This website falsely claims that ellaOne induces abortion, and it provides absolutely no medical reports or scientific studies to back up this claim. Be careful to read international and medically valid reports, rather than PR pieces from special interest groups, about your health care.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
* My Way<br />
*Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
Here's a list of pharmacies/resources in the Dallas area that sell EC:<br />
<br />
*Tom Thumb: 9 Highland Park Village, Dallas, TX , (214) 599-1978<br />
* Tom Thumb: 315 S. Hampton, Dallas, TX, (214) 331-0169<br />
*Tom Thumb: 6333 East Mockingbird Lane, Dallas, TX, (214) 823-9916<br />
*Tom Thumb: 7000 Snider Plaza, University Park, TX, (214) 346-4586<br />
*Tom Thumb: 5809 E. Lovers Lane, Dallas, TX , (214) 750-3210<br />
*Tom Thumb: 6770 Abrams Road, Dallas, TX , (214) 341-4590<br />
*Tom Thumb: 10455 N. Central Expressway, Dallas, TX, (214) 369-7328<br />
* Tom Thumb: 11920 Preston Road, Dallas, TX, (972) 980-4915<br />
*Tom Thumb: 8698 Skillman, Dallas, TX, (214) 340-1368<br />
*Tom Thumb: 3757 Forest Lane, Dallas, TX, 972) 241-7442<br />
*Dallas Surgical Health Services Center - Planned Parenthood of Greater Texas, Inc.: 7424 Greenville Avenue, Ste 211A, Dallas, TX , (214) 373-1868<br />
*North Dallas Shelburne Health Center - Planned Parenthood of Greater Texas, Inc.: 9100 N. Central Expwy, #169, Dallas, TX , (214) 368-1485<br />
*Mesquite Health Center - Planned Parenthood of Greater Texas, Inc.: 1220 Town East Blvd. #240, Mesquite, TX , (972) 613-0915<br />
<br />
===Costs===<br />
<br />
Generally, EC will cost between $30-65 in the States. Average seems to be about $50.<br />
<br />
== Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
====Testing Facilities ====<br />
<br />
*[http://www.aidsarms.org/ AIDS Arms Incorporated]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 1906 Peabody Ave, Dallas, TX 75215, 214-521-5191.<br />
*[http://www.aboundingprosperity.org Abounding Prosperity Incorporated Black Men and Gay Bisexual Transgender Empowerment Center]: Testing open to the general public. Conventional HIV Blood Test, Free HIV Test, Free STD Test, Rapid HIV Blood Test, Syphilis Test. 1816 Peabody Ave, Dallas, TX 75215, United States, 214-421-4800. E-mail: info@aboundingprosperity.org<br />
*[http://www.foremostfhc.org Foremost Family Health Centers Martin Luther King Jr Family Clinic]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, Herpes Test, Syphilis Test. 2922-B MLK Jr Blvd, Dallas, TX 75215, United States, 214-426-3645.<br />
*[http://www.losbarriosunidos.org/ Los Barrios Unidos Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Vaccine, HPV Vaccine, Syphilis Test. Need to register as a patient. Bring to 1st appt: identification, proof of address, proof of insurance (if you have it), proof of income. 3111 Sylvan Ave, Dallas, TX 75212, United States, 214-540-0300. Email: jalvarez@lbucc.org<br />
*[http://www.myresourcecenter.org Resource Center Nelson-Tebedo Community Clinic]: Chlamydia Test, Conventional HIV Blood Test, Free HIV Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 4012 Cedar Springs Rd, Dallas, TX 75219, United States. 214-528-2336. Email: clinic@myresourcecenter.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Trinity Health and Wellness Center]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Free STD Test, Hepatitis A Vaccine, Hepatitis B Vaccine, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 219 Sunset Ave Ste 116-A, Dallas, TX 75208, United States. 972-807-7370. Email: info@aidsarms.org<br />
*[http://www.utsouthwestern.edu/cpiu University of Texas Southwestern Medical Center Community Prevention and Intervention Unit]: Conventional HIV Blood Test, Free HIV Test, Hepatitis B Test, Hepatitis C Test, Syphilis Test. 400 S Zang Blvd, Ste 520, Dallas, TX 75208, United States, 214-645-7300. Email: tracee.belzle@utsouthwestern.edu<br />
*[http://www.dallascounty.org/department/hhs/home.html Dallas County Department of Health and Human Services]: Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Herpes Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 2377 N Stemmons Fwy, Ste 132, Dallas, TX 75207, United States. 214-819-2155. Email: LWorthey@dallascounty.org<br />
*[http://www.aidsarms.org AIDS Arms Incorporated Main Office]: Conventional HIV Blood Test, Free Hepatitis C Test, Free HIV Test, Hepatitis C Test, Rapid HIV Blood Test, Syphilis Test. To become a patient of AIDS Arms’ medical services, an individual must contact the Client Intake Services at 214.521.5191 to complete intake and eligibility paperwork. 351 W Jefferson Blvd, Ste 300, Dallas, TX 75208, United States. 214-521-5191. Email: info@aidsarms.org<br />
*[http://www.parklandhospital.com/phhs/hiv-aids-services.aspx Parkland Health and Hospital System Amelia Court Clinic]: Must be HIV/AIDS patient for STD/TB testing. Chlamydia Test, Gonorrhea Test, Hepatitis A Vaccine, Hepatitis B Test, Hepatitis B Vaccine, Hepatitis C Test, HPV Vaccine, Rapid HIV Blood Test, Syphilis Test. 1936 Amelia Ct, Dallas, TX 75235, United States. 214-590-5632.<br />
*[http://www.dallascouncil.org Greater Dallas Council on Alcohol and Drug Abuse]: Free HIV Testing, Rapid HIV Blood Test. 1349 Empire Central Dr, Ste 800, Dallas, TX 75247, United States. Email: sblake@dallascouncil.org.<br />
*[http://www.plannedparenthood.org/planned-parenthood-greater-texas Planned Parenthood of Greater Texas, Family Planning and Preventative Health Services, North Dallas Shelburne Health Center]: Chlamydia Test, Conventional HIV Blood Test, Gonorrhea Test, HPV Vaccine, Herpes Test, Syphilis Test. Some charges associated with your services may be covered by your insurance or a state-funded program. If you want to use your insurance, please be sure to bring in your insurance information at the time of your visit. 9100 N Central Expy, Ste 169, Dallas, TX 75231, United States. 214-368-1485/800-230-7526.<br />
<br />
====Support====<br />
<br />
*[http://www.dfwfriends.com/ Dallas/Fort Worth Herpes Support Group]: "DFW Friends is a free social group for adults 21 and up in the Dallas/Fort Worth and surrounding area that are living with Herpes (HSV1 and HSV2) and HPV. There is no membership fee to join our group. We are not a dating service, just a group of people that gets together several times a month to have fun in a relaxed atmosphere, where you don’t have to worry about 'that' for a while."<br />
*HEPHOP Hepatitis Support: 433 Douglas Dr., Dallas TX, Contact: HepHopper, Email: HepHopper@aol.com, Phone:(469)487-9493.<br />
*Hepatitis Support: Medical City, Dallas TX, Meets on: 3rd Thursday, Meets at: 7:00-8:30 PM, Contact: Robbie Cole, Email: meganms401@yahoo.com, Phone: (972) 386-6832<br />
*Hip Hop Support Group (Hepatitis): Presbyterian Medical Center, Fogelson Bldg. Room B, Floor G, 8200 Walnut Hill Lane, Dallas TX 75231, Meets on: 2nd Thursday, Meets at: 6:30 PM, Contact: Laura Strohmeyer, Email: laurastrohmeyer@texashealth.org, Phone: 214-345-2662<br />
<br />
HIV/AIDS Organizations, provided by [http://www.thebody.com/index/hotlines/other.html TheBody.com]:<br />
*[http://www.aidsdallas.org/ AIDS Services of Dallas:] "Provides housing, transportation, case management and food services to HIV-positive individuals."<br />
*[http://www.asistersgift.org/ A Sister's Gift]: "Offers social services and support for women/girls in Dallas and abroad. Services target and attract women who are mothers, disabled, low income, have limited food, clothing and support."<br />
*[http://www.aidsarms.org/ AIDS Arms Inc]: "Provides medication assistance and case management. Also has a clinic and does outreach in prisons."<br />
*[http://www.aidsinterfaithnetwork.org/ AIDS Interfaith Network]: "A multicultural, non-profit, faith-based HIV/AIDS organization that provides services for persons living with HIV/AIDS, gives support to the people who care for them, and educates persons who are at risk of HIV infection."<br />
*[http://www.bryanshouse.org/ Bryan's House]: "A community-based program to focus on children and families who are impacted by HIV and AIDS."<br />
*[http://www.samaritanhouse.org/ Samaritan House]: "Housing, nutrition, transportation, treatment and job training for homeless, low-income HIV-positive people."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
Here are the known providers of PrEP in Dallas:<ref>[http://www.avac.org/sites/default/files/u44/Texas-PrEP-Providers_April-2016.pdf PrEP Providers in Texas]</ref><br />
<br />
* Dallas Pounders Clinic: 3500 Oaklawn Ave, Suite 600 Dr. Pounder 214-520-8833<br />
*[http://uptownphysiciansgroup.com/ Dallas Uptown Physicians Group]: 2929 Carlisle Street, Suite 260 214-303-1033<br />
<br />
===Costs ===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
You'll be able to find pads, pantyliners, tampons and menstrual cups in Dallas. For DivaCups, you can find them at many CVS and Walgreen's locations (check out the website for a full list). For Mooncup, note that it is often sold under the brand name MCUK in the US but it's the same thing.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In Texas, women are protected from any discrimination in the workplace due to pregnancy. You cannot be fired, disciplined or treated differently due to pregnancy. However, Texas state laws have no maternity leave requirements. The only maternity leave requirements in place are at the federal level under the Family and Medical Leave Act (FMLA). Under this law, certain companies are required to give 12 weeks off in a 12-month period for certain health-related needs, including pregnancy. For a company to fall under FMLA standards, it must have at least 50 employees for at least 20 weeks of current calendar year or the immediately preceding calendar year.<ref>[http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# Maternity Leave Rights In Texas]</ref> You must also have worked at your company for at least 12 months and for a total of 1,250 hours (within the 12 month period preceding the time off) in order to be covered. For more details, click [http://www.disabilitysecrets.com/resources/disability/disability-rights/maternity-leave-rights-in-texas# here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Texaswomenprotest.jpg|450px | thumb|left|'''Texas women protest SB 5/HB 2'''.]]<br />
<br />
Abortion in Texas became illegal in June 2022. That year, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the state of Texas, a "trigger law" was in place, which meant that abortion would be declared illegal if Roe v. Wade was overturned. Immediately after Roe v. Wade was overturned, Texas Attorney General Ken Paxton declared that abortion was illegal in the state.<ref name=":1" /> This total ban was followed after other restrictive measures. For example, in August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":0">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> <br />
<br />
In August 2021, a law went into effect in Texas that banned abortion after six weeks of pregnancy.<ref name=":02">https://www.businessinsider.com/texas-6-week-abortion-ban-has-officially-become-law-2021-8</ref> However, this was soon followed by a temporary restraining order on Texas Right to Life to enforce the ban.<ref>https://sports.yahoo.com/news/texas-judge-sides-abortion-providers-010058708.html</ref> In total, this means that Texas has very restrictive abortion laws, but enforcement of these laws is still being determined. <br />
<br />
Historically, before the overturning of the Roe vs. Wade Supreme Court decision, abortion was federally legal in the United States. Yet in Texas, abortion was consistently challenged, where additional restrictions have been placed on clinics, health care providers and women seeking abortions. <br />
<br />
One of the most controversial laws came in 2013, when Texas Governor Rick Perry signed House Bill 2 (known as "HB 2"), an anti-abortion bill. According to this law, "Abortion doctors must have admitting privileges at a hospital within 30 miles of the abortion clinic."<ref>[http://fundtexaschoice.org/what-is-hb2/ What is HB2?]</ref> Furthermore, abortion clinics must align by standards meant for ambulatory surgical centers, which have strict regulations on buildings, equipment and staff. Because nearly all abortion doctors have no admitting privileges to such hospitals in Texas, and because the hospitals have no incentives to provide such access, this forced many clinics to close down. Furthermore, because most abortion clinics don't have the funding or resources to abide by ambulatory standards, this also forced abortion clinics to close down. In the years following HB 2, Texas went from having 40 abortion clinics to only 19.<ref>[https://www.texastribune.org/2016/06/28/texas-abortion-clinics-have-closed-hb2-passed-2013/ Texas Abortion Clinics That Have Closed Since 2013]</ref> This lead to a situation in which many Texas women did not have access to abortion clinics in their areas, and they were forced to travel very long distances, oftentimes out of state, to obtain abortions. <br />
<br />
In June 2016, the United States Supreme Court struck down HB 2 in a 5-3 decision. As written by Justice Stephen G. Breyer, “We conclude that neither of these provisions offers medical benefits sufficient to justify the burdens upon access that each imposes. Each places a substantial obstacle in the path of women seeking a previability abortion, each constitutes an undue burden on abortion access, and each violates the federal Constitution.”<ref>[http://www.nytimes.com/2016/06/28/us/supreme-court-texas-abortion.html?_r=0 Supreme Court Strikes Down Texas Abortion Restrictions]</ref><br />
<br />
Yet, other restrictions in Texas remain in place, particularly those passed in December 2015. Under these new restrictions, a woman must receive an ultrasound before obtaining an abortion. The health care provider must show and describe the ultrasound image to the woman. The ultrasound must be obtained at least 24 hours before an abortion, which imposes difficulties on women who do not live close to abortion providers. Furthermore, a woman must receive counseling before obtaining an abortion. During counseling, the woman will be discouraged from getting an abortion. Following counseling, she must wait at least 24 hours before receiving an abortion. Furthermore, minors must receive parental consent if they wish to obtain an abortion. The use of telemedicine for the performance of a medical abortion is prohibited.<br />
<br />
There are also strict timelines to consider. Before 20 weeks of post-fertilization, all reasons for an abortion are permitted. However, at or after 20 weeks, an abortion can only be performed if the woman's life is endangered, the pregnancy puts her at significant health risk, or if the pregnancy is "medically futile," which is "based on the spurious assertion that a fetus can feel pain at that point."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
Furthermore, on January 1 2016, Texas House Bill 3994 ("HB 3994") went into effect. As explained by Planned Parenthood, "The law assumes all women seeking abortions are minors until they prove otherwise, and places the burden of proof on the physician performing the abortion to request a proof of identity and age.<ref>[https://www.plannedparenthood.org/planned-parenthood-center-for-choice/texas-abortion-laws#sthash.9koRhmBH.dpuf Texas Abortion Laws]</ref><br />
<br />
Despite the severe restrictions placed on Texas women, they continue to seek abortions every year. According to studies, in 2011, 14% of pregnancies in Texas resulted in abortion. Overall, 13.5 out of 1000 women received abortions, though one should remember that some of these women may have been from out-of-state and some Texas women may have received abortions in other states.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-texas State Facts About Abortion: Texas]</ref><br />
<br />
===What to Get & Where to Get It===<br />
Abortion has been declared illegal in Texas. If you want to seek out abortion services, here are some options:<br />
<br />
* You may be able to get the abortion pill mailed to you. Check out [https://www.womenonweb.org/en/i-need-an-abortion Women on Web] or contact a local sexual & reproductive health care organization to see what may be available to you.<br />
* You can get an abortion in other states, such as New Mexico or California.<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. In Texas, Medicaid does not cover abortion.<ref>[https://fundabortionnow.org/get-help/medicaid Can Medicaid cover my abortion?]</ref><br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[http://www.thehotline.org/ National Domestic Abuse Hotline]: 1-800-799-7233 | 1-800-787-3224 (TTY)<br />
*[https://promisehouse.org/ Promise House]: "Promise House embraces homeless, runaway and at-risk youth, giving them needed support, encouragement and hope to live a better life. Our programs cover the vital needs of youth, including emergency shelter, transitional living, pregnant and parenting teen services, individual, group and family counseling, street outreach and educational intervention." 224 W. Page Ave., Dallas, Texas 75208. Phone: 214.941.8578. Fax: 214.941.8670.<br />
<br />
For a full list of women's shelters in Dallas, click [https://www.womenshelters.org/cit/tx-dallas here]. Also, here's a list of a few of them: <br />
<br />
*[http://www.genesisshelter.org/ Genesis Women's Shelter Outreach]: Address: 4411 Lemmon Ave #201, Dallas, TX 75219, United States, Phone: +1 214-389-7700<br />
*River Of Life Homes For Women and Children - Dallas: Undisclosed location. Dallas, TX - 75238. 800-799-7233/<br />
*Union Gospel Mission of Dallas - Center of Hope - Dallas: Exclusively takes in single mothers with children. 4815 Cass Street, Dallas, TX - 75235, 214-638-2988.<br />
* My Second Chance, Inc. - Dallas: Has an integrated recovery program to deal with drug abuse, alcoholism, family and work relations, etc. 1657 S. Corinth Street Road, Dallas, TX - 75203, 214.374.1104<br />
*Salvation Army Dallas Women's Shelter - Dallas: 5302 Harry Hines, Dallas, TX - 75247, (214)424-7000<br />
* Conference On Crime Against Women Inc - Dallas: 4411 Lemmon Ave Ste 201, Dallas, TX - 75219, (214) 946-2337<br />
*The Haven Women's Outreach - Dallas: PO Box 601021, Dallas, TX - 75360, 866) 889-5374<br />
<br />
=== Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://www.myresourcecenter.org/ Resource Center]: "Resource Center is dedicated to helping you stay healthy. Through our health and wellness programs the Center provides culturally sensitive, LGBT-friendly services including low-cost mental health counseling, vaccinations, lab work, transgender health and HIV services." AddressL 5750 Cedar Springs Rd., Dallas, TX 75235, Phone: 214-521-5124, Email: info@myresourcecenter.org . Fax: 214-522-4604<br />
*[http://theafiyacenter.org/ The Afiya Center]: "The Afiya Center is unique in that it is one of the very few non-profit reproductive justice organizations in North Texas founded and directed by women of color. The Afiya Center is committed to creating an atmosphere where the unique experiences of black women and other women of color are embraced." Address: 501 Wynnewood Village Suite 213, Dallas, Texas 75224. Phone:972-685-5571 Email: info@theafiyacenter.org/<br />
*[http://prochoicetexas.org/ NARAL Pro-Choice Texas]: "NARAL Pro-Choice Texas’ mission is to develop and sustain a constituency that uses the political process to guarantee every Texan the right to make personal reproductive health decisions and to guarantee access to the full range of options, including preventing unintended pregnancy, bearing healthy children, and accessing legal abortion."<br />
*[https://www.dallaswomensfdn.org/ Dallas Women's Foundation]: "Dallas Women's Foundation invests in women and girls and empowers women's philanthropy to build a better world."<br />
*[http://www.dallaswomenscouncil.org/ Women's Council of Dallas County]: "Organized May 4, 1954, the Women's Council of Dallas County, Texas, Inc. is a voluntary, non-partisan, nonprofit organization of diverse members and member organizations. Each year, the Women's Council organizes educational programs to illuminate community problems such as homelessness, sexual assault, education and health services. Our members then work with civic and community leaders to advocate for and implement positive changes for the welfare of our communities."<br />
<br />
== References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=dallas, texas, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, mooncup, divacup, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Dallas.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Chicago&diff=186724Chicago2022-06-25T20:51:24Z<p>Lani314: added infobox</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Illinois<br />
|City=Chicago<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Chicago River ferry.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|available upon request<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you will find many health care resources in Chicago. All forms of birth control are available, including condoms, pills, patches, shots, etc. If you're under 18, you may need parental approval to obtain birth control pills. You can buy emergency contraception in drug stores. You can get STD/STI tests at many facilities, including public facilities that offer free testing, as well as private facilities. You can find PEP and PrEP, and there are quite a few STI support groups, which we list on this page. At CVS and Walgreen's, you can find menstrual cups, and you can find eco-friendly menstrual products at Whole Foods and various health food stores. Maternity leave is covered under The Family and Medical Leave Act of 1993 (FMLA), which covers some (but not all) working people in the States. <br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Illinois, abortion upon request is legal. In 2019, the state passed the Reproductive Health Act, which expanded abortion rights in Illinois, including permitting some late-term abortions. In 2021, the state repealed the Parental Notification Act, which enabled minors to decide whether or not they would have parents or guardians involved in their decisions related to abortion.<ref name=":1">https://www.nbcchicago.com/news/politics/is-abortion-legal-in-illinois-here-are-the-abortion-laws-in-place/2865130/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
In the state of Illinois, you can easily buy condoms and there are no age restrictions. If you want birth control pills, you need a prescription to obtain birth control pills. If you're a minor (under 18 years old), you can get a prescription for the following reasons: if you're married, if you're a parent, if you have health reasons requiring birth control or if you received a referral from a professional (like a doctor). In all other cases, minors must receive permission from their parents to get a birth control pill prescription. <br />
<br />
At Title X Clinics, like Planned Parenthood Chicago, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
In the state of Illinois, it's not required to teach about sexuality in public schools. However, it is required to teach students about contraceptive methods, such as condoms, pills and patches.<ref>[https://sexetc.org/states/illinois Sex in the States: Illinois]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you want condoms, you can buy them at drugstores, pharmacies, grocery stores and online. There are no age restrictions.<br />
* You can get free condoms in Chicago at many facilities, including Access Community Health Network, AIDS Foundation Chicago, West Town STI Specialty Clinic. For a full list of all the facilities that provide free condoms in Chicago, click [http://chicagowearscondoms.com/ here]. <br />
* Planned Parenthood Chicago provides many birth control services, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, fertility awareness method, IUD (hormonal), IUD (copper), etc. For a relatively low cost, Planned Parenthood writes and fulfills birth control prescriptions. If you don't have a prescription, you can receive the prescription and pills in the same day. Check out this [https://www.plannedparenthood.org/planned-parenthood-illinois/locations link] for Planned Parenthood locations in Chicago. <br />
* If you're a teenager and need to receive sexual health counseling and access to contraception, you'll want to visit a Title X Clinic. In Chicago, this means you should go to Planned Parenthood of Illinois (18 Michigan Ave S, 6th Floor, Chicago, IL 60603). Phone: (312) 592-6800.<br />
<br />
===Costs===<br />
<br />
A pack of twelve condoms costs about $12. Female condoms are about $2 to $4 per condom.<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
It is legal to purchase emergency contraception (such as Plan B and other brands) in Chicago without a prescription, and there is typically little stigma related to the act. You can buy emergency contraception at many drug stores, such as Walgreen's and CVS.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can purchase emergency contraception at Chicago drug stores and pharmacies. Some of the brands you can expect to see are My Way, Next Choice One Dose, Plan B One-Step, Take Action and ella.<br />
<br />
===Costs===<br />
<br />
Plan B pills typically cost between $35-$60/pill. If you can't afford Plan B, call up your local hospitals and Planned Parenthood. Some hospitals offer free pills, and Planned Parenthood does give free pills to some people in need. Also, consider seeing if Medicaid can cover the pill. There's also [https://afterpill.com/ AfterPill], which is a cheaper morning after pill, which costs $20 and can be bought online. Since you usually want to take the morning after pill as quickly as possible, it's recommended to only purchase AfterPill as backup for future events -- not if you're currently in need of a pill.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. There are many low-cost and free STD testing services in Chicago. They typically do not require appointments, and they run on a first-come, first-serve basis. So it is recommended that you arrange for a test on a day when you have time to wait to receive your tests and results. Some STD clinics also offer vaccines for meningitis, Hepatitis A and Hepatitis B, as well as alcohol and drug treatment.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
=====Testing Facilities - Specialty Clinics=====<br />
<br />
"The Chicago Department of Public Health provides free testing and treatment for sexually transmitted infections (STIs) at the Specialty Clinics." Individuals who are 12 years old and older are eligible to be seen at the Specialty Clinics. Parental consent is not required for teens to visit. You don't need insurance. They offer services in English and Spanish.You should bring a photo identification (such as a school identification card, state identification card, or driver’s license) at the time of their visit. If you do not have photo identification at the time of your visit, you can still receive STI/HIV testing and same-day test results. <br />
<br />
* Englewood STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 641 W. 63rd St., Lower Level. Phone: 312.747.8900. Fax: 312.747.5275. Mon., Wed., Fri.: 8 am - 4 pm. Tue., Thu.: 9 am - 5 pm<br />
* Roseland STI Specialty Clinic: Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 200 E. 115th St.. Phone: 312.747.0054. Fax: 312.747.2841. Mon.: 8 am - 4 pm. Thurs.: 9 am - 5 pm<br />
* Austin STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 4909 W. Division, Suite 411. Phone: 312.746.4871. Mon., Wed.: 8 am - 4 pm. Tue.: 9 am - 5 pm<br />
* WestTown STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 2418 W. Division. Phone: 312.742.4092. Fax: 312.742.7907. Thurs.: 9 am - 5 pm. Fri.: 8 am - 4 pm<br />
* Lakeview STI Specialty Clinic: Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 2849 N. Clark, 1st Fl., Phone: 312.744.5507. Mon., Wed., Fri.: 8am - 4pm. Tue., Thurs.: 10am - 6pm.<br />
<br />
=====Testing Facilities - Additional Clinics (Low-Cost)=====<br />
<br />
* [http://howardbrown.org/wp/Howard Brown Health Center]: Provides STI tests to the LGBT community. They have HIV specialists on staff and have a Syphilis Treatment Clinic. They have drop-in nights for uninsured women and trans people (35 and under) on the last Wednesday of each month, where they offer free services (pelvic exams, breast/check exams, STI tests). <br />
Find the Chicago Department of Public Health or Planned Parenthood clinic closest to you for free HIV or STI testing.<br />
* [http://www.projectvida.org/vida-wellness-center.html VIDA Wellness Center]: "Free and confidential HIV counseling and testing is available to the general public by appointment or during general operating hours on a first-come, first-serve basis." Address: 2659 S. Kedvale Ave., Chicago, IL 60623. Contact: Alejandra (Alex) Pena. Email: apena@projectvida.org.<br />
* Prologue South Side LGBT Drop-In Center: Offers free HIV rapid tests. Address: 1857 E. 71 St., Chicago, IL 60649. Email: 71stdropincenter@gmail.com.<br />
* Open Door: "The HIV testing program targets high-risk populations of Men Who Have Sex With Men (MSM), and high-risk heterosexuals including sex workers, sex partners of HIV-positive MSM’s, persons who have multiple unprotected sex partners, users of IV and non-IV drugs, and sex partners of Intervenous Drug Users. Persons receiving these services will be provided pre and post-test counseling per Centers for Disease Control (CDC) and State of Illinois." Address: 164 Division St., Ste. 607, Elgin, IL 60120.<br />
* [http://www.tpan.com/program/ovah Our Voices Advocating Health]: "The prevention department’s mission at TPAN is to maintain the agency’s reputation as being Chicago’s first one-stop agency for individuals looking for HIV prevention information, HIV testing, counseling and/or referrals. OVAH! is primarily targeted towards young, at risk people of color. This can include MSM’s as well as substance users, or people who just want to know how to stay safe."<br />
<br />
====Support====<br />
<br />
* [http://www.hepatitiscentral.com/hcv/support/il/chicago/ Hepatitis C of Chicago]: "We are a support group in the Chicagoland area, a group not affiliated with any one hospital or pharmaceutical company. Where the members can truly discuss their concerns and be allowed to exercise their freedom of choice without pressure from any outside sources." Contact: Email: HepCWorld@aol.com. Phone: 708-442-3933.<br />
* [http://www.hwerks.com/chicagohclub/ Chicago H Club]: "We are a social/activity group for people with herpes (HSV) and Human Papillomavirus (HPV) in the city of Chicago and surrounding suburbs. We would like to have have parties at least once a month at different locations throughout Chicagoland!"<br />
* [http://howardbrown.org/wp/ Howard Brown Health Center]: "OUR HIV/AIDS MANAGEMENT INCLUDES: General check-ups, Medication monitoring and management, Coordination of counseling and social services, Specialty and diagnostic referrals, Complement therapies (e.g., acupuncture, chiropractic, massage), Nutrition services." Howard Brown’s providers are all certified HIV specialists. Please call 773-388-1600 to schedule an appointment.<br />
* [http://hivelimination.uchicago.edu/ The Chicago Center for HIV Elimination]: "If you have been diagnosed with HIV or a sexually transmitted infection (STI) and would like to ask any sex or needle-sharing partners to get tested, OR if you know someone who you think was exposed to HIV or an STI, we can help you tell them anonymously. We will send them a personal message which does not include any information that can be used to identify you." EMAIL: hivelimination@uchicago.edu "CCHE seeks to eliminate new HIV transmission events over the next 30 years (from 2011 to 2041) by using network science to target and integrate prevention as well as create structural and community-specific interventions."<br />
* [http://www.aidschicago.org/ AIDS Foundation of Chicago]: "AFC brings together service providers and funders to develop systems that meet the needs of those living with HIV/AIDS and to maximize the use of scarce resources."<br />
* [http://www.providenthiv.com/ Provident Hospital HIV Program]: "Provident Hospital HIV Program provides comprehensive, wrap-around services that include outpatient primary care, mental health, psychosocial, dental, substance abuse, medication adherence, outreach/prevention and case management services to approximately 400 HIV patients residing in South side community areas."<br />
<br />
===Costs===<br />
<br />
For specialty clinics: "If you have any medical coverage, please provide your medical card and insurance information at registration. You will not be charged a co-pay, regardless of your plan. If you receive public aid, you should not receive a statement of services or any bills related to your visit. If you do receive a bill, do not pay it; return with the bill to the clinic, and give it to one of the staff. If you are privately insured, you may receive a statement of services and/or a bill, depending on your plan. Be mindful that if you are a dependent or spouse under someone else’s policy, your confidentiality cannot be guaranteed if you receive a statement or bill. If you do not wish to receive a statement or bill, please let us know at registration. You will need to complete an insurance opt-out form detailing the reason, and your insurance will not be charged at all. You will still receive the same quality services at your visit. If you do not have medical coverage of any kind, you will still receive the same quality care and services."<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For yeast infections, you can get over-the-counter medication (like Monistat 7) at drug stores. No prescription is needed.<br />
* For a urinary tract infection (UTI), you'll need to visit a doctor and be diagnosed with a UTI to get a prescription for antibiotics.<br />
* You can get Pre-Exposure Prophylaxis (PrEP) from [http://howardbrown.org/wp/prep/ Howard Brown Health]: "Howard Brown Health provides access to PrEP to reduce your chance of acquiring HIV. Preventing HIV is part of the full spectrum of primary care services we provide. PrEP is covered by Medicaid and most private insurance plans." For additional information or to make an appointment, call 773.388.8885 or walk in during our hours of operation. You can also send an e-mail to prep@howardbrown.org for more information.<br />
* You can get Post-Exposure Prophylaxis (PEP) at [http://howardbrown.org/wp/pep/ Howard Brown Health]: PEP is available on a walk-in basis during regular hours at the following Howard Brown Health locations: Howard Brown Health/Sheridan and Howard Brown Health/Halsted. "If you believe you have been exposed to HIV, you can come to Howard Brown during our regular hours of operation to receive treatment. Patients without insurance may qualify for low-cost services, and staff will be available to help you figure out how to pay for the medication. Howard Brown Health always has a healthcare provider on call to help navigate you outside of regular business hours. For additional information, call 773.388.8889 or walk in during our hours of operation."<br />
<br />
===Costs===<br />
<br />
For yeast infections, Monistat 7 at Walgreens is $14.99 while Walgreens generic brand is $11.49 (which seems just as effective). For UTIs, you can expect to pay about $60 for the antibiotics. Chlamydia medication generally costs $10 but can go up to $50. Gonorrhea medication usually costs about $17 for a single dose. For uninsured consumers, some medications may be steep, so you may want to seek out sliding-scale clinics.<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can find tampons, pantyliners and pads in most drug stores, pharmacies, grocery stores, etc. You can get ecologically-friendly menstrual brands, like Veeda and Seventh Generation Productions, at Mariano's, Whole Foods, CVS and the Jewel-Osco at 1340 S Canal St.There are also many menstrual cup sellers in Chicago. You can find DivaCup at many Walgreen's and CVS locations in central Chicago, as well as at Kramer's Health Foods (230 S. Wabash Chicago, IL 60604 US). You can buy Lunette at Fresh Thyme Farmers Market (2500 N Elston Ave, Chicago, IL. (872) 210-3010). You can [https://www.shethinx.com/ buy Thinx menstrual underwear] online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [http://www.chicagowomenshealthcenter.org/services/gynecology Chicago Women's Health Center]: "We serve women, transmasculine and genderqueer individuals regardless of income, age, race, ability or religion. We are committed to working with all of our clients to provide care that respects individuals' relationships with their bodies." For more information about our services or to schedule an appointment, contact the Gynecology Department at 773-935-6126. Appointments are available Monday-Friday, from 9am-4pm and occasional Saturdays.<br />
* [http://fpachicago.com/Family Planning Associates Medical Group]: "Family Planning Associates Medical Group provides well-woman exam visits which are tailored to your specific needs and concerns but often include: Pap Smear Test, STI testing (genital warts/HPV, gonorrhea, chlamydia and trichomonas, Testing for vaginal infections (yeast vaginitis and bacterial vaginosis) and urinary tract infections." They accept most insurance and offer financial assistance. They speak English and Spanish. Confidential and compassionate staff.<br />
<br />
===Costs===<br />
<br />
Costs vary, ranging from $300 to free for one 'woman well' exam. Note that some clinics charge an additional cost for the pap smear, which may range between $55-$600. If you are an American citizen, you can receive an annual free gynecological exam under ObamaCare. If you are not a citizen or have already received your annual exam, there are cheaper options. Some clinics provide a flat rate for the entire examination while other charge an extra fee for the pap smear and associated lab work. At Planned Parenthood, a sliding scale fee is offered for low-income patients. Otherwise, it will run about $175/exam.<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Chicago, many employers offer some time off, due to the National Family and Medical Leave Act (FMLA), which guarantees 12 weeks maternity leave after working with an employer for one year. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Alternative Insemination (AI) Program @ Chicago Women's Health Center: "Our AI program is designed to provide affirming care to a diversity of LGBTQ families and single people who do not have access to sperm. We facilitate and support all stages of this process with consultation, fertility awareness education, and insemination services." Address: 1025 W. Sunnyside St., Ste. 201, Chicago, IL 60640.<br />
* Alternative Insemination (AI) Program @ Lesbian Community Care Project (Howard Brown Health Center): "Howard Brown Health Center now offers an Alternative Insemination (AI) Program for the lesbian, bisexual, transgender and queer community. Our AI Program provides holistic, affirming care to individuals, couples, and families as they prepare for pregnancy and begin the conception process." CONTACT: Allison BurqueEMAIL: allisonb@howardbrown.org PHONE: (773) 388-1600. ADDRESS: 4025 N. Sheridan Rd., Chicago, IL 60613<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the state of Illinois, abortion is legal until around 23-24 weeks of gestation (i.e. until a fetus is considered viable). <br />
<br />
In 2019, the state passed the Reproductive Health Act, which expanded abortion rights in Illinois, including permitting some late-term abortions. In 2021, the state repealed the Parental Notification Act, which enabled minors to decide whether or not they would have parents or guardians involved in their decisions related to abortion.<ref name=":1" /><br />
<br />
To provide an abortion, the physician must be licensed with the state. Furthermore, advanced practice clinicians (such as physician's assistance and advanced practice nurses) can dispense and administer medical abortions. According to The Illinois Health Care Right of Conscience Act, medical providers can refuse to perform an abortion.<ref>[https://abguide.uchicago.edu/page/legal-faqs-about-abortion-care-illinois Legal FAQs about Abortion Care in Illinois]</ref><br />
<br />
Due to laws restricting public funding of abortion care, some patients may have trouble paying for an abortion and associated travel costs. If you need assistance paying for the procedure, the [http://www.chicagoabortionfund.org Chicago Abortion Fund] may be able to help. If you are traveling to Chicago from a neighboring state and need assistance with somewhere to stay, meals, etc., contact [http://midwestaccesscoalition.org Midwest Access Coalition]<br />
<br />
At some clinic locations, protesters may be present. You do NOT have to listen to them, talk to them, or accept anything from them. Some may try to impersonate clinic escorts by wearing brightly colored vests. Real clinic escorts will NOT be holding pamphlets, papers, rosaries, or gift bags and will NOT ask you anything about your appointment or reasons for being at the clinic. Current laws in Chicago forbid protesters from coming within eight feet of you without your permission. Volunteers from [https://www.ilchoiceactionteam.org Illinois Choice Access Team] may be present and will be wearing bright pink vests that say "Pro-Choice Clinic Escort".<br />
<br />
Note: Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. These places are called "Crisis Pregnancy Centers." Check out the [https://www.facebook.com/anticpcchi/ Chicago Campaign to Expose Crisis Pregnancy Centers] to learn more information.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-illinois Planned Parenthood Chicago]: For a medical abortion (the "abortion pill"), Planned Parenthood of Illinois (PPIL) provides the abortion pill up to 10 weeks at nine health centers in the Chicago area. Check out this [https://www.plannedparenthood.org/planned-parenthood-illinois/patient-resources/abortion-services/abortion-pill list] to see which health center is closest to you. You can also call 877-200-PPIL to schedule an appointment. For an in-clinic surgical abortion, Planned Parenthood of Illinois (PPIL) provides this service for 19 weeks and 6 days at the Near North Health Center of Planned Parenthood: 1200 N LaSalle Street. Chicago, IL 60610. p: 312.266.1033 | f: 312.266.8797.<br />
* [http://fpachicago.com/abortion-care-2/ Family Planning Associates Medical Group]: Offers the abortion pill (for the first 10 weeks), first trimester abortion and second trimester abortion. They have locations in Downtown Chicago and Northwest Chicago. They accept most insurance and offer financial assistance. They speak English and Spanish. Confidential and compassionate staff.<br />
* [http://www.womensaidcenter.com/ Women's Aid Center]: They only do medical abortions (the abortion pill). They don't do surgical abortions. Private clinic managed by women. Address: 4801 W Peterson Ave #609, Chicago, IL 60646, USA. Phone: +1 773-725-4232.<br />
* [http://www.michiganavenuecenterforhealth.com/services/abortion-services/ Michigan Avenue Center for Health]: They offer surgical and medical abortions. You can call or book appointments online. Address: 2415 S. Michigan Avenue, Chicago, IL 60616. Call: (312) 328-1200. Toll Free: (877) 674-0100.<br />
<br />
===Costs===<br />
<br />
In Illinois, insurance policies for public employees only cover abortions if the abortion was due a life-threatening circumstance. It also appears that the state Medicaid program does not pay for medically necessary abortions, despite a court order.<ref>[http://kff.org/medicaid/state-indicator/abortion-under-medicaid/?currentTimeframe=0&selectedRows=%7B%22nested%22:%7B%22illinois%22:%7B%7D%7D%7D State Funding of Abortions Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of program in Chicago that can help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Chicago Rape Crisis Hotline: 1-888-293-2080<br />
* National Domestic Violence Hotline Number at 1-800-787-3224<br />
* [http://www.rapevictimadvocates.org/ Rape Victim Advocates]: "Rape Victim Advocates (RVA) is an independent, not-for-profit organization dedicated to the healing and empowerment of sexual assault survivors through non-judgmental crisis intervention counseling, individual and group counseling, and medical and legal advocacy in the greater Chicago metropolitan area."<br />
* [http://www.ywcachicago.org/our-work/sexual-violence-support-services/sexual-violence-counseling/ YWCA Sexual Violence Support Services]: "Caring, professional counselors provide confidential individual, family and group counseling to sexual assault survivors and their non-offending family members. Services are offered to women, children and men who have been victims of assault."<br />
* [http://www.apnaghar.org/ Apna Ghar]: 24 hour crisis hotline: (773) 334-4663. "Apna Ghar provides holistic services and conducts outreach and advocacy across immigrant communities to end gender violence."<br />
* [https://www.c4chicago.org/ Community Counseling Centers of Chicago]: Provides sexual assault counseling, suicide prevention, eating disorder treatment and other programs. Phone 773.769.0205.<br />
* [http://www.chicagohouse.org/?post_causes=translife-center Chicago House/TransLife Center]: "Chicago House’s newest program, the TransLife Center (TLC), officially launched in 2013. The TLC provides comprehensive programming and support to transgender individuals.TransHealth provides a variety of resources and health information to transgender people impacted by HIV/AIDS, poverty, homelessness, chronic illness, and/or mental health issues." ADDRESS: 1925 N. Clybourn St., Ste. 401, Chicago, IL 60614 CONTACT: Channyn ParkerEMAIL: info@chicagohouse.org PHONE: (773) 248-5200 ext. 333HANDICAP ACCESSIBLE: Yes<br />
* [https://www.deborahsplace.org/ Deborah's Place]: "Deborah’s Place is Chicago’s largest provider of supportive housing for single women experiencing homelessness. We open doors to housing, healing, and hope."<br />
* [http://www.sarahs-circle.org/ Sarah's Circle]: "Sarah's Circle is a non-profit organization with a mission of serving women who are homeless or in need of a safe space. Located in Chicago's Uptown Community, Sarah's Circle has provided support for thousands of women since 1979."<br />
* [http://instituteofwomentoday.org/ Institute of Women Today]: "The Institute of Women Today is a non-profit 501 (c)(3) organization serving the Chicago community since 1974. Our mission is twofold: to provide transitional housing for homeless women, children and families, and to provide experiences that empower, mentor, and support women and the broader community so they can achieve their highest potential."<br />
* [http://www.asafehaven.org/ A Safe Haven]: "At A Safe Haven we help homeless people that are in sudden or chronic social and financial crisis address the root causes of their problems and we help them achieve sustainable self-sufficiency."<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [https://isgmh.northwestern.edu/ Institute for Sexual and Gender Minority Health and Wellbeing (ISGMH)]: "The Institute of Sexual and Gender Minority Health and Wellbeing (ISGMH) was founded in 2015 and is the first university-wide institute in the country focused exclusively on research to improve the health of the sexual and gender minority (SGM) community."<br />
* [http://chicagonow.org/ Chicago Chapter - National Organization of Women (NOW)]: "Welcome to the Chicago chapter of the National Organization for Women. We are dedicated to furthering feminist issues for the women of Chicago. We pride ourselves on being part of ‘the city that works,’ a city with a long history of activism. Our intention is to make a difference in the lives of the women in our city by dedicating ourselves to several key projects each year, and through community outreach and political activities."<br />
* [http://www.centeronhalsted.org/ Center on Halsted]: "Center on Halsted is the Midwest's most comprehensive community center dedicated to advancing community and securing the health and well-being of the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) people of Chicagoland. More than 1,000 community members visit the Center every day, located in the heart of Chicago's Lakeview Neighborhood."<br />
* [http://chicagogender.com/ Chicago Gender Society]: "The Chicago Gender Society (CGS) was founded 29 years ago for transgender education and support. CGS continues to provide a safe place for people to explore their gender identity. We do this through our monthly meetings, socials and events."<br />
* [http://furie.strikingly.com/ F.U.R.I.E.]: "FURIE (Feminist Uprising to Resist Inequality and Exploitation) is a grassroots feminist organization working on a range of intersecting feminist issues in Chicago. We currently mobilize around reproductive justice, sexual assault, transphobia, racism, police brutality, and more."<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
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}}</div>Lani314https://gynopedia.org/w/index.php?title=Chicago&diff=186723Chicago2022-06-25T20:50:51Z<p>Lani314: update added after supreme court struck down roe v. wade</p>
<hr />
<div>{{setLocation<br />
|Country=United States of America<br />
|State=Illinois<br />
|City=Chicago<br />
}}<br />
<br />
[[File:Chicago River ferry.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you will find many health care resources in Chicago. All forms of birth control are available, including condoms, pills, patches, shots, etc. If you're under 18, you may need parental approval to obtain birth control pills. You can buy emergency contraception in drug stores. You can get STD/STI tests at many facilities, including public facilities that offer free testing, as well as private facilities. You can find PEP and PrEP, and there are quite a few STI support groups, which we list on this page. At CVS and Walgreen's, you can find menstrual cups, and you can find eco-friendly menstrual products at Whole Foods and various health food stores. Maternity leave is covered under The Family and Medical Leave Act of 1993 (FMLA), which covers some (but not all) working people in the States. <br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the state of Illinois, abortion upon request is legal. In 2019, the state passed the Reproductive Health Act, which expanded abortion rights in Illinois, including permitting some late-term abortions. In 2021, the state repealed the Parental Notification Act, which enabled minors to decide whether or not they would have parents or guardians involved in their decisions related to abortion.<ref name=":1">https://www.nbcchicago.com/news/politics/is-abortion-legal-in-illinois-here-are-the-abortion-laws-in-place/2865130/</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
In the state of Illinois, you can easily buy condoms and there are no age restrictions. If you want birth control pills, you need a prescription to obtain birth control pills. If you're a minor (under 18 years old), you can get a prescription for the following reasons: if you're married, if you're a parent, if you have health reasons requiring birth control or if you received a referral from a professional (like a doctor). In all other cases, minors must receive permission from their parents to get a birth control pill prescription. <br />
<br />
At Title X Clinics, like Planned Parenthood Chicago, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
In the state of Illinois, it's not required to teach about sexuality in public schools. However, it is required to teach students about contraceptive methods, such as condoms, pills and patches.<ref>[https://sexetc.org/states/illinois Sex in the States: Illinois]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you want condoms, you can buy them at drugstores, pharmacies, grocery stores and online. There are no age restrictions.<br />
* You can get free condoms in Chicago at many facilities, including Access Community Health Network, AIDS Foundation Chicago, West Town STI Specialty Clinic. For a full list of all the facilities that provide free condoms in Chicago, click [http://chicagowearscondoms.com/ here]. <br />
* Planned Parenthood Chicago provides many birth control services, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, condom, female condom, fertility awareness method, IUD (hormonal), IUD (copper), etc. For a relatively low cost, Planned Parenthood writes and fulfills birth control prescriptions. If you don't have a prescription, you can receive the prescription and pills in the same day. Check out this [https://www.plannedparenthood.org/planned-parenthood-illinois/locations link] for Planned Parenthood locations in Chicago. <br />
* If you're a teenager and need to receive sexual health counseling and access to contraception, you'll want to visit a Title X Clinic. In Chicago, this means you should go to Planned Parenthood of Illinois (18 Michigan Ave S, 6th Floor, Chicago, IL 60603). Phone: (312) 592-6800.<br />
<br />
===Costs===<br />
<br />
A pack of twelve condoms costs about $12. Female condoms are about $2 to $4 per condom.<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
It is legal to purchase emergency contraception (such as Plan B and other brands) in Chicago without a prescription, and there is typically little stigma related to the act. You can buy emergency contraception at many drug stores, such as Walgreen's and CVS.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can purchase emergency contraception at Chicago drug stores and pharmacies. Some of the brands you can expect to see are My Way, Next Choice One Dose, Plan B One-Step, Take Action and ella.<br />
<br />
===Costs===<br />
<br />
Plan B pills typically cost between $35-$60/pill. If you can't afford Plan B, call up your local hospitals and Planned Parenthood. Some hospitals offer free pills, and Planned Parenthood does give free pills to some people in need. Also, consider seeing if Medicaid can cover the pill. There's also [https://afterpill.com/ AfterPill], which is a cheaper morning after pill, which costs $20 and can be bought online. Since you usually want to take the morning after pill as quickly as possible, it's recommended to only purchase AfterPill as backup for future events -- not if you're currently in need of a pill.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. There are many low-cost and free STD testing services in Chicago. They typically do not require appointments, and they run on a first-come, first-serve basis. So it is recommended that you arrange for a test on a day when you have time to wait to receive your tests and results. Some STD clinics also offer vaccines for meningitis, Hepatitis A and Hepatitis B, as well as alcohol and drug treatment.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
=====Testing Facilities - Specialty Clinics=====<br />
<br />
"The Chicago Department of Public Health provides free testing and treatment for sexually transmitted infections (STIs) at the Specialty Clinics." Individuals who are 12 years old and older are eligible to be seen at the Specialty Clinics. Parental consent is not required for teens to visit. You don't need insurance. They offer services in English and Spanish.You should bring a photo identification (such as a school identification card, state identification card, or driver’s license) at the time of their visit. If you do not have photo identification at the time of your visit, you can still receive STI/HIV testing and same-day test results. <br />
<br />
* Englewood STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 641 W. 63rd St., Lower Level. Phone: 312.747.8900. Fax: 312.747.5275. Mon., Wed., Fri.: 8 am - 4 pm. Tue., Thu.: 9 am - 5 pm<br />
* Roseland STI Specialty Clinic: Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 200 E. 115th St.. Phone: 312.747.0054. Fax: 312.747.2841. Mon.: 8 am - 4 pm. Thurs.: 9 am - 5 pm<br />
* Austin STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 4909 W. Division, Suite 411. Phone: 312.746.4871. Mon., Wed.: 8 am - 4 pm. Tue.: 9 am - 5 pm<br />
* WestTown STI Specialty Clinic. Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 2418 W. Division. Phone: 312.742.4092. Fax: 312.742.7907. Thurs.: 9 am - 5 pm. Fri.: 8 am - 4 pm<br />
* Lakeview STI Specialty Clinic: Free clinic. Tests for Gonorrhea, Chlamydia, Syphilis and HIV. Offers sexual health counseling and HIV counseling. Address: 2849 N. Clark, 1st Fl., Phone: 312.744.5507. Mon., Wed., Fri.: 8am - 4pm. Tue., Thurs.: 10am - 6pm.<br />
<br />
=====Testing Facilities - Additional Clinics (Low-Cost)=====<br />
<br />
* [http://howardbrown.org/wp/Howard Brown Health Center]: Provides STI tests to the LGBT community. They have HIV specialists on staff and have a Syphilis Treatment Clinic. They have drop-in nights for uninsured women and trans people (35 and under) on the last Wednesday of each month, where they offer free services (pelvic exams, breast/check exams, STI tests). <br />
Find the Chicago Department of Public Health or Planned Parenthood clinic closest to you for free HIV or STI testing.<br />
* [http://www.projectvida.org/vida-wellness-center.html VIDA Wellness Center]: "Free and confidential HIV counseling and testing is available to the general public by appointment or during general operating hours on a first-come, first-serve basis." Address: 2659 S. Kedvale Ave., Chicago, IL 60623. Contact: Alejandra (Alex) Pena. Email: apena@projectvida.org.<br />
* Prologue South Side LGBT Drop-In Center: Offers free HIV rapid tests. Address: 1857 E. 71 St., Chicago, IL 60649. Email: 71stdropincenter@gmail.com.<br />
* Open Door: "The HIV testing program targets high-risk populations of Men Who Have Sex With Men (MSM), and high-risk heterosexuals including sex workers, sex partners of HIV-positive MSM’s, persons who have multiple unprotected sex partners, users of IV and non-IV drugs, and sex partners of Intervenous Drug Users. Persons receiving these services will be provided pre and post-test counseling per Centers for Disease Control (CDC) and State of Illinois." Address: 164 Division St., Ste. 607, Elgin, IL 60120.<br />
* [http://www.tpan.com/program/ovah Our Voices Advocating Health]: "The prevention department’s mission at TPAN is to maintain the agency’s reputation as being Chicago’s first one-stop agency for individuals looking for HIV prevention information, HIV testing, counseling and/or referrals. OVAH! is primarily targeted towards young, at risk people of color. This can include MSM’s as well as substance users, or people who just want to know how to stay safe."<br />
<br />
====Support====<br />
<br />
* [http://www.hepatitiscentral.com/hcv/support/il/chicago/ Hepatitis C of Chicago]: "We are a support group in the Chicagoland area, a group not affiliated with any one hospital or pharmaceutical company. Where the members can truly discuss their concerns and be allowed to exercise their freedom of choice without pressure from any outside sources." Contact: Email: HepCWorld@aol.com. Phone: 708-442-3933.<br />
* [http://www.hwerks.com/chicagohclub/ Chicago H Club]: "We are a social/activity group for people with herpes (HSV) and Human Papillomavirus (HPV) in the city of Chicago and surrounding suburbs. We would like to have have parties at least once a month at different locations throughout Chicagoland!"<br />
* [http://howardbrown.org/wp/ Howard Brown Health Center]: "OUR HIV/AIDS MANAGEMENT INCLUDES: General check-ups, Medication monitoring and management, Coordination of counseling and social services, Specialty and diagnostic referrals, Complement therapies (e.g., acupuncture, chiropractic, massage), Nutrition services." Howard Brown’s providers are all certified HIV specialists. Please call 773-388-1600 to schedule an appointment.<br />
* [http://hivelimination.uchicago.edu/ The Chicago Center for HIV Elimination]: "If you have been diagnosed with HIV or a sexually transmitted infection (STI) and would like to ask any sex or needle-sharing partners to get tested, OR if you know someone who you think was exposed to HIV or an STI, we can help you tell them anonymously. We will send them a personal message which does not include any information that can be used to identify you." EMAIL: hivelimination@uchicago.edu "CCHE seeks to eliminate new HIV transmission events over the next 30 years (from 2011 to 2041) by using network science to target and integrate prevention as well as create structural and community-specific interventions."<br />
* [http://www.aidschicago.org/ AIDS Foundation of Chicago]: "AFC brings together service providers and funders to develop systems that meet the needs of those living with HIV/AIDS and to maximize the use of scarce resources."<br />
* [http://www.providenthiv.com/ Provident Hospital HIV Program]: "Provident Hospital HIV Program provides comprehensive, wrap-around services that include outpatient primary care, mental health, psychosocial, dental, substance abuse, medication adherence, outreach/prevention and case management services to approximately 400 HIV patients residing in South side community areas."<br />
<br />
===Costs===<br />
<br />
For specialty clinics: "If you have any medical coverage, please provide your medical card and insurance information at registration. You will not be charged a co-pay, regardless of your plan. If you receive public aid, you should not receive a statement of services or any bills related to your visit. If you do receive a bill, do not pay it; return with the bill to the clinic, and give it to one of the staff. If you are privately insured, you may receive a statement of services and/or a bill, depending on your plan. Be mindful that if you are a dependent or spouse under someone else’s policy, your confidentiality cannot be guaranteed if you receive a statement or bill. If you do not wish to receive a statement or bill, please let us know at registration. You will need to complete an insurance opt-out form detailing the reason, and your insurance will not be charged at all. You will still receive the same quality services at your visit. If you do not have medical coverage of any kind, you will still receive the same quality care and services."<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For yeast infections, you can get over-the-counter medication (like Monistat 7) at drug stores. No prescription is needed.<br />
* For a urinary tract infection (UTI), you'll need to visit a doctor and be diagnosed with a UTI to get a prescription for antibiotics.<br />
* You can get Pre-Exposure Prophylaxis (PrEP) from [http://howardbrown.org/wp/prep/ Howard Brown Health]: "Howard Brown Health provides access to PrEP to reduce your chance of acquiring HIV. Preventing HIV is part of the full spectrum of primary care services we provide. PrEP is covered by Medicaid and most private insurance plans." For additional information or to make an appointment, call 773.388.8885 or walk in during our hours of operation. You can also send an e-mail to prep@howardbrown.org for more information.<br />
* You can get Post-Exposure Prophylaxis (PEP) at [http://howardbrown.org/wp/pep/ Howard Brown Health]: PEP is available on a walk-in basis during regular hours at the following Howard Brown Health locations: Howard Brown Health/Sheridan and Howard Brown Health/Halsted. "If you believe you have been exposed to HIV, you can come to Howard Brown during our regular hours of operation to receive treatment. Patients without insurance may qualify for low-cost services, and staff will be available to help you figure out how to pay for the medication. Howard Brown Health always has a healthcare provider on call to help navigate you outside of regular business hours. For additional information, call 773.388.8889 or walk in during our hours of operation."<br />
<br />
===Costs===<br />
<br />
For yeast infections, Monistat 7 at Walgreens is $14.99 while Walgreens generic brand is $11.49 (which seems just as effective). For UTIs, you can expect to pay about $60 for the antibiotics. Chlamydia medication generally costs $10 but can go up to $50. Gonorrhea medication usually costs about $17 for a single dose. For uninsured consumers, some medications may be steep, so you may want to seek out sliding-scale clinics.<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can find tampons, pantyliners and pads in most drug stores, pharmacies, grocery stores, etc. You can get ecologically-friendly menstrual brands, like Veeda and Seventh Generation Productions, at Mariano's, Whole Foods, CVS and the Jewel-Osco at 1340 S Canal St.There are also many menstrual cup sellers in Chicago. You can find DivaCup at many Walgreen's and CVS locations in central Chicago, as well as at Kramer's Health Foods (230 S. Wabash Chicago, IL 60604 US). You can buy Lunette at Fresh Thyme Farmers Market (2500 N Elston Ave, Chicago, IL. (872) 210-3010). You can [https://www.shethinx.com/ buy Thinx menstrual underwear] online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [http://www.chicagowomenshealthcenter.org/services/gynecology Chicago Women's Health Center]: "We serve women, transmasculine and genderqueer individuals regardless of income, age, race, ability or religion. We are committed to working with all of our clients to provide care that respects individuals' relationships with their bodies." For more information about our services or to schedule an appointment, contact the Gynecology Department at 773-935-6126. Appointments are available Monday-Friday, from 9am-4pm and occasional Saturdays.<br />
* [http://fpachicago.com/Family Planning Associates Medical Group]: "Family Planning Associates Medical Group provides well-woman exam visits which are tailored to your specific needs and concerns but often include: Pap Smear Test, STI testing (genital warts/HPV, gonorrhea, chlamydia and trichomonas, Testing for vaginal infections (yeast vaginitis and bacterial vaginosis) and urinary tract infections." They accept most insurance and offer financial assistance. They speak English and Spanish. Confidential and compassionate staff.<br />
<br />
===Costs===<br />
<br />
Costs vary, ranging from $300 to free for one 'woman well' exam. Note that some clinics charge an additional cost for the pap smear, which may range between $55-$600. If you are an American citizen, you can receive an annual free gynecological exam under ObamaCare. If you are not a citizen or have already received your annual exam, there are cheaper options. Some clinics provide a flat rate for the entire examination while other charge an extra fee for the pap smear and associated lab work. At Planned Parenthood, a sliding scale fee is offered for low-income patients. Otherwise, it will run about $175/exam.<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Chicago, many employers offer some time off, due to the National Family and Medical Leave Act (FMLA), which guarantees 12 weeks maternity leave after working with an employer for one year. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Alternative Insemination (AI) Program @ Chicago Women's Health Center: "Our AI program is designed to provide affirming care to a diversity of LGBTQ families and single people who do not have access to sperm. We facilitate and support all stages of this process with consultation, fertility awareness education, and insemination services." Address: 1025 W. Sunnyside St., Ste. 201, Chicago, IL 60640.<br />
* Alternative Insemination (AI) Program @ Lesbian Community Care Project (Howard Brown Health Center): "Howard Brown Health Center now offers an Alternative Insemination (AI) Program for the lesbian, bisexual, transgender and queer community. Our AI Program provides holistic, affirming care to individuals, couples, and families as they prepare for pregnancy and begin the conception process." CONTACT: Allison BurqueEMAIL: allisonb@howardbrown.org PHONE: (773) 388-1600. ADDRESS: 4025 N. Sheridan Rd., Chicago, IL 60613<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the state of Illinois, abortion is legal until around 23-24 weeks of gestation (i.e. until a fetus is considered viable). <br />
<br />
In 2019, the state passed the Reproductive Health Act, which expanded abortion rights in Illinois, including permitting some late-term abortions. In 2021, the state repealed the Parental Notification Act, which enabled minors to decide whether or not they would have parents or guardians involved in their decisions related to abortion.<ref name=":1" /><br />
<br />
To provide an abortion, the physician must be licensed with the state. Furthermore, advanced practice clinicians (such as physician's assistance and advanced practice nurses) can dispense and administer medical abortions. According to The Illinois Health Care Right of Conscience Act, medical providers can refuse to perform an abortion.<ref>[https://abguide.uchicago.edu/page/legal-faqs-about-abortion-care-illinois Legal FAQs about Abortion Care in Illinois]</ref><br />
<br />
Due to laws restricting public funding of abortion care, some patients may have trouble paying for an abortion and associated travel costs. If you need assistance paying for the procedure, the [http://www.chicagoabortionfund.org Chicago Abortion Fund] may be able to help. If you are traveling to Chicago from a neighboring state and need assistance with somewhere to stay, meals, etc., contact [http://midwestaccesscoalition.org Midwest Access Coalition]<br />
<br />
At some clinic locations, protesters may be present. You do NOT have to listen to them, talk to them, or accept anything from them. Some may try to impersonate clinic escorts by wearing brightly colored vests. Real clinic escorts will NOT be holding pamphlets, papers, rosaries, or gift bags and will NOT ask you anything about your appointment or reasons for being at the clinic. Current laws in Chicago forbid protesters from coming within eight feet of you without your permission. Volunteers from [https://www.ilchoiceactionteam.org Illinois Choice Access Team] may be present and will be wearing bright pink vests that say "Pro-Choice Clinic Escort".<br />
<br />
Note: Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. These places are called "Crisis Pregnancy Centers." Check out the [https://www.facebook.com/anticpcchi/ Chicago Campaign to Expose Crisis Pregnancy Centers] to learn more information.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/planned-parenthood-illinois Planned Parenthood Chicago]: For a medical abortion (the "abortion pill"), Planned Parenthood of Illinois (PPIL) provides the abortion pill up to 10 weeks at nine health centers in the Chicago area. Check out this [https://www.plannedparenthood.org/planned-parenthood-illinois/patient-resources/abortion-services/abortion-pill list] to see which health center is closest to you. You can also call 877-200-PPIL to schedule an appointment. For an in-clinic surgical abortion, Planned Parenthood of Illinois (PPIL) provides this service for 19 weeks and 6 days at the Near North Health Center of Planned Parenthood: 1200 N LaSalle Street. Chicago, IL 60610. p: 312.266.1033 | f: 312.266.8797.<br />
* [http://fpachicago.com/abortion-care-2/ Family Planning Associates Medical Group]: Offers the abortion pill (for the first 10 weeks), first trimester abortion and second trimester abortion. They have locations in Downtown Chicago and Northwest Chicago. They accept most insurance and offer financial assistance. They speak English and Spanish. Confidential and compassionate staff.<br />
* [http://www.womensaidcenter.com/ Women's Aid Center]: They only do medical abortions (the abortion pill). They don't do surgical abortions. Private clinic managed by women. Address: 4801 W Peterson Ave #609, Chicago, IL 60646, USA. Phone: +1 773-725-4232.<br />
* [http://www.michiganavenuecenterforhealth.com/services/abortion-services/ Michigan Avenue Center for Health]: They offer surgical and medical abortions. You can call or book appointments online. Address: 2415 S. Michigan Avenue, Chicago, IL 60616. Call: (312) 328-1200. Toll Free: (877) 674-0100.<br />
<br />
===Costs===<br />
<br />
In Illinois, insurance policies for public employees only cover abortions if the abortion was due a life-threatening circumstance. It also appears that the state Medicaid program does not pay for medically necessary abortions, despite a court order.<ref>[http://kff.org/medicaid/state-indicator/abortion-under-medicaid/?currentTimeframe=0&selectedRows=%7B%22nested%22:%7B%22illinois%22:%7B%7D%7D%7D State Funding of Abortions Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of program in Chicago that can help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Chicago Rape Crisis Hotline: 1-888-293-2080<br />
* National Domestic Violence Hotline Number at 1-800-787-3224<br />
* [http://www.rapevictimadvocates.org/ Rape Victim Advocates]: "Rape Victim Advocates (RVA) is an independent, not-for-profit organization dedicated to the healing and empowerment of sexual assault survivors through non-judgmental crisis intervention counseling, individual and group counseling, and medical and legal advocacy in the greater Chicago metropolitan area."<br />
* [http://www.ywcachicago.org/our-work/sexual-violence-support-services/sexual-violence-counseling/ YWCA Sexual Violence Support Services]: "Caring, professional counselors provide confidential individual, family and group counseling to sexual assault survivors and their non-offending family members. Services are offered to women, children and men who have been victims of assault."<br />
* [http://www.apnaghar.org/ Apna Ghar]: 24 hour crisis hotline: (773) 334-4663. "Apna Ghar provides holistic services and conducts outreach and advocacy across immigrant communities to end gender violence."<br />
* [https://www.c4chicago.org/ Community Counseling Centers of Chicago]: Provides sexual assault counseling, suicide prevention, eating disorder treatment and other programs. Phone 773.769.0205.<br />
* [http://www.chicagohouse.org/?post_causes=translife-center Chicago House/TransLife Center]: "Chicago House’s newest program, the TransLife Center (TLC), officially launched in 2013. The TLC provides comprehensive programming and support to transgender individuals.TransHealth provides a variety of resources and health information to transgender people impacted by HIV/AIDS, poverty, homelessness, chronic illness, and/or mental health issues." ADDRESS: 1925 N. Clybourn St., Ste. 401, Chicago, IL 60614 CONTACT: Channyn ParkerEMAIL: info@chicagohouse.org PHONE: (773) 248-5200 ext. 333HANDICAP ACCESSIBLE: Yes<br />
* [https://www.deborahsplace.org/ Deborah's Place]: "Deborah’s Place is Chicago’s largest provider of supportive housing for single women experiencing homelessness. We open doors to housing, healing, and hope."<br />
* [http://www.sarahs-circle.org/ Sarah's Circle]: "Sarah's Circle is a non-profit organization with a mission of serving women who are homeless or in need of a safe space. Located in Chicago's Uptown Community, Sarah's Circle has provided support for thousands of women since 1979."<br />
* [http://instituteofwomentoday.org/ Institute of Women Today]: "The Institute of Women Today is a non-profit 501 (c)(3) organization serving the Chicago community since 1974. Our mission is twofold: to provide transitional housing for homeless women, children and families, and to provide experiences that empower, mentor, and support women and the broader community so they can achieve their highest potential."<br />
* [http://www.asafehaven.org/ A Safe Haven]: "At A Safe Haven we help homeless people that are in sudden or chronic social and financial crisis address the root causes of their problems and we help them achieve sustainable self-sufficiency."<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [https://isgmh.northwestern.edu/ Institute for Sexual and Gender Minority Health and Wellbeing (ISGMH)]: "The Institute of Sexual and Gender Minority Health and Wellbeing (ISGMH) was founded in 2015 and is the first university-wide institute in the country focused exclusively on research to improve the health of the sexual and gender minority (SGM) community."<br />
* [http://chicagonow.org/ Chicago Chapter - National Organization of Women (NOW)]: "Welcome to the Chicago chapter of the National Organization for Women. We are dedicated to furthering feminist issues for the women of Chicago. We pride ourselves on being part of ‘the city that works,’ a city with a long history of activism. Our intention is to make a difference in the lives of the women in our city by dedicating ourselves to several key projects each year, and through community outreach and political activities."<br />
* [http://www.centeronhalsted.org/ Center on Halsted]: "Center on Halsted is the Midwest's most comprehensive community center dedicated to advancing community and securing the health and well-being of the Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) people of Chicagoland. More than 1,000 community members visit the Center every day, located in the heart of Chicago's Lakeview Neighborhood."<br />
* [http://chicagogender.com/ Chicago Gender Society]: "The Chicago Gender Society (CGS) was founded 29 years ago for transgender education and support. CGS continues to provide a safe place for people to explore their gender identity. We do this through our monthly meetings, socials and events."<br />
* [http://furie.strikingly.com/ F.U.R.I.E.]: "FURIE (Feminist Uprising to Resist Inequality and Exploitation) is a grassroots feminist organization working on a range of intersecting feminist issues in Chicago. We currently mobilize around reproductive justice, sexual assault, transphobia, racism, police brutality, and more."<br />
<br />
==References==<br />
<references /><br />
<br />
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}}</div>Lani314https://gynopedia.org/w/index.php?title=Boston&diff=186722Boston2022-06-25T20:24:44Z<p>Lani314: update based after supreme court struck down roe v. wade</p>
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<div>{{setLocation<br />
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<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Boston.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
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|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
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|available upon request<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
In Boston, you will find many health care resources available to you. You'll need a prescription to obtain birth control, but there are no age restrictions or any forms of parental permission required for minors to obtain a prescription. If you want emergency contraception (the morning after pill), it can be purchased in pharmacies or you can also access it (for free or a reduced cost) at health centers. There are many centers where you can get an STI test, some of which we list below in the "Sexually Transmitted Infections" section, as well as support groups for people with Hepatitis C, herpes, HIV and other infections. You can obtain an abortion at health centers or hospitals and, while state laws are much less restrictive than other states, some restrictions apply, especially for minors (who typically need parental consent). You can access many medications, including the HPV vaccine, PrEP and PEP, in Boston, as well. Please refer to the information below for more specific details.<br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the case of Massachusetts, abortion up until 24 weeks of pregnancy is protected by state law, as of 2020.<ref>https://www.politico.com/newsletters/massachusetts-playbook/2022/06/24/special-edition-what-the-end-of-roe-means-for-mass-00042386</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Massachusetts, you need a prescription to obtain most birth control, except for condoms, spermicide and a few other methods. If you're a minor (under 18 years old), you can get a prescription for birth control (no parental consent is required). However, if you want to be on the safe side, you can choose to go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
*You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some health facilities to access birth control in Boston:<br />
<br />
*[https://www.plannedparenthood.org/health-center/massachusetts/boston/02215/greater-boston-health-center-3293-90610 Planned Parenthood - Greater Boston Health Center]: You can get birth control implant, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), condom, female condom, counseling on the fertility awareness method, IUD (hormonal), IUD (copper), spermicide and sterilization for women (Essure) at a reduced cost. Address: 1055 Commonwealth Avenue, Boston, MA, 02215, (800) 258-4448<br />
*[http://www.fenwayhealth.org/ Fenway Health]: "We offer free or reduced cost services for patients who are: 19 years old or under, over 19 years old and uninsured or underinsured and earning below 200% of the federal poverty line." They can give you birth control pills, implants and IUDs. Address: 1340 Boylston St, Boston, MA, 02140, (617) 927-6000<br />
*[http://www.tuftsmedicalcenter.org/ Women’s Care of Tufts Medical Center]: They have provide low-cost and LGBT-friendly services."We can help you choose from all currently available contraceptive methods, including Mirena and Paragard IUDs, and Nexplanon subdermal implants." You can request a female provider. They accept health insurance and people who are uninsured. Address: 800 Washington Street, Boston, MA, 02111, (617) 636-1379<br />
*[https://www.floatinghospital.org/PhysicianDirectory/Laura-Grubb.aspx Adolescent Medicine Clinic Floating Hospital for Children Tufts Medical Center]: This is a program that specifically works with adolescents and teenagers. They can give you birth control pills or the implant at a low cost. Health insurance accepted and LGBT-friendly. Address: 800 Washington Street, Boston, MA, 02111, (617) 636-5255<br />
*[http://www.bmc.org/obgyn.htm Boston Medical Center]: " We offer the most up to date contraception options including intrauterine devices (IUDs), hormonal implants, and injectable methods and we are able to take care of patients with medical complications and special needs." They provide low-cost services. Accepts insurance and also takes the uninsured. LGBT-friendly. Address: Doctors Office Building, 720 Harrison Avenue, 11th Floor, Boston, MA, 02118, (617) 414-2000.<br />
*[http://www.bidmc.org/ Beth Israel Deaconess Medical Center]: They can provide low-cost services for birth control shots, implants and IUDs (with same-day insertion). "All hormonal, barrier, and intrauterine contraceptive methods are currently readily available including Essure sterilization and Nexplanon insertions." They accept health insurance. Address: 330 Brookline Ave., Boston, MA, 02215, (617) 667-3736.<br />
*[http://www.challiance.org/Locations/SomervilleTeenConnection.aspx Somerville Teen Connection - Cambridge Health Alliance]: You can get birth control pills, implants and IUDs (with same-day insertion). They have sliding-scale fees and accept insurance. "To make an appointment to see a family planning counselor, call 617-591-6746 or the clinical site directly." Address: 81 Highland Ave, Somerville, MA, 02143, (617) 575-5690.<br />
*[https://doctorfinder.steward.org/provider/Nicole+H.+Boudreau/41001 Nicole H. Boudreau, M.D., PC]: She's highly rated on Yelp (but she may not be cheap). She's affiliated with St. Elizabeth's Medical Center. She can provide birth control pills, implants and IUDs.Address: 1180 Beacon Street, Suite 2C, Brookline, MA, 02446, (617) 232-0440.<br />
*[http://www.mountauburnhospital.org/ Mt Auburn Practice for Women]: They're highly-rated on Yelp, and they can provide birth control pills, implants and IUDs. They're LGBT-friendly, and they accept both health insurance and the uninsured. Address: 521 Mt Auburn St, Suite 103, Watertown, MA, 02472, (617) 926-2414.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Anyone (no matter their age) can buy Plan B One-Step, My Way, Next Choice One Dose, and AfterPill over-the-counter or on-line without a prescription. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. AfterPill is available only on-line. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*ella<br />
<br />
''Dedicated Products / Progestin Only''<br />
Take 1 pill within 120 hours after unprotected sex:<br />
*My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
*Take Action<br />
*AfterPill<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
*Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
The average price of over-the-counter EC is $40-$50 at a retail pharmacy and $20-$25 on-line (for example, www.afterpill.com). Women's Health Clinics also have EC available at subsidized prices. Individual health insurance plans may also cover EC (need to check with individual plans).<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
For a full list of STI testing facilities in Boston, click [http://yourhealthboston.org/get-tested-talk-it-out/ here].<br />
<br />
*[http://www.bostonstdclinic.com/ Boston STD Clinic]: Tests for HIV, Chlamydia, Gonorrhea, Syphilis, and Hepatitis C, and they give results within one week. They have a walk-in clinic (you don't need to make an appointment. . However, if you would like to make an appointment you can call (617) 414-4081."Bring your photo ID card and health insurance card. They speak English, Spanish, French, Haitian Creole. Boston Medical Center STD Clinic: 725 Albany Street, Suite 9C, Boston, MA 02118. Telephone: (617) 414-4081. Email: confidentialSTD@bmc.org.<br />
*[http://www.bostonprojecttrust.com/ Project TRUST]: Tests for HIV, Chlamydia, Gonorrhea, Syphilis and Hepatitis C. Results available within 2 weeks. "Project TRUST is a drop-in HIV and STD testing center. Project TRUST is a great option for STD testing if you do not have any symptoms." Address: Boston Medical Center, Project TRUST, 721 Massachusetts Avenue. Boston, MA 02118. Telephone: (617) 414-4495 . Email: confidentialPT@bmc.org.<br />
*[http://www.aac.org/programs-services/hivstd-counseling-testing/ AIDS Action Committee]: "We offer free screening for HIV, hepatitis C, and other common sexually transmitted diseases, such as syphilis, gonorrhea, and chlamydia. We also offer case management and medical referrals." To schedule an appointment, call 617.450.1987. They have locations in Boston (75 Amory St) and Cambridge (359 Green St).<br />
*[http://fenwayhealth.org/care/medical/std-testing-services/ Fenway Health]: They have walk-in hours or you can make an appointment. "In order to book a slot, please call 617.267.0159 to pre-register. Make sure to call us right away if you have symptoms of an STD, or someone you have recently had sex with told you they were just diagnosed with an STD. STD testing for those in need include comprehensive testing for chlamydia, gonorrhea, syphilis, Hepatitis C and HIV."<br />
<br />
===Support===<br />
<br />
*[http://bostonherpes.org/ Boston Herpes Support and Social Group]: "Providing information and support to people for over 25 years, our mission is to provide people with accurate information, support and hope in a discreet manner."<br />
*[http://www.hepatitiscentral.com/hcv/support/ma/boston/ Hepatitis C Support Groups]: There's 2 groups that meet (that we know of). Click on the [http://www.hepatitiscentral.com/hcv/support/ma/boston/ link] for details.<br />
*[http://yourhealthboston.org/ Your Health Boston]: This is a sexual health website and resource, especially focused on HIV testing and living with HIV.<br />
*[http://www.mac-boston.org/ Multicultural AIDS Coalition (MAC)]: "The mission of the Multicultural AIDS Coalition (MAC) is to mobilize communities of color to end the HIV/AIDS epidemic. We work to ensure high quality, accessible prevention and treatment services for people living with HIV, at high risk for becoming infected, or closely affected by the disease."<br />
*[http://www.aac.org/ AIDS Action Committee]: "Founded in 1983, AIDS Action is New England’s largest AIDS service organization. For three decades, we’ve been advocating at all levels of government for fair and effective AIDS policies, conducting cutting edge HIV prevention programs, and providing health and wellness services to people already living with HIV."<br />
*[http://www.connectedboston.org/ Connected Boston]: "The Multicultural AIDS Coalition is happy to announce the #CONNECTEDBoston Campaign. In collaboration with Fenway Health and AIDS Action Committee, the campaign uses new and traditional media to reach black and brown gay, bisexual and queer men in the Greater Boston area."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
*If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
*You should be able to access the HPV vaccine in the United States.<br />
*You can get PrEP in Boston. Click on this [http://talkprep.org/get-prep-ma/ link] for details.<br />
*You should be able to access PEP in Boston. Contact your health provider or local hospital for details.<br />
<br />
=== Costs===<br />
<br />
==Menstruation ==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas ===<br />
There is no social stigma against tampons in Boston or generally in the United States. They can be obtained as readily as pads in most drug stores.<br />
<br />
===What to Get & Where to Get It ===<br />
<br />
In Boston, you can find pads and tampons in most supermarkets, convenience stores and pharmacies. If you would like to buy menstrual cups, they can be found at CVS Pharmacy, Whole Foods and Walgreens (24 School Street). There may be some menstrual cup brands (like Lunette or MoonCup) that are best to purchase online. You can also find eco-friendly menstrual products at Whole Foods and CVS.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
For details on Massachusetts policy on maternity leave, click [http://www.mass.gov/mcad/resources/employers-businesses/emp-guidelines-maternity1-gen.html here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs ===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
=== Laws & Social Stigmas===<br />
<br />
In the state of Massachusetts, abortion laws are notably less restrictive than in other US states. However, there are still some restrictions to consider. For an abortion to be legal in Massachusetts, it must be performed by an M.D. in the first 24 weeks of pregnancy. After 24 weeks of pregnancy, an abortion can only be performed if the M.D. provides a written statement that confirms that the abortion is necessary to save the life of the woman or to preserve the physical or mental health of the woman. No abortion procedures are allowed that destroy or injure the fetus (except in rare exceptions, which would need to be approved by the M.D.).<ref>[http://statelaws.findlaw.com/massachusetts-law/massachusetts-abortion-laws.html Massachusetts Abortion Laws]</ref><br />
<br />
If you're 18 years old and want an abortion in Massachusetts, it's required that one of your parents gives consent (i.e. "parental consent"). If you cannot manage to get parental consent, you can potentially get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/massachusetts Sex in the States: Massachusetts]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
For a full list of abortion providers in Massachusetts), click [http://www.prochoicemass.org/assets/bin/pdfs/providerchart.pdf here]. The list may be slightly outdated since the information is from 2013.<br />
<br />
*[https://www.plannedparenthood.org/health-center/massachusetts/boston/02215/greater-boston-health-center-3293-90610 Planned Parenthood - Greater Boston Health Center]: The abortion services include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed. A follow-up exam is required for all medication abortions. "Our Sexual Health Counseling & Referral Hotline is free, anonymous and confidential. Call 1-877-686-5772, option 3." Languages: English and Spanish.<br />
*Beth Israel Medical Center: Provides surgical abortions (for up to 23 weeks and 5 days) and medical abortions (for up to 9 weeks). Phone: (617) 667-8859.<br />
*Boston Medical Center: Provides surgical abortions (up to 23 weeks) and medical abortions (up to 8 weeks and 6 days). Phone: (617) 414-2000<br />
*Brigham and Women's Hospital: Provides surgical abortions (up to 23 weeks) and medical abortions (up to 9 weeks). Phone: (617) 732-4090<br />
*Cambridge Health Alliance: Provides only surgical abortions for up to 17 weeks of pregnancy. Phone: (617) 665-2800<br />
*Massachusetts General Hospital: Provides surgical abortions (up to 23 weeks and 6 days). They don't do medical abortions.<br />
*Mount Auburn Hospital: Provides surgical abortions (up to 22 weeks and 5 days) and medical abortions (up to 9 weeks). Phone: (617) 499-5151<br />
Tufts Medical Center: Provides surgical abortions (up to 23 weeks and 6 days) and medical abortions (9 weeks). Phone: (617) 636 - 2229<br />
<br />
'''Important Note''': Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [[wikipedia:Crisis_pregnancy_center|here]].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling ==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*For emergencies, call 911 to get police and an ambulance.<br />
*If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
*[http://www.tnlr.org/ The Network/La Red] A Boston-based, survivor-led organization focused on ending partner abuse in LGBT, BDSM, polyamorous, and queer communities. They can provide support (individual and support groups), advocacy, a safehome program for stays of up to 4 weeks, and legal help. 24 hour hotline: 617-742-4911<br />
*[http://www.fightingexploitation.org/ My Life My Choice]: "Through survivor-led programs we work to end commercial sexual exploitation of children by empowering youth and their allies to fight back." Address: 989 Commonwealth Avenue, Boston, MA 02215. Phone: 617-779-2179. Email: mlmcinfo@jri.org<br />
*[https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
*If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
*[http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
*LGBT Helpline from Fenway Health: (25+) 617.267.9001. Toll-Free: 888.340.4528. The line is confidential and anonymous.<br />
*[http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
*For a list of feminist therapists in Boston, click [https://therapists.psychologytoday.com/rms/prof_results.php?city=Boston&state=MA&spec=588 here].<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
*[http://bostonnow.org/ National Organization for Women - Boston Chapter]: "Boston NOW is that city chapter of the National Organization for Women. As a city chapter, Boston NOW engages in outreach and advocacy to make an impact in the greater Boston area."<br />
*[http://www.bagly.org/ BOSTON ALLIANCE OF GAY, LESBIAN, BISEXUAL & TRANSGENDER YOUTH (BAGLY)]: "In BAGLY’s values: Respect, Diversity, Social Justice, Youth Leadership…In feeling safe… In having fun… In equal access to public accomodations, employment and credit for transgender and gender variant people… In building a strong, youth led, social justice community… In conflict resolution…In change… "<br />
*[https://bostonfeministsforliberation.com/ Boston Feminists for Liberation]: "Boston Feminists for Liberation is a group of trans and cis women who aim to end female oppression and all intersecting forms of oppression, including racism, classism, cissexism, heterosexism, bodyshaming, fat hatred, ageism and ableism."<br />
*[http://www.bostonglow.org/ Boston GLOW]: "Boston GLOW is a breeding ground for the modern day superwoman. GLOW fosters opportunities for women of all ages to become empowered community leaders and active world citizens."<br />
*[http://theprisonbirthproject.org/ Prison Birth Project]: "Prison Birth Project (PBP) supports, encourages, and trains currently and formerly incarcerated mothers and trans* parents to become community leaders within a reproductive justice framework."<br />
*[http://www.masstpc.org/ Massachusetts Transgender Political Coalition]: "Founded in 2001, the Massachusetts Transgender Political Coalition (MTPC) is an advocacy, education, and community-building organization that works to end discrimination on the basis of gender identity and expression."<br />
<br />
==References==<br />
<references /><br />
<br />
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<div>{{setLocation<br />
|Country=United States<br />
|State=Massachusetts<br />
|City=Boston<br />
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<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Boston.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|available upon request<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
In Boston, you will find many health care resources available to you. You'll need a prescription to obtain birth control, but there are no age restrictions or any forms of parental permission required for minors to obtain a prescription. If you want emergency contraception (the morning after pill), it can be purchased in pharmacies or you can also access it (for free or a reduced cost) at health centers. There are many centers where you can get an STI test, some of which we list below in the "Sexually Transmitted Infections" section, as well as support groups for people with Hepatitis C, herpes, HIV and other infections. You can obtain an abortion at health centers or hospitals and, while state laws are much less restrictive than other states, some restrictions apply, especially for minors (who typically need parental consent). You can access many medications, including the HPV vaccine, PrEP and PEP, in Boston, as well. Please refer to the information below for more specific details.<br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Massachusetts, you need a prescription to obtain most birth control, except for condoms, spermicide and a few other methods. If you're a minor (under 18 years old), you can get a prescription for birth control (no parental consent is required). However, if you want to be on the safe side, you can choose to go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
* You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some health facilities to access birth control in Boston:<br />
<br />
* [https://www.plannedparenthood.org/health-center/massachusetts/boston/02215/greater-boston-health-center-3293-90610 Planned Parenthood - Greater Boston Health Center]: You can get birth control implant, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), condom, female condom, counseling on the fertility awareness method, IUD (hormonal), IUD (copper), spermicide and sterilization for women (Essure) at a reduced cost. Address: 1055 Commonwealth Avenue, Boston, MA, 02215, (800) 258-4448<br />
* [http://www.fenwayhealth.org/ Fenway Health]: "We offer free or reduced cost services for patients who are: 19 years old or under, over 19 years old and uninsured or underinsured and earning below 200% of the federal poverty line." They can give you birth control pills, implants and IUDs. Address: 1340 Boylston St, Boston, MA, 02140, (617) 927-6000<br />
* [http://www.tuftsmedicalcenter.org/ Women’s Care of Tufts Medical Center]: They have provide low-cost and LGBT-friendly services."We can help you choose from all currently available contraceptive methods, including Mirena and Paragard IUDs, and Nexplanon subdermal implants." You can request a female provider. They accept health insurance and people who are uninsured. Address: 800 Washington Street, Boston, MA, 02111, (617) 636-1379<br />
* [https://www.floatinghospital.org/PhysicianDirectory/Laura-Grubb.aspx Adolescent Medicine Clinic Floating Hospital for Children Tufts Medical Center]: This is a program that specifically works with adolescents and teenagers. They can give you birth control pills or the implant at a low cost. Health insurance accepted and LGBT-friendly. Address: 800 Washington Street, Boston, MA, 02111, (617) 636-5255<br />
* [http://www.bmc.org/obgyn.htm Boston Medical Center]: " We offer the most up to date contraception options including intrauterine devices (IUDs), hormonal implants, and injectable methods and we are able to take care of patients with medical complications and special needs." They provide low-cost services. Accepts insurance and also takes the uninsured. LGBT-friendly. Address: Doctors Office Building, 720 Harrison Avenue, 11th Floor, Boston, MA, 02118, (617) 414-2000.<br />
* [http://www.bidmc.org/ Beth Israel Deaconess Medical Center]: They can provide low-cost services for birth control shots, implants and IUDs (with same-day insertion). "All hormonal, barrier, and intrauterine contraceptive methods are currently readily available including Essure sterilization and Nexplanon insertions." They accept health insurance. Address: 330 Brookline Ave., Boston, MA, 02215, (617) 667-3736.<br />
* [http://www.challiance.org/Locations/SomervilleTeenConnection.aspx Somerville Teen Connection - Cambridge Health Alliance]: You can get birth control pills, implants and IUDs (with same-day insertion). They have sliding-scale fees and accept insurance. "To make an appointment to see a family planning counselor, call 617-591-6746 or the clinical site directly." Address: 81 Highland Ave, Somerville, MA, 02143, (617) 575-5690.<br />
* [https://doctorfinder.steward.org/provider/Nicole+H.+Boudreau/41001 Nicole H. Boudreau, M.D., PC]: She's highly rated on Yelp (but she may not be cheap). She's affiliated with St. Elizabeth's Medical Center. She can provide birth control pills, implants and IUDs.Address: 1180 Beacon Street, Suite 2C, Brookline, MA, 02446, (617) 232-0440.<br />
* [http://www.mountauburnhospital.org/ Mt Auburn Practice for Women]: They're highly-rated on Yelp, and they can provide birth control pills, implants and IUDs. They're LGBT-friendly, and they accept both health insurance and the uninsured. Address: 521 Mt Auburn St, Suite 103, Watertown, MA, 02472, (617) 926-2414.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Anyone (no matter their age) can buy Plan B One-Step, My Way, Next Choice One Dose, and AfterPill over-the-counter or on-line without a prescription. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. AfterPill is available only on-line. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
* AfterPill<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
The average price of over-the-counter EC is $40-$50 at a retail pharmacy and $20-$25 on-line (for example, www.afterpill.com). Women's Health Clinics also have EC available at subsidized prices. Individual health insurance plans may also cover EC (need to check with individual plans).<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
For a full list of STI testing facilities in Boston, click [http://yourhealthboston.org/get-tested-talk-it-out/ here].<br />
<br />
* [http://www.bostonstdclinic.com/ Boston STD Clinic]: Tests for HIV, Chlamydia, Gonorrhea, Syphilis, and Hepatitis C, and they give results within one week. They have a walk-in clinic (you don't need to make an appointment. . However, if you would like to make an appointment you can call (617) 414-4081."Bring your photo ID card and health insurance card. They speak English, Spanish, French, Haitian Creole. Boston Medical Center STD Clinic: 725 Albany Street, Suite 9C, Boston, MA 02118. Telephone: (617) 414-4081. Email: confidentialSTD@bmc.org.<br />
* [http://www.bostonprojecttrust.com/ Project TRUST]: Tests for HIV, Chlamydia, Gonorrhea, Syphilis and Hepatitis C. Results available within 2 weeks. "Project TRUST is a drop-in HIV and STD testing center. Project TRUST is a great option for STD testing if you do not have any symptoms." Address: Boston Medical Center, Project TRUST, 721 Massachusetts Avenue. Boston, MA 02118. Telephone: (617) 414-4495 . Email: confidentialPT@bmc.org.<br />
* [http://www.aac.org/programs-services/hivstd-counseling-testing/ AIDS Action Committee]: "We offer free screening for HIV, hepatitis C, and other common sexually transmitted diseases, such as syphilis, gonorrhea, and chlamydia. We also offer case management and medical referrals." To schedule an appointment, call 617.450.1987. They have locations in Boston (75 Amory St) and Cambridge (359 Green St).<br />
* [http://fenwayhealth.org/care/medical/std-testing-services/ Fenway Health]: They have walk-in hours or you can make an appointment. "In order to book a slot, please call 617.267.0159 to pre-register. Make sure to call us right away if you have symptoms of an STD, or someone you have recently had sex with told you they were just diagnosed with an STD. STD testing for those in need include comprehensive testing for chlamydia, gonorrhea, syphilis, Hepatitis C and HIV."<br />
<br />
===Support===<br />
<br />
* [http://bostonherpes.org/ Boston Herpes Support and Social Group]: "Providing information and support to people for over 25 years, our mission is to provide people with accurate information, support and hope in a discreet manner."<br />
* [http://www.hepatitiscentral.com/hcv/support/ma/boston/ Hepatitis C Support Groups]: There's 2 groups that meet (that we know of). Click on the [http://www.hepatitiscentral.com/hcv/support/ma/boston/ link] for details.<br />
* [http://yourhealthboston.org/ Your Health Boston]: This is a sexual health website and resource, especially focused on HIV testing and living with HIV.<br />
* [http://www.mac-boston.org/ Multicultural AIDS Coalition (MAC)]: "The mission of the Multicultural AIDS Coalition (MAC) is to mobilize communities of color to end the HIV/AIDS epidemic. We work to ensure high quality, accessible prevention and treatment services for people living with HIV, at high risk for becoming infected, or closely affected by the disease."<br />
* [http://www.aac.org/ AIDS Action Committee]: "Founded in 1983, AIDS Action is New England’s largest AIDS service organization. For three decades, we’ve been advocating at all levels of government for fair and effective AIDS policies, conducting cutting edge HIV prevention programs, and providing health and wellness services to people already living with HIV."<br />
* [http://www.connectedboston.org/ Connected Boston]: "The Multicultural AIDS Coalition is happy to announce the #CONNECTEDBoston Campaign. In collaboration with Fenway Health and AIDS Action Committee, the campaign uses new and traditional media to reach black and brown gay, bisexual and queer men in the Greater Boston area."<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You should be able to access the HPV vaccine in the United States.<br />
* You can get PrEP in Boston. Click on this [http://talkprep.org/get-prep-ma/ link] for details.<br />
* You should be able to access PEP in Boston. Contact your health provider or local hospital for details.<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
There is no social stigma against tampons in Boston or generally in the United States. They can be obtained as readily as pads in most drug stores.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Boston, you can find pads and tampons in most supermarkets, convenience stores and pharmacies. If you would like to buy menstrual cups, they can be found at CVS Pharmacy, Whole Foods and Walgreens (24 School Street). There may be some menstrual cup brands (like Lunette or MoonCup) that are best to purchase online. You can also find eco-friendly menstrual products at Whole Foods and CVS.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
For details on Massachusetts policy on maternity leave, click [http://www.mass.gov/mcad/resources/employers-businesses/emp-guidelines-maternity1-gen.html here].<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, abortion has been fully legal since the Roe v. Wade Supreme Court decision (1973). In Massachusetts, abortion laws are notably less restrictive than in other states. However, there are still some restrictions to consider. For an abortion to be legal in Massachusetts, it must be performed by an M.D. in the first 24 weeks of pregnancy. After 24 weeks of pregnancy, an abortion can only be performed if the M.D. provides a written statement that confirms that the abortion is necessary to save the life of the woman or to preserve the physical or mental health of the woman. No abortion procedures are allowed that destroy or injure the fetus (except in rare exceptions, which would need to be approved by the M.D.).<ref>[http://statelaws.findlaw.com/massachusetts-law/massachusetts-abortion-laws.html Massachusetts Abortion Laws]</ref><br />
<br />
If you're 18 years old and want an abortion in Massachusetts, it's required that one of your parents gives consent (i.e. "parental consent"). If you cannot manage to get parental consent, you can potentially get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/massachusetts Sex in the States: Massachusetts]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
For a full list of abortion providers in Massachusetts), click [http://www.prochoicemass.org/assets/bin/pdfs/providerchart.pdf here]. The list may be slightly outdated since the information is from 2013.<br />
<br />
* [https://www.plannedparenthood.org/health-center/massachusetts/boston/02215/greater-boston-health-center-3293-90610 Planned Parenthood - Greater Boston Health Center]: The abortion services include abortion pill (medication abortion), in-clinic abortion, sedation options (medication to make the abortion more comfortable), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed. A follow-up exam is required for all medication abortions. "Our Sexual Health Counseling & Referral Hotline is free, anonymous and confidential. Call 1-877-686-5772, option 3." Languages: English and Spanish.<br />
* Beth Israel Medical Center: Provides surgical abortions (for up to 23 weeks and 5 days) and medical abortions (for up to 9 weeks). Phone: (617) 667-8859.<br />
* Boston Medical Center: Provides surgical abortions (up to 23 weeks) and medical abortions (up to 8 weeks and 6 days). Phone: (617) 414-2000<br />
* Brigham and Women's Hospital: Provides surgical abortions (up to 23 weeks) and medical abortions (up to 9 weeks). Phone: (617) 732-4090<br />
* Cambridge Health Alliance: Provides only surgical abortions for up to 17 weeks of pregnancy. Phone: (617) 665-2800<br />
* Massachusetts General Hospital: Provides surgical abortions (up to 23 weeks and 6 days). They don't do medical abortions.<br />
* Mount Auburn Hospital: Provides surgical abortions (up to 22 weeks and 5 days) and medical abortions (up to 9 weeks). Phone: (617) 499-5151<br />
Tufts Medical Center: Provides surgical abortions (up to 23 weeks and 6 days) and medical abortions (9 weeks). Phone: (617) 636 - 2229<br />
<br />
'''Important Note''': Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [http://www.tnlr.org/ The Network/La Red] A Boston-based, survivor-led organization focused on ending partner abuse in LGBT, BDSM, polyamorous, and queer communities. They can provide support (individual and support groups), advocacy, a safehome program for stays of up to 4 weeks, and legal help. 24 hour hotline: 617-742-4911 <br />
* [http://www.fightingexploitation.org/ My Life My Choice]: "Through survivor-led programs we work to end commercial sexual exploitation of children by empowering youth and their allies to fight back." Address: 989 Commonwealth Avenue, Boston, MA 02215. Phone: 617-779-2179. Email: mlmcinfo@jri.org <br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* LGBT Helpline from Fenway Health: (25+) 617.267.9001. Toll-Free: 888.340.4528. The line is confidential and anonymous.<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
* For a list of feminist therapists in Boston, click [https://therapists.psychologytoday.com/rms/prof_results.php?city=Boston&state=MA&spec=588 here].<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [http://bostonnow.org/ National Organization for Women - Boston Chapter]: "Boston NOW is that city chapter of the National Organization for Women. As a city chapter, Boston NOW engages in outreach and advocacy to make an impact in the greater Boston area."<br />
* [http://www.bagly.org/ BOSTON ALLIANCE OF GAY, LESBIAN, BISEXUAL & TRANSGENDER YOUTH (BAGLY)]: "In BAGLY’s values: Respect, Diversity, Social Justice, Youth Leadership…In feeling safe… In having fun… In equal access to public accomodations, employment and credit for transgender and gender variant people… In building a strong, youth led, social justice community… In conflict resolution…In change… "<br />
* [https://bostonfeministsforliberation.com/ Boston Feminists for Liberation]: "Boston Feminists for Liberation is a group of trans and cis women who aim to end female oppression and all intersecting forms of oppression, including racism, classism, cissexism, heterosexism, bodyshaming, fat hatred, ageism and ableism."<br />
* [http://www.bostonglow.org/ Boston GLOW]: "Boston GLOW is a breeding ground for the modern day superwoman. GLOW fosters opportunities for women of all ages to become empowered community leaders and active world citizens."<br />
* [http://theprisonbirthproject.org/ Prison Birth Project]: "Prison Birth Project (PBP) supports, encourages, and trains currently and formerly incarcerated mothers and trans* parents to become community leaders within a reproductive justice framework."<br />
* [http://www.masstpc.org/ Massachusetts Transgender Political Coalition]: "Founded in 2001, the Massachusetts Transgender Political Coalition (MTPC) is an advocacy, education, and community-building organization that works to end discrimination on the basis of gender identity and expression."<br />
<br />
==References==<br />
<references /><br />
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|-<br />
| '''Contraception: Over-the-Counter'''<br />
| condoms<br />
|-<br />
| '''Contraception: Prescription/Clinic Required'''<br />
| pills, patch, ring, IUD, implant, shot<br />
|-<br />
| '''Emergency Contraception'''<br />
| no prescription required; widely available in pharmacies<br />
|-<br />
| '''STIs'''<br />
| no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
| '''Menstrual Products'''<br />
| pads, tampons, cups<br />
|-<br />
| '''Abortion Law'''<br />
| legally available on request<br />
|-<br />
| '''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
| '''Related Pages'''<br />
| [[United States of America]]<br />
|-<br />
|}<br />
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<!--T:2--><br />
'''OVERVIEW'''<br />
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<!--T:3--><br />
By American standards, New York City is a very progressive city regarding sexual and reproductive health services. Abortion is legal and accessible, and Planned Parenthood facilities exist in all five boroughs. There is an especially large concentration of clinics in Manhattan and Brooklyn, but clinics can be found throughout the city. However, it should be noted that some parts of the city are more conservative than others, and there have been cases of pharmacies refusing to sell Plan B in the past. <br />
<br />
<!--T:4--><br />
Although New York City is very expensive, many residents find cheap (even free) ways to cover health care costs. If you're insured, there are a wealth of health care options. If you are uninsured or have minimal insurance coverage, prices can be exorbitant -- but there are viable ways to cut down these costs. Some clinics are free or sliding-scale in fee structure. There are also many public hospitals that actively work with low-income communities. If you're currently uninsured, it's recommended that you see if you're eligible for Medicaid or seek out hospitals/clinics that actively work with low-income individuals (see below for more details).<br />
<br />
<!--T:5--><br />
Regarding transportation, it is very easy to get around NYC, and you can visit most clinics without a car. The subway system runs 24/7, though trains run less frequently on late nights and weekends. There are also city buses. The fare for a subway or local bus ride is currently $2.75. If you want to visit Staten Island, there's a free ferry that runs between Manhattan-Staten Island. If you prefer to get around by taxi/car, there are a plethora of taxis and ride-share services, like Uber and Lyft.<br />
<br />
==Contraception (Birth Control)== <!--T:6--><br />
<br />
<!--T:7--><br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas=== <!--T:8--><br />
<br />
<!--T:9--><br />
In New York, there are many birth control options available. You can purchase condoms (male and female) and cervical caps without a prescription at pharmacies. However, you need a prescription to obtain most other forms of contraception, such as birth control pills, implants, injectables, rings, and IUDs.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> <ref>[https://www1.nyc.gov/site/doh/health/health-topics/birth-control.page NYC Health - Birth Control]</ref> Birth control pills are legal for both minors (under 18 years old) and adults. Minors do not need parental permission to obtain birth control.<ref>[https://www1.nyc.gov/nyc-resources/service/1032/birth-control-for-teens NYC - Birth Control for Teens]</ref> When someone seeks out a birth control prescription, they must typically consult a health care provider, like a doctor, at a clinic, hospital, or family planning facility, like Planned Parenthood. This typically involves a basic consultation with a doctor. However, depending on your medical history, you may also need to receive a pelvic exam before getting the prescription. Once the prescription is written, you can usually fill the prescription immediately. If a special procedure is required, this will usually only be scheduled after the initial consultation/exam. Note for minors: If you go to a Title X clinic, your appointment, billing, and records will remain confidential.<br />
<br />
===What to Get & Where to Get It=== <!--T:10--><br />
<br />
<!--T:11--><br />
[[File:NYC_Condoms.jpg|300px | thumb|left|frame|'''Some of the free NYC condoms available at over 600 locations in the 5 boroughs'''.]]<br />
<br />
<!--T:12--><br />
* [https://www.plannedparenthood.org/health-center/new-york/new-york/10012/margaret-sanger-center-3325-91110/birth-control Planned Parenthood NYC] provides many birth control services, including birth control implant, birth control patch, birth control pill, birth control shot, birth control vaginal ring (NuvaRing), diaphragm, external condoms (also known as "male condoms"), internal condoms (also known as "female condoms"), fertility awareness method, IUD (hormonal), IUD (copper), etc.<ref>[https://www.plannedparenthood.org/health-center/new-york/new-york/10012/margaret-sanger-center-3325-91110/birth-control Planned Parenthood - Birth Control in New York, NY]</ref> For a relatively low cost, Planned Parenthood writes and fulfills birth control prescriptions. If you don't have a prescription, you can receive the prescription and pills in the same day. If you choose to go to a location like Staten Island, you'll probably be able to book an earlier appointment than in Manhattan or Brooklyn. As of 2015, Planned Parenthood only provides one form of pills: [[Chateal]]. To schedule an appointment, call 212-965-7000, Monday-Friday, 8am-6pm.<br />
* [http://nycfreeclinic.med.nyu.edu/womens-health-free-clinic Women's Health Free Clinic], which is a free, student-run clinic, provides birth control pills, Depo-Provera shot, IUDs, condoms, Nexplanon implant for low-income patients. Clinic Hours: Sat 9am-1pm, Tel. 212-206-5200. Address: 16 East 16th Street, New York, NY 10003 <br />
* [https://callen-lorde.org/ Callen-Lorde Community Health Center] in Chelsea (356 W 18th St; (212) 271-7200) -- Resource for the LGBT community, and provides a variety of 'women-well' services, regardless of cost.<br />
<br />
<!--T:13--><br />
Regarding condoms, there's little social stigma, and they can be purchased in most pharmacies. You can also get the NYC free condoms, which are found all over the city in over 600 locations through the five boroughs, such as Addiction NYC (27 St. Marks Place), 9th Avenue Saloon (656 9th Avenue), AIDS Center of Queens County (121-61 Jamaica Ave 7th Floor), Albert Einstein College of Medicine (804 East 138th Street, Bronx) and many more locations. For a full locator of free condom venues, check out the official [https://a816-healthpsi.nyc.gov/DispensingSiteLocator/mainView.do;%20jsessionid=BF50C86CD11C7151057D1292F3B000DB condom site locator] put out by NYC.<br />
<br />
===Costs=== <!--T:14--><br />
<br />
<!--T:15--><br />
If you are an American citizen, your birth control exam/consultation may be covered for free, with no copay. As for birth control prices, there is no one standard price, as this greatly depends on which method is used. But, if you are uninsured, you can expect to pay between $20-$150/month supply of pills. For IUD insertion, you can expect to pay $175-600 if uninsured (or $10-$30 copay if insured). You can also get condoms for free in NYC (see above for info).<br />
<br />
==Emergency Contraception (Morning After Pill)== <!--T:16--><br />
<br />
<!--T:17--><br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
<!--T:18--><br />
[[File:planB.jpg|300px | thumb|right|alt=Image provided by Creative Commons.|'''The most commonly used emergency contraception pill in the US'''.]]<br />
<br />
===Laws & Social Stigmas=== <!--T:19--><br />
<br />
<!--T:20--><br />
In the US, emergency contraceptive pills are the most common forms of emergency contraception. It is legal to purchase Plan B (and other brands that have levonorgestrel as their active ingredient) in New York without a prescription<ref>[https://www1.nyc.gov/nyc-resources/service/1075/emergency-contraception NYC - Emergency Contraception]</ref>, and there is typically little stigma related to the act. You can emergency contraceptive pills at many drug stores, such as CVS. However, a 2014 Columbia study found that 20% of NYC pharmacies unlawfully refused to sell ECPs to male shoppers.<ref>[https://www.mailman.columbia.edu/public-health-now/news/one-five-young-men-unable-purchase-emergency-contraception One in Five Young Men Unable to Purchase Emergency Contraception]</ref> In other words, you should be able to find ECPs -- and, if one pharmacy refuses, simply visit another one (and there are many).<br />
<br />
===What to Get & Where to Get It=== <!--T:21--><br />
<br />
<!--T:22--><br />
'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.<br />
<br />
<!--T:23--><br />
Nearly all NYC pharmacies should have Plan B. There are also many 24 hour pharmacies in NYC, for example Rite-Aid (408 Grand St) and Duane Reade (769 Broadway at E. 9th St) in Downtown Manhattan. For a full list of 24 hour pharmacies in Manhattan, check out this [http://manhattan.about.com/od/citylife1/a/24hourpharms.htm this link]. For Brooklyn 24 hour pharmacies, CVS pharmacies in Park Slope (341 9th St), Flatlands, East Flatbush (4901 Kings Hwy) and Midwood (2925 Kings Hwy). For Queens 24 hour pharmacies, there's CVS in Bayside (212 Northern Blvd) and Duane Reade in Downtown Flushing (13602 Roosevelt Ave).<br />
<br />
===Costs=== <!--T:24--><br />
<br />
<!--T:25--><br />
Plan B pills typically cost between $35-$60/pill. If you can't afford Plan B, call up your local hospitals and Planned Parenthood. Some hospitals offer free pills, and Planned Parenthood does give free pills to some people in need. Also, consider seeing if Medicaid can cover the pill. There's also [https://afterpill.com/ AfterPill], which is a cheaper morning after pill, which costs $20 and can be bought online. Since you usually want to take the morning after pill as quickly as possible, it's recommended to only purchase AfterPill as backup for future events -- not if you're currently in need of a pill.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)== <!--T:26--><br />
<br />
<!--T:27--><br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas=== <!--T:28--><br />
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<!--T:29--><br />
The United States has no travel restrictions related to HIV status. This means that, if you're not a US citizen, you can enter the country, regardless of your HIV status. You will not be asked for a medical certificate or proof of your HIV status upon entry in the country. Furthermore, if you test positive for HIV while you are in the United States, you will not be deported.<ref>[http://www.hivtravel.org/Default.aspx?CountryId=12&PageId=143 UNITED STATES OF AMERICA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref><br />
<br />
<!--T:100--><br />
There are many low-cost and free STD testing services in New York City. They typically do not require appointments, and they run on a first come, first serve basis. So it is recommended that you arrange for a test on a day when you have time to wait to receive your tests and results. Some STD clinics also offer vaccines for meningitis, Hepatitis A and Hepatitis B, as well as alcohol and drug treatment.<br />
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===What to Get & Where to Get it=== <!--T:30--><br />
<br />
<!--T:31--><br />
[[File:Gonorrhea-at-home-test-kit.jpeg|230px | thumb|right|alt=Image provided by Creative Commons.|'''One of the "at home" STD tests readily available in NYC.'''.]]<br />
<br />
<!--T:32--><br />
*[https://www1.nyc.gov/site/doh/health/health-topics/aids-hiv.page The New York City Department of Health] offers free, same-day STD tests at facilities around the city. Fore more information, check out this list of [https://www1.nyc.gov/site/doh/services/sexual-health-clinics.page sexual health clinics in New York]. You can also get STD tests at Planned Parenthood. There are also a few companies that manufacture STD tests you can buy online and take in the comfort of your own home. To learn more about the pros and cons of these tests and find out how to purchase them, [http://stdtestoptions.info/std-testing-in-nyc-3-ways-to-get-tested-without-seeing-a-doctor/ click here].<br />
* [https://www.plannedparenthood.org/planned-parenthood-new-york-city Planned Parenthood - Maragaret Sanger Health Center]: They provide STI testing, treatment, support, etc. They also have PrEP. Address: 2348 7th Ave, New York, NY 10030<br />
* [http://www.gmhc.org/ Gay Men's Health Crisis (GHMC)]: You can call their hotline (1-800-243-7692). Address: 446 West 33rd Street, New York, NY 10001<br />
* Manhattanville Sexual Health Clinic: Address: 21 Old Broadway, New York, NY 10027<br />
* Chelsea Sexual Health Clinic: Address: 303 9th Ave, New York, NY 10001<br />
* Riverside: Address: 160 West 100th Street. Monday–Friday: Intake begins at 8:30 a.m. and ends at 3:30 p.m.<br />
* Central Harlem: Address: 2238 Fifth Avenue, 1st Floor. Monday–Friday: Intake begins at 8:30 a.m. and ends at 3:30 p.m.<br />
* [http://www.irishouse.org/ Iris House]: "Iris House saves lives through comprehensive support, prevention and education services for women, families, and under served populations affected by HIV/AIDS and other health disparities in a safe, family-centered environment by passionate, professional and culturally competent staff." Located in Harlem. Address: 2348 7th Ave, New York, NY 10030<br />
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===Costs=== <!--T:33--><br />
<br />
<!--T:34--><br />
For all patients over 19 years old, the New York City Health Department does charge fees for STD clinic services. This means that, if you have an insurance policy, your insurance will be billed. However, if you do not have insurance or do not want to bill your insurance, you will be typically asked to pay a sliding scale fee based on your family size and yearly income. Note that you will not be asked to prove your income or family size.<br />
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==Medications & Vaccines== <!--T:35--><br />
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===Laws & Social Stigmas=== <!--T:36--><br />
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<!--T:37--><br />
In NYC, some medications can be obtained over-the-counter while others require a prescription. For yeast infections, you do not need a prescription. But, for urinary tract infections, it is necessary to have a doctor test for a possible UTI -- and, if tests come back positive, then you will be given a prescription for UTI medication. For STD medication that require antibiotics, such as gonorrhea, you will also need a prescription.<br />
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===What to Get & Where to Get It=== <!--T:38--><br />
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<!--T:39--><br />
[[File:Manhattan CVS pharmacy.jpg|300px | thumb|left|alt=Image provided by Creative Commons.|'''A Manhattan CVS pharmacy that is open 24/7'''.]]<br />
<br />
<!--T:40--><br />
Nearly all NYC pharmacies should have basic medications for yeast infection, UTIs and STD medications. For yeast infection medication, Monistat 1, 3 or 7 are some of the most common medications, though many brands tend to be sold. For STDs like gonorrhea, chlamydia and herpes, the physician can usually send an electronic prescription to your local pharmacy. Hepatitis B, hepatitis C, syphilis and HIV often require more complex treatment as managed by a physician, though many medications can be picked up at a local pharmacy as well.<br />
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===Costs=== <!--T:41--><br />
<br />
<!--T:42--><br />
For yeast infections, Monistat 7 at Walgreens is $14.99 while Walgreens generic brand is $11.49 (which seems just as effective). For UTIs, you can expect to pay about $60 for the antibiotics. Chlamydia medication generally costs $10 but can go up to $50. Gonorrhea medication usually costs about $17 for a single dose. For uninsured consumers, some medications may be steep, so you may want to seek out sliding-scale clinics.<br />
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==Menstruation== <!--T:43--><br />
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<!--T:44--><br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
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===Laws & Social Stigmas=== <!--T:45--><br />
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<!--T:46--><br />
There is no social stigma against tampons in NYC or generally in the USA. They can be obtained as readily as pads in most drug stores. As for [http://divacup.com/ DivaCups], they are available but not widely sold in stores (see below for details).<br />
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===What to Get & Where to Get It=== <!--T:47--><br />
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<!--T:48--><br />
You can find tampons and pantyliners and pads in most drug stores, pharmacies, grocery stores, etc. If you want to buy the DivaCup, you can find it mostly in downtown Manhattan, such as CVS Pharmacy locations (298 Mulberry Street, 148 Bleecker Street, 500 Grand Street) and Bluestockings -- also an awesome bookstore/feminist space! (172 Allen Street). In Brooklyn, you can buy DivaCup at the 156 Henry Street CVS, the 44 Court St Walgreens or the Perelandra Natural Foods (175 Remsen St). Some women in the States are getting into [http://www.shethinx.com/ Thinx underwear], too, but it cannot currently be bought in stores (only online).<br />
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===Costs=== <!--T:49--><br />
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<!--T:50--><br />
Prices will vary, but as an example: You can get a box with 36 tampons for $7 at Walgreens. One of the cheapest tampon brands is Equate, but it is considered low-quality and not recommended. OB is also a cheap brand and higher quality. The DivaCup costs about $25 and lasts for a year. If you have a Costco Wholesale card, you can buy pads or tampons in bulk at their NYC locations, or ask someone who has a Costco card.<br />
<br />
<!--T:51--><br />
In June 2016, the New York City Council unanimously voted to require access to free menstrual hygiene products in public schools, shelters and prisons. This means that tampons and pads will now be included in the city budget. Bill de Blasio has yet sign the bills, but it looks promising.<ref>[http://nymag.com/thecut/2016/06/nyc-will-provide-tampons-in-schools-shelters.html New York City Will Provide Free Tampons and Pads in Public Schools, Prisons, and Shelters]</ref><br />
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==Gynecological Exams== <!--T:52--><br />
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===Laws & Social Stigmas=== <!--T:53--><br />
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<!--T:54--><br />
Also known as 'Well-woman exams,' there are many options in NYC, whether you're insured or uninsured, low-budget or high-budget. There is little social stigma attached to gynecological exams, generally-speaking. Since there are a wealth of options, it is critical to consider doctor reviews (check out ZocDoc), budget and location (the city is big, and distances can be far).<br />
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===What to Get & Where to Get It=== <!--T:55--><br />
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<!--T:56--><br />
If budget is not an issue, there are many private practice and larger-scale hospitals in NYC. Cheaper options: <br />
<br />
<!--T:57--><br />
* Planned Parenthood -- Offers "checkups when you have a reproductive/sexual health problem," as well as pap tests, cervical cancer screening, vaginal infection tests, UTI tests, breast exams and mammogram referrals. Facilities in all 5 boroughs. <br />
<br />
<!--T:58--><br />
* Women's Health Free Clinic -- "The nation's first comprehensive, free, student-run women's health clinic, providing a full range of women’s health and reproductive care... Patient care teams may include NYU medical students, reproductive health fellows, and family medicine attendings."<br />
<br />
<!--T:59--><br />
* Callen-Lorde Community Health Center -- Caters to LGBT community & offers "empowering, non-judgmental, body-positive healthcare in an open and welcoming environment." <br />
<br />
<!--T:60--><br />
* Gouverneur Health (227 Madison St, New York) -- a clean, advanced facility, affiliated with the NYU School of Medicine, but catering to lower-income patients. They have some great gynecologists on staff.<br />
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===Costs=== <!--T:61--><br />
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<!--T:62--><br />
Costs vary, ranging from $300 to free for one 'woman well' exam. Note that some clinics charge an additional cost for the pap smear, which may range between $55-$600. If you are an American citizen, you can receive an annual free gynecological exam under ObamaCare. If you are not a citizen or have already received your annual exam, there are cheaper options. Some clinics provide a flat rate for the entire examination while other charge an extra fee for the pap smear and associated lab work. At Planned Parenthood, a sliding scale fee is offered for low-income patients. Otherwise, it will run about $175/exam. Other clinics, like One Medical Group (in the Bronx) and Women's Health Resource (Manhattan), charge about $150-175, which is generally cheaper than other providers.<br />
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==Pregnancy== <!--T:63--><br />
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===Laws & Social Stigmas=== <!--T:64--><br />
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<!--T:65--><br />
While pregnant adults are typically celebrated in American culture, there is often social stigma against teenage mothers, single mothers<ref>[https://www.npr.org/2011/02/24/134031175/For-Single-Mothers-Stigma-Difficult-To-Shake For Single Mothers, Stigma Difficult To Shake]</ref> and poor mothers (the idea of the "welfare mom").<ref>[https://www.yahoo.com/news/i-am-a-welfare-mom-1318466351882294.html ‘I Am a Welfare Mom and I Can Tell You: It’s a Nightmare Come True’]</ref> According to New York state law, parents of children may take up to 12 weeks of paid family leave at 67 percent of their payment, with a pay cap. This is also applies to same-sex couples. Paid family leave can only begin after birth and it does not apply to prenatal conditions.<ref>[https://paidfamilyleave.ny.gov/bonding-leave-birth-child NY State: Bonding with Your New Baby]</ref><br />
<br />
For the period before birth, NY law allows women to be covered under temporary disability. Since they are unable to work, they are given partial wage replacement (50% of the employee's wages up to a weekly cap).<br />
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===What to Get & Where to Get It=== <!--T:66--><br />
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<!--T:67--><br />
For sliding-scale facilities, check out Bellevue Hospital, Metropolitan Hospital Center, Jacobi Medical Center and Elmhurst Hospital Center. Some of the best hospitals for delivery are thought to be Mount Sinai Hospital, New York Methodist Hospital and Lenox Hill Hospital, though they may be much more expensive. NYU Langone has also been recommended.<br />
<br />
<!--T:68--><br />
For teenagers, prenatal services are offered in Manhattan at Community Health Network - Downtown (150 Essex Street) and Gouverneur Health (227 Madison Street). In Brooklyn, check out Cumberland Women's Health Services (100 North Portland Avenue). For a full list of teen prenatal care providers in NYC, visit the [http://www1.nyc.gov/apps/311utils/providerInformation.htm?serviceId=1226 Prenatal Care for Teens Finder].<br />
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===Costs=== <!--T:69--><br />
<br />
<!--T:70--><br />
If you're uninsured, the Affordable Care Act now requires private insurance companies to accept people with pre-existing conditions, including pregnancy. <br />
<br />
<!--T:71--><br />
If you are a NY state resident, you may be eligible for Prenatal Care Services through Medicaid. This is a comprehensive program for both women and teens, regardless of immigration status. Program participants receive prenatal health services, including lab tests, nutrition screenings, HIV tests, etc. The services extend for at least two months after delivery, and babies receive health care services for one year after birth. To see if you qualify, check out the [http://www.nyc.gov/html/hia/html/home/home_pregnant_women.shtml NY gov income guidelines].<br />
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==Abortion== <!--T:72--><br />
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<!--T:73--><br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
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===Laws & Social Stigmas=== <!--T:74--><br />
<br />
<!--T:75--><br />
[[File:Margaret-Sanger-Square NYC.jpg|300px | thumb|left|alt=Image provided by Creative Commons.|'''The intersection where you'll find Planned Parenthood's main office in Manhattan''']]<br />
<br />
<!--T:76--><br />
New York has been called the “abortion capital of America,” where it has been legally protected since 1970. This makes New York the first U.S. state to provide statewide abortion access. Furthermore, New York does not impose restrictions such as 24 hour waiting periods or required parental involvement, which can be found in other U.S. states.<br />
<br />
<!--T:77--><br />
In New York, all women, teenage or adult, can receive abortions without permission from parents or outsiders. State law requires that abortions are performed within the first 24 weeks of pregnancy or in order to save the mother’s life. The abortion must be performed on advice of an M.D. If an abortion is performed and not considered justifiable, or if it is not done within 24 weeks, the abortion can be considered a felony.<br />
<br />
===What to Get & Where to Get It=== <!--T:78--><br />
<br />
<!--T:79--><br />
* In Manhattan, the largest clinic is Planned Parenthood’s Margaret Sanger Clinic (26 Bleecker Street). You can also get an abortion at ParkMed Physicians -- its website says it is "the most respected Abortion Clinic in NYC" (no idea if this is true -- can someone confirm). They're located at 800 2nd Ave #6, +1 646-898-2150. <br />
* In Brooklyn, there's Planned Parenthood Boro Hall Center (+1 212-965-7000, 6th Floor, 44 Court St,), Brooklyn Abortion Clinic (14 Dekalb Ave, +1 718-369-1900), Professional Gynecological Services (14 Dekalb Ave, +1 718-875-4848). <br />
* In Queens, All Women's of New York provides abortions for up to 24 weeks (120-34 Queens Boulevard, Suite 420, Kew Gardens, 877-462-8837), Choices Women Medical Center in Jamaica (147-32 Jamaica Ave, (718) 534-3800), Roosevelt Women's Medical (78-13 Roosevelt Ave, Jackson Heights:+1 718-205-0234). <br />
* In the Bronx, there's Planned Parenthood (2nd Floor, 349 E 149th St, +1 212-965-7000), Bronx Abortion, which has Saturday morning walk-ins (2070 Eastchester Rd, Bronx, +1 718-829-7000) and Dr. Emily Women's Health Center (560 Southern Blvd, Bronx; +1 718-585-1010). <br />
* In Staten Island, please note that the Planned Parenthood location does not provide abortion services. It's best to visit in one of the other boroughs. You can also call Staten Island Planned Parenthood for a referral list in your area (212.965.7000). <br />
<br />
<!--T:80--><br />
Note: Be careful -- there are some places that advertise themselves as abortion clinics, and they're actually religious anti-abortion clinics. For example, Free Abortion Alternatives can appear to be a women's counseling/abortion clinic but it is NOT.<br />
<br />
===Costs=== <!--T:81--><br />
<br />
<!--T:82--><br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of program in NYC that can help pay for these costs, including Medicaid for Pregnant Women & Teens, Prenatal Care Assistance Program, Child Health Plus, and Family Health Plus. If you're pregnant, you can get coverage through Presumptive Eligibility. Coverage begins the same day that you apply. Some clinics offer emergency Medicaid services for same-day abortions. If you don't qualify for Medicaid, you may qualify for the Prenatal Care Assistance Program (PCAP), which is for women with income below the Federal Poverty Level, regardless of immigration status.<br />
<br />
==Advocacy & Counseling== <!--T:83--><br />
<br />
===Laws & Social Stigmas=== <!--T:84--><br />
<br />
<!--T:85--><br />
The city of New York has made a genuine effort to provide low-cost counseling services, including hotlines and support groups. Some support groups are managed by large public hospitals, such as Bellevue Hospital or Harlem Hospital, but there are many smaller, non-profit organizations/clinics. Many of the hospitals are affiliated with universities, and you can find deeply compassionate physicians, social workers and therapists throughout the city. Of course this is not to say that everyone has a great experience. There are horror stories, as there are everywhere, and public hospitals can sometimes feel overwhelmed and understaffed. It is advised to call programs in advance, learn about their counselors and services, and see if they work for you. For emergencies, please call hotlines (listed below).<br />
<br />
===What to Get & Where to Get It=== <!--T:86--><br />
<br />
<!--T:87--><br />
* LifeNet -- This is a 24 hour hotline, run by the NYC government to "help New Yorkers in crisis." Deals with issues like domestic violence, family problems, women's mental health, sexual abuse, rape, substance detox, etc. Also has 24/7, non-judgmental teen texting service (text 65173 for help). Offers referrals. If the call was placed by a third party, they can also intervene and visit a person's home. Phone: 800-LIFENET (English), 800-AYUDESE (Spanish), or 877-990-8585 (Asian Languages), or 65173 for the teen texting service -- <br />
* SafeHorizon -- Helps victims of domestic abuse, incest, rape, homeless youth. Offers 24/7 24-hour Rape, Sexual Assault & Incest Hotline (New York City): 212.227.3000. Domestic Violence Hotline: 800.621.HOPE (4673), Crime Victims Hotline: 866.689.HELP (4357), Rape & Sexual Assault Hotline: 212.227.3000, TDD phone number for all hotlines: 866.604.5350<br />
* Callen-Lorde Community Health -- Provides health services to LGBT community, "regardless of ability to pay," including mental health services, substance use assessment & referral, psychiatric services, women's care coordination and transgender care coordination. Manhattan Address: 356 West 18th St, (212) 271-7200, Bronx Address: 3144 3rd Ave, (718) 215-1800 <br />
* Bellevue Hospital Center -- Has "24-hour 7 day a week trained rape crisis counselors/advocates in the Emergency Department for children, adolescents and adults who have been recent victims of rape or sexual abuse" at Rape Crisis & Advocacy Program (212-562-3435,1st Avenue at 27th Street, Manhattan). Has outpatient 18+ Adult Survivors of Rape & Sexual Assault Counseling Program (462 First Avenue (27th Street), Manhattan).<br />
* Harlem Hospital -- "The Center for Victim Support provides services to adult victims of trauma and violence including domestic violence, rape, and sexual assault. Services include crisis counseling, advocacy, therapy, support groups, and information (referrals)." Phone: 212-939-4613 Address: 506 Lenox Ave New York, NY 10037<br />
* [https://www.cvtcnyc.org/ CVTC]: They provide crisis counseling and support at hospitals, as well as services available by appointment. "CVTC can help in a crisis. Our state-certified volunteer rape crisis and domestic violence advocates are available to help survivors of sexual assault and intimate partner violence who visit our three emergency departments during overnight hours and on weekends, and our specially trained sexual assault forensic examiners (SAFEs) are available 24 hours a day." For appointments, call (212) 523-4728.<br />
* SBH Health System -- For Bronx residents only -- Clinical services, counseling, domestic violence intervention, continuing treatment for substance abuse, Latino immigrant services. Address: 2021 Grand Concourse, 8th Floor; 718-960-0215, or 718-960-0300 (Spanish) <br />
* The Fifth Avenue Counseling Center -- "Our multidisciplinary team offers individual, couples, family and group psychotherapy to patients with a wide variety of diagnoses." Accepts Medicaid, Medicare, HealthFirst. Address: 5 E 17th St, New York, NY. Phone:+1 212-989-2990<br />
* Korean American Family Service Center (KAFSC) -- "Provides programs and services designed to meet the needs of individuals, couples, and families affected by domestic violence, sexual assault, and other forms of intimate violence and abuse." Phone: 718-460-3800, Address: P.O. Box 541429 Flushing, NY 11354<br />
* Maimonides Community & Mental Health Clinic -- Offers services to Orthodox Jewish, immigrant and other populations. Address: 920 48th Street, Brooklyn, 718-283-7978<br />
* National Eating Disorder Association -- Toll-free, confidential Helpline, Monday-Thursday from 9:00 am - 9:00 pm and Friday from 9:00 am - 5:00 pm (EST): Holiday Closures, 1-800-931-2237<br />
* [https://avp.org/ New York Anti-Violence Project]: AVP offers a free bilingual (English/Spanish) crisis intervention hotline staffed 24/7. Call 212-714-1141 or report online. They also do advocacy and community work to end violence in the LGBTQ+ community.<br />
<br />
===Costs=== <!--T:88--><br />
<br />
<!--T:89--><br />
The hotlines should all be free. Many clinics and counseling services offer free or sliding-scale services, based on the income and needs of the individual. It is advised to discuss potential costs in advance before visiting.<br />
<br />
==List of Resources== <!--T:90--><br />
<br />
<!--T:91--><br />
(thanks to NYU Langone Medical Center for providing much of this info)<br />
<br />
===Insurance Consultants & Resources=== <!--T:92--><br />
* Callen-Lorde Community Health Center (356 W 18th St, +1 212-271-7200) - "Callen-Lorde’s team of LGBT friendly insurance navigators are available to help determine if you’re eligible for free or low-cost health insurance under Medicaid and the Affordable Care Act and, if so, help you enroll. Our trained staff will meet with you, screen what programs and financial assistance you qualify for, help choose a plan that fits your healthcare needs and submit the application on your behalf. Enrollers are available at our main clinic located at 356 West 18th St, and our satellite location at 39 West 19th St. during the following hours: Monday-Thursday: 9:00 am – 8:00pm, Friday – 1:30pm – 4:45pm, Saturday: 9:00 am – 3:00 pm" More info: [http://callen-lorde.org/getinsured/ Callen-Lorde Get Insured]<br />
* NY Department of Health Medicaid Info: https://www.health.ny.gov/health_care/medicaid/<br />
* HealthFirst -- Free & Low-Cost Health Insurance in NYC (http://healthfirst.org/)<br />
<br />
===Free Clinics=== <!--T:93--> <br />
<br />
<!--T:94--><br />
* New York City Free Clinic (917.544.0735, 16 East 16th Street, New York, NY 10003)<br />
* Weill Cornell Community Clinic (646.962.9222, 505 East 70th Street, 1st Floor, New York, NY 10021)<br />
* Mount Sinai Adolescent Health Care Clinic (212.423.3000, 312 East 94th Street, New York, NY 10128)<br />
* East Harlem Health Outreach Program - Mount Sinai (626.942.6519, 17 East 102nd Street, 7th Floor, New York, NY 10029)<br />
* Columbia Student Medical Outreach (212.342.4719, 21 Audubon Avenue, New York, NY 10033)<br />
* Columbia-Harlem Homeless Medical Partnership (347.614.2121, St. Mary's Episcopal Church, 521 West 126th Street, New York, NY 10027)<br />
* St. Anthony's Free Clinic (718.401.9705, 421 East 155th Street, Bronx, NY 10455)<br />
* ECHO Free Clinic (800.836.1316, 1894 Walton Ave, Bronx, NY 10453)<br />
* Al Hirschfeld Free Health Clinic (exclusively for people in the entertainment industry) (212.489.1939, 475 West 57th Street, New York, NY 10019)<br />
<br />
===Sliding Scale Facilities=== <!--T:95--><br />
* HHC Options Facilities Find a Facility Requires proof of income or letter of support<br />
* Bellevue 212.562.1000 462 First Avenue, New York, NY 10016<br />
* Metropolitan Hospital Center 212.423.6262 1901 First Avenue, New York, NY 10029<br />
* Sydenham Family Health Center 212.932.6500 264 West 118th Street, New York, NY 10027<br />
* Jacobi Medical Center 718.918.5700 1400 Pelham Parkway South, Bronx, NY 10461<br />
* Elmhurst Hospital Center 718.334.4000 79-01 Broadway, Queens, NY 11373<br />
* Health and Home Care 866.692.4663 <br />
* Institute for Family Health institute.org <br />
* Sidney Hillman/Phillips Family Practice 212.206.5200 16 East 16th Street, New York, NY 10003<br />
* Family Health Center of Harlem 212.423.4500 1824 Madison Avenue, New York, NY 10035<br />
* Amsterdam Family Health Center 212.865.4104 690 Amsterdam Avenue, New York, NY 10025<br />
* P.S. 57 James Weldon Johnson School-Based Health Center 212.860.5812 176 East 115th Street, New York, NY 10029<br />
* High School of Fashion Industries School-Based Health Center 225 West 24th Street, New York, NY 10011<br />
* The IFH Center for Counseling at ASC 646.741.9100 64 West 35th Street, New York, NY 10001<br />
* Washington Irving Campus School-Based Health Center 646.654.0640 40 Irving Place, Room 422, New York, NY 10003<br />
* Walton Family Health Center and Center for Counseling 718.583.3060 1894 Walton Avenue, Bronx, NY 10453<br />
* Mt. Hope Family Practice 718.583.9000 130 West Tremont Avenue, Bronx, NY 10453<br />
* Urban Horizons Family Health Center 718.293.3900 50-98 East 168th Street, Bronx, NY 10452<br />
* The IFH Center for Counseling at Frisby Avenue 718.239.1610 2590 Frisby Avenue, 1st Floor, Bronx, NY 10461<br />
* Stevenson Family Health Center 718.589.8775 731 White Plains Road, Bronx, NY 10473<br />
<br />
===Women's and Reproductive Health Services=== <!--T:96--><br />
* [http://www.bookofchoices.org/ Book of Choices] <br />
*[https://www.plannedparenthood.org/ Planned Parenthood] <br />
*[https://www.pelvicrehabilitation.com/postpartum-pelvic-pain/ Post Partum Pelvic Pain] <br />
* Margaret Sanger Center 212.965.7000 26 Bleecker Street, New York, NY 10012<br />
* The Bronx Center 212.965.7000 349 East 149th Street, 2nd Floor, Bronx, NY 10451<br />
* Boro Hall Center 212.965.7000 44 Court Street, 6th Floor, Brooklyn, NY 11201<br />
* Staten Island Center 212.965.7000 23 Hyatt Street, Staten Island, NY 10301<br />
<br />
==References== <!--T:97--><br />
<br />
<!--T:98--><br />
<references /><br />
<br />
<!--T:99--><br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=new york city, manhattan, brooklyn, bronx, queens, staten island, planned parenthood, abortion clinic, plan b, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, mooncup, divacup, std test, sti test, maternity leave<br />
|description=Find sexual, reproductive and women's health care in New York City.<br />
}}<br />
<br />
</translate></div>Lani314https://gynopedia.org/w/index.php?title=Atlanta&diff=186719Atlanta2022-06-25T18:48:02Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|City=Atlanta<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Atlanta.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|pills, patch, ring, IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|restrictive (see section for details)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Georgia, you will find many health care resources in Atlanta. However, as a more conservative American state, you will need to be careful about choosing your health care providers in Georgia. You need a prescription to obtain birth control. If you're a minor, it's recommended that you visit a Title X clinic to seek out birth control or counseling. If you want emergency contraception (the morning after pill), you can access it without a prescription. You can simply go to a pharmacy or health center and purchase it. There are some low-cost centers for STI/STD tests, and we have a list of places where you can find PrEP in Atlanta. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1">https://www.wabe.org/without-roe-v-wade-protections-georgias-abortion-law-set-to-take-effect/</ref> In May 2019, the governor of Georgia signed into law the most restrictive abortion policy in the United States, which bans abortion at any sign of "embryonic or fetal cardiac activity." This usually occurs in the sixth week of pregnancy. In addition, there are various restrictions imposed upon those who seek out abortions, like mandatory counseling, 24 hour wait periods, and parental notification for minors. <br />
<br />
==Contraception (Birth Control) ==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, you need a prescription to obtain hormonal or long-lasting birth control methods. If you're a minor (under 18 years old), you don't need permission from your parents to get a prescription. This means that you can go to a doctor's office or health clinic yourself, regardless of age, and get a prescription for birth control. If you want to go to a clinic that guarantees completely confidential appointments, billings and records, you can go to a Title X clinic. Title X clinics provide sexual and reproductive health care girls, boys, teens and adults, and they charge on a sliding-scale basis (meaning you pay what you can afford). You can also ask doctor's about their confidentiality rules before scheduling an appointment.<br />
<br />
In Georgia, sex education is required in schools but teaching about contraceptive methods (such as the pill, IUDs, etc.) is not required. Abstinence is taught as the only truly effective method and, in 2010, Atlanta received $1,810,331for abstinence-only-until-marriage education.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
You don't need a prescription to buy '''condoms'''. No matter your age, you can purchase condoms at drugstores, pharmacies, grocery stores or online.<br />
<br />
If you want '''hormonal or long-lasting birth control methods, like pills, shots, implant, IUD, etc,''' check out this list of recommended clinics:<br />
<br />
*[http://www.fhcga.org The Family Health Centers of Georgia, Inc]: This is a Title X clinic, meaning they confidentially help everyone (regardless of age) and charge on a sliding-scale basis. You can consult with them about getting a prescription and getting birth control. Address: 868 York Ave SW, Atlanta, GA 30310, (404) 752-1400.<br />
*[http://atlantawomensmedicalcenter.com/ Atlanta Women's Medical Center]: Call: (800) 877-6332. 235 West Wieuca Road, NE, Atlanta, GA 30342<br />
*[https://gradyhealth.org/specialty/family-planning-clinic/ Grady Health System - Family Planning Clinic]: They have a teen center that's LGBT friendly and a regular family planning center. They accept uninsured people and have sliding-scale fees. Grady can provide birth control, including pills, IUDs (hormonal and non-hormonal) and shots. Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They accept uninsured people, provide low-cost services and have LGBT-friendly services. They offer birth control, including pills and IUDs (hormonal and non-hormonal). Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
*[http://www.feministcenter.org/en/ Feminist Women's Health Center]: They have low-cost & LGBT-friendly services. Provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). Open since 1977. Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://www.emoryhealthcare.org/locations/hospitals/emory-university-hospital-midtown/ Emory University Hospital Midtown]: They accept health insurance. They can provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). You can get same-day insertions for IUDs and have LGBT-friendly services. You can request a female provider. Address: 550 Peachtree Street Ne, Atlanta, GA, 30308, (404) 778-3401.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, if you're over 18 years old, you can buy most emergency contraception (the morning after pill) brands without a prescription over the counter. If you're under 18 years old, you can buy one brand of emergency contraception (Plan B Step-One) over the counter without a prescription. For other brands, like Next Choice, Next Choice One Dose and My Way, you will need a prescription (if you're under 18 years old). Also, if you want to buy the ella pill, which is currently considered the most effective EC, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For ore information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
*Someone Cares, Inc. of Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: AID Atlanta, 1605 Peachtree Street NE, Atlanta, GA 30309-2955, 404) 870-7700<br />
*Evolution Project Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: 1530 DeKalb Ave NE, Atlanta, GA 30307, (404) 870-7727<br />
*[https://gradyhealth.org/ Grady Health]: They do low-cost HIV tests. They accept the uninsured and have sliding-scale fees.<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They do HIV and other STI tests. They accept uninsured people, provide low-cost services and have LGBT-friendly services. Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
<br />
=== Support===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Primary medical care for men, women, adolescents, and children living with HIV/AIDS. Transition centers for HIV-infected individuals with <200 CD4 cells. Subspecialty care in Dermatology, Hepatitis C, Mental Health/Substance Abuse Treatment, Ophthalmology, and Oral Health. Case management, adherence counseling, nutrition, on-site radiology, laboratory, pharmacy, and peer counseling." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
== Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*For yeast infections, you can get Monistat at drug stores, grocery stores or pharmacies. You don't need a prescription.<br />
*If you have a urinary tract infection (UTI), you will need to get an examination and prescription for UTI medication (antibiotics).<br />
*You can get the HPV vaccine throughout the United States.<br />
<br />
Here is where you can get PrEP in Atlanta:<br />
*AID Atlanta: Address: Limited appointments available for uninsured. 404-870-7762 (2273), 1605 Peachtree Rd. NE, Atlanta, GA 30309<br />
*AIDS Healthcare Foundation-Lithonia: 770-593-6684, 5700 Hillandale Dr., Lithonia, GA 30058<br />
*Absolute CARE: 404-231-4431, 2140 Peachtree Rd. NW, Suite 232, Atlanta, GA 30309<br />
*Fulton County Department of Health and Wellness: 404-613-4708, 99 Jesse Hill Jr. Dr. SE, Atlanta, GA 30303<br />
*Intown Primary Care: (404) 541-0944, 730 Ponce De Leon Pl., Unit B, Atlanta, GA 30306<br />
*Infectious Disease of Atlanta, LLC (AHF Affiliate): 404-588-4680, 735 Piedmont Ave. NE, Atlanta, GA 30308<br />
*Positive Impact Health Centers, Inc.: 678-365-4300<br />
* MISTER Center: 1117 West Peachtree Street, Atlanta, GA 30309<br />
*Dr. Melanie Thompson: 404-874-3102, 619 Rankin St., Atlanta, GA 30306<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Atlanta, you can find pads, tampons and menstrual cups. You can find DivaCup and other menstrual cup brands at Walgreen's, CVS, Whole Foods, West View Giant Eagle Supermarket and some Target locations (for example, 1275 Caroline St NE). For some international menstrual cup brands, like MoonCup or LadyCup, you can order them online and they will be delivered to your address. For eco-friendly menstrual products (like organic tampons), you can find them at Publix Super Market, CVS Pharmacy, Whole Foods, Target, Ingles Food, Kmart, Kroger Marketplace, Kroger Store and Sevanada Natural Foods Market. For menstrual underwear, you can purchase Thinx underwear online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/annual-wellness-exam Annual Wellness Exam @ Feminist Women's Center]: Provides individualized and sensitized care that is low-cost and LGBT friendly. Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[http://www.feministcenter.org/en/health-wellness-services/trans-health-initiative#trans-men Trans Health Initiative @ Women's Health Center]: Specializes in services to FTM, Transmasculine, and Intersex clients. Provides lower and pelvic exams, HPV testing, chest exams (pre and post-surgical), STI screenings, hormone replacement therapy, lab work, and gender marker change letters. Affordable rates with sliding scale discounts available. Available services for MTF as well. " We understand that this may be a stressful experience so we offer private rooms for you and your partner or friend, smaller sized instruments, a relaxant prior to the exam, and anesthesia in some cases."7<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our gynecology services include diagnosis and management of reproductive system disorders such as pelvic pain, menstrual abnormalities, menopause issues benign pelvic and uterine tumors; endometriosis; incontinence and pelvic organ prolapse." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
=== Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our obstetrics services include complete care for pregnant women is provided in our prenatal clinics, with an emphasis on patient centered care. Innovative group prenatal care is available." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1" /> <br />
<br />
In May 2019, the governor of Georgia signed into law HB 481, which is also known as the "fetal heartbeat" bill. This law states that abortion is banned after the detection of any “embryonic or fetal cardiac activity,” which typically occurs at about six weeks of pregnancy. Furthermore, the bill states that "...unborn children are a class of living, distinct person," and people who seek out abortions can be punished by law. In fact, a pregnant person who seeks out an abortion would considered to be assisting in a murder, according to this law, and therefore could face life in prison. Furthermore, there are no protections against pregnant people who self-terminate abortions, thereby making them vulnerable to prosecution as well.<ref>[https://slate.com/news-and-politics/2019/05/hb-481-georgia-law-criminalizes-abortion-subjects-women-to-life-in-prison.html Georgia Just Criminalized Abortion. Women Who Terminate Their Pregnancies Would Receive Life in Prison.]</ref><br />
<br />
The state is largely conservative and traditional religious beliefs play a large role in politics. For a woman to legally obtain an abortion, she must first receive counseling (which is managed by the state) that includes information explicitly urging her from seeking out an abortion.<ref>[http://statelaws.findlaw.com/georgia-law/georgia-abortion-laws.html Georgia Abortion Laws]</ref><br />
<br />
If you're under 18 years old and want an abortion in Georgia, it's required that one of your parents gets legally notified (i.e. "parental notification"). If you cannot manage the parental notification, you can get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
Across the country, including in Georgia, there has been mounting pressure on abortion clinics. In the last decade, many abortion clinics have been closing in large numbers due to lack of funding and support. In fact, in 2014, it was found that 96% of Georgia counties had no clinics that provided abortions and 58% of Georgian women lived in those counties, despite the fact the legality of abortion, according to the Supreme Court decision. According to one report, "There were 28 abortion-providing facilities in Georgia in 2014, and 17 of those were clinics. These numbers represent no change since 2011 in overall providers, and a a 11% decline in clinics from 2011, when there were 28 abortion providers overall, of which 19 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia State Facts About Abortion: Georgia]</ref> In 2017, there were 26 facilities that provided abortion in Georgia.<ref>https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
*[http://www.feministcenter.org/en/abortion-care Feminist Women's Health Center]: Provide medical abortions and, in the first and second trimester, they also perform surgical abortions.They have low-cost & LGBT-friendly services. Open since 1977. "As a non-profit organization, we are able to offer affordable pricing, discounts for students, medicare/medicaid card holders, and those who demonstrate financial need. Each pregnancy, woman, and situation is different. Please call our friendly Health Educators at 404-728-7900 or 800-877-6013 to discuss your situation and to learn about our fees." Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://carafem.org/location/carafem-health-center-atlanta/ Carefem - Atlanta Health Center]: They offer medical and surgical abortion. "Abortion up to 13 weeks; offering the abortion pill as well as the carafem procedure. Abortion cost: $475 (out of pocket) for the abortion pill, $550 (out of pocket) for the carafem procedure. Click here for more info about what is included in your appointment." Address: 1800 Peachtree St NW, Suite 800 Atlanta, Georgia 30309 855-SAY-CARA<br />
*[https://www.summitcenters.com/atlanta-abortion-clinic/ Summit Medical Associates]: "Summit Medical Associates, P.C. is our Atlanta abortion clinic offers choice for women seeking the highest quality abortion care and reproductive healthcare in the southeast since 1975." Address: 1874 Piedmont Ave NE, Suite 500-E, Atlanta, GA 30324. Phone: (404) 607-0042 | (800) 537-2985<br />
*[http://www.abortionclinicservicesatlantaga.com/ A Preferred Women's Health Center of Atlanta]: APWHC Atlanta is located in a private office park and provides low-cost abortion care through 13 weeks. This location offers both the surgical procedure and abortion pill option. Patients can call the counseling staff at (404) 758-9900 to discuss appointment scheduling, financial assistance, and patient care options. "Atlanta women say that we are the preferred choice for preferred care!"<br />
<br />
Note: Planned Parenthood Atlanta does not provide abortions (as of January 2017) but can provide abortion referral services. Their website says "This health center doesn’t provide abortion services — but we can help you. Call us for a referral list of health care providers in your area that offer abortion services." However, the Planned Parenthood Gwinnett Center (in Lawrenceville, GA) does provide abortion services.<br />
<br />
===Costs===<br />
<br />
In Georgia, abortion is not generally covered under Medicaid. In cases of life endangerment, rape or incest, Georgia does provide some federal funds coverage for abortions.<ref>[https://www.guttmacher.org/state-policy/explore/state-funding-abortion-under-medicaid State Funding of Abortion Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/trauma-survivor Trauma Survivor Care @ Feminist Women's Health Center]: They have low-cost services. "Our sensitive care for survivors of physical violence or trauma program seeks to address the specific physical and emotional needs of our clients by offering a unique program for survivors of violence to include domestic or gang violence, sexual assault, abuse, or incest." Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs ===<br />
<br />
==List of Additional Resources==<br />
<br />
*[https://www.plannedparenthood.org/health-center/georgia/atlanta/30316/east-atlanta-health-center-4286-90330 Planned Parenthood - East Atlanta Health Center]: This is a Planned Parenthood facility. "Planned Parenthood is one of the nation’s leading providers of high-quality, affordable health care, and the nation’s largest provider of sex education. With or without insurance, you can always come to us for your health care." Address: 440 Moreland Ave SE, Atlanta, GA 30316. Phone: (404) 688-9300<br />
*[https://www.cbww.org/ Center for Black Women's Wellness]: "Over the past 30 years, the Center for Black Women’s Wellness has created a legacy in the Atlanta community. That legacy ensures that women and families will always have access to quality healthcare. We know physical, mental, emotional, and financial health is the foundation for full and productive lives where individuals can thrive and not merely survive." Address: 477 Windsor Street SW, Suite 309, Atlanta, GA 30312. Phone: (404)688-9202. Email: info@cbww.org<br />
*[http://thehealthinitiative.org/ The Health Initiative]: "The Health Initiative provides education, advocacy, support and improved access to care to Georgia’s Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community. Founded in 1996, we are the largest non-profit organization in the southeast devoted solely to the health and wellness of LGBTQ people." Address: The Phillip Rush Center, 1530 DeKalb Avenue, NE, Suite A, Atlanta, GA 30307. Phone: 404-688-2524. Fax: 404-688-2638. Email: info@thehealthinitiative.org<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=atlanta, georgia, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Atlanta.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Atlanta&diff=186718Atlanta2022-06-25T18:46:18Z<p>Lani314: fixed typo</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|City=Atlanta<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Atlanta.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, pills, patch, ring<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|restrictive (see section for details)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Georgia, you will find many health care resources in Atlanta. However, as a more conservative American state, you will need to be careful about choosing your health care providers in Georgia. You need a prescription to obtain birth control. If you're a minor, it's recommended that you visit a Title X clinic to seek out birth control or counseling. If you want emergency contraception (the morning after pill), you can access it without a prescription. You can simply go to a pharmacy or health center and purchase it. There are some low-cost centers for STI/STD tests, and we have a list of places where you can find PrEP in Atlanta. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1">https://www.wabe.org/without-roe-v-wade-protections-georgias-abortion-law-set-to-take-effect/</ref> In May 2019, the governor of Georgia signed into law the most restrictive abortion policy in the United States, which bans abortion at any sign of "embryonic or fetal cardiac activity." This usually occurs in the sixth week of pregnancy. In addition, there are various restrictions imposed upon those who seek out abortions, like mandatory counseling, 24 hour wait periods, and parental notification for minors. <br />
<br />
==Contraception (Birth Control) ==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, you need a prescription to obtain hormonal or long-lasting birth control methods. If you're a minor (under 18 years old), you don't need permission from your parents to get a prescription. This means that you can go to a doctor's office or health clinic yourself, regardless of age, and get a prescription for birth control. If you want to go to a clinic that guarantees completely confidential appointments, billings and records, you can go to a Title X clinic. Title X clinics provide sexual and reproductive health care girls, boys, teens and adults, and they charge on a sliding-scale basis (meaning you pay what you can afford). You can also ask doctor's about their confidentiality rules before scheduling an appointment.<br />
<br />
In Georgia, sex education is required in schools but teaching about contraceptive methods (such as the pill, IUDs, etc.) is not required. Abstinence is taught as the only truly effective method and, in 2010, Atlanta received $1,810,331for abstinence-only-until-marriage education.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
You don't need a prescription to buy '''condoms'''. No matter your age, you can purchase condoms at drugstores, pharmacies, grocery stores or online.<br />
<br />
If you want '''hormonal or long-lasting birth control methods, like pills, shots, implant, IUD, etc,''' check out this list of recommended clinics:<br />
<br />
*[http://www.fhcga.org The Family Health Centers of Georgia, Inc]: This is a Title X clinic, meaning they confidentially help everyone (regardless of age) and charge on a sliding-scale basis. You can consult with them about getting a prescription and getting birth control. Address: 868 York Ave SW, Atlanta, GA 30310, (404) 752-1400.<br />
*[http://atlantawomensmedicalcenter.com/ Atlanta Women's Medical Center]: Call: (800) 877-6332. 235 West Wieuca Road, NE, Atlanta, GA 30342<br />
*[https://gradyhealth.org/specialty/family-planning-clinic/ Grady Health System - Family Planning Clinic]: They have a teen center that's LGBT friendly and a regular family planning center. They accept uninsured people and have sliding-scale fees. Grady can provide birth control, including pills, IUDs (hormonal and non-hormonal) and shots. Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They accept uninsured people, provide low-cost services and have LGBT-friendly services. They offer birth control, including pills and IUDs (hormonal and non-hormonal). Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
*[http://www.feministcenter.org/en/ Feminist Women's Health Center]: They have low-cost & LGBT-friendly services. Provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). Open since 1977. Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://www.emoryhealthcare.org/locations/hospitals/emory-university-hospital-midtown/ Emory University Hospital Midtown]: They accept health insurance. They can provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). You can get same-day insertions for IUDs and have LGBT-friendly services. You can request a female provider. Address: 550 Peachtree Street Ne, Atlanta, GA, 30308, (404) 778-3401.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, if you're over 18 years old, you can buy most emergency contraception (the morning after pill) brands without a prescription over the counter. If you're under 18 years old, you can buy one brand of emergency contraception (Plan B Step-One) over the counter without a prescription. For other brands, like Next Choice, Next Choice One Dose and My Way, you will need a prescription (if you're under 18 years old). Also, if you want to buy the ella pill, which is currently considered the most effective EC, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For ore information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
*Someone Cares, Inc. of Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: AID Atlanta, 1605 Peachtree Street NE, Atlanta, GA 30309-2955, 404) 870-7700<br />
*Evolution Project Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: 1530 DeKalb Ave NE, Atlanta, GA 30307, (404) 870-7727<br />
*[https://gradyhealth.org/ Grady Health]: They do low-cost HIV tests. They accept the uninsured and have sliding-scale fees.<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They do HIV and other STI tests. They accept uninsured people, provide low-cost services and have LGBT-friendly services. Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
<br />
=== Support===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Primary medical care for men, women, adolescents, and children living with HIV/AIDS. Transition centers for HIV-infected individuals with <200 CD4 cells. Subspecialty care in Dermatology, Hepatitis C, Mental Health/Substance Abuse Treatment, Ophthalmology, and Oral Health. Case management, adherence counseling, nutrition, on-site radiology, laboratory, pharmacy, and peer counseling." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
== Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*For yeast infections, you can get Monistat at drug stores, grocery stores or pharmacies. You don't need a prescription.<br />
*If you have a urinary tract infection (UTI), you will need to get an examination and prescription for UTI medication (antibiotics).<br />
*You can get the HPV vaccine throughout the United States.<br />
<br />
Here is where you can get PrEP in Atlanta:<br />
*AID Atlanta: Address: Limited appointments available for uninsured. 404-870-7762 (2273), 1605 Peachtree Rd. NE, Atlanta, GA 30309<br />
*AIDS Healthcare Foundation-Lithonia: 770-593-6684, 5700 Hillandale Dr., Lithonia, GA 30058<br />
*Absolute CARE: 404-231-4431, 2140 Peachtree Rd. NW, Suite 232, Atlanta, GA 30309<br />
*Fulton County Department of Health and Wellness: 404-613-4708, 99 Jesse Hill Jr. Dr. SE, Atlanta, GA 30303<br />
*Intown Primary Care: (404) 541-0944, 730 Ponce De Leon Pl., Unit B, Atlanta, GA 30306<br />
*Infectious Disease of Atlanta, LLC (AHF Affiliate): 404-588-4680, 735 Piedmont Ave. NE, Atlanta, GA 30308<br />
*Positive Impact Health Centers, Inc.: 678-365-4300<br />
* MISTER Center: 1117 West Peachtree Street, Atlanta, GA 30309<br />
*Dr. Melanie Thompson: 404-874-3102, 619 Rankin St., Atlanta, GA 30306<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Atlanta, you can find pads, tampons and menstrual cups. You can find DivaCup and other menstrual cup brands at Walgreen's, CVS, Whole Foods, West View Giant Eagle Supermarket and some Target locations (for example, 1275 Caroline St NE). For some international menstrual cup brands, like MoonCup or LadyCup, you can order them online and they will be delivered to your address. For eco-friendly menstrual products (like organic tampons), you can find them at Publix Super Market, CVS Pharmacy, Whole Foods, Target, Ingles Food, Kmart, Kroger Marketplace, Kroger Store and Sevanada Natural Foods Market. For menstrual underwear, you can purchase Thinx underwear online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/annual-wellness-exam Annual Wellness Exam @ Feminist Women's Center]: Provides individualized and sensitized care that is low-cost and LGBT friendly. Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[http://www.feministcenter.org/en/health-wellness-services/trans-health-initiative#trans-men Trans Health Initiative @ Women's Health Center]: Specializes in services to FTM, Transmasculine, and Intersex clients. Provides lower and pelvic exams, HPV testing, chest exams (pre and post-surgical), STI screenings, hormone replacement therapy, lab work, and gender marker change letters. Affordable rates with sliding scale discounts available. Available services for MTF as well. " We understand that this may be a stressful experience so we offer private rooms for you and your partner or friend, smaller sized instruments, a relaxant prior to the exam, and anesthesia in some cases."7<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our gynecology services include diagnosis and management of reproductive system disorders such as pelvic pain, menstrual abnormalities, menopause issues benign pelvic and uterine tumors; endometriosis; incontinence and pelvic organ prolapse." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
=== Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our obstetrics services include complete care for pregnant women is provided in our prenatal clinics, with an emphasis on patient centered care. Innovative group prenatal care is available." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1" /> <br />
<br />
In May 2019, the governor of Georgia signed into law HB 481, which is also known as the "fetal heartbeat" bill. This law states that abortion is banned after the detection of any “embryonic or fetal cardiac activity,” which typically occurs at about six weeks of pregnancy. Furthermore, the bill states that "...unborn children are a class of living, distinct person," and people who seek out abortions can be punished by law. In fact, a pregnant person who seeks out an abortion would considered to be assisting in a murder, according to this law, and therefore could face life in prison. Furthermore, there are no protections against pregnant people who self-terminate abortions, thereby making them vulnerable to prosecution as well.<ref>[https://slate.com/news-and-politics/2019/05/hb-481-georgia-law-criminalizes-abortion-subjects-women-to-life-in-prison.html Georgia Just Criminalized Abortion. Women Who Terminate Their Pregnancies Would Receive Life in Prison.]</ref><br />
<br />
The state is largely conservative and traditional religious beliefs play a large role in politics. For a woman to legally obtain an abortion, she must first receive counseling (which is managed by the state) that includes information explicitly urging her from seeking out an abortion.<ref>[http://statelaws.findlaw.com/georgia-law/georgia-abortion-laws.html Georgia Abortion Laws]</ref><br />
<br />
If you're under 18 years old and want an abortion in Georgia, it's required that one of your parents gets legally notified (i.e. "parental notification"). If you cannot manage the parental notification, you can get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
Across the country, including in Georgia, there has been mounting pressure on abortion clinics. In the last decade, many abortion clinics have been closing in large numbers due to lack of funding and support. In fact, in 2014, it was found that 96% of Georgia counties had no clinics that provided abortions and 58% of Georgian women lived in those counties, despite the fact the legality of abortion, according to the Supreme Court decision. According to one report, "There were 28 abortion-providing facilities in Georgia in 2014, and 17 of those were clinics. These numbers represent no change since 2011 in overall providers, and a a 11% decline in clinics from 2011, when there were 28 abortion providers overall, of which 19 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia State Facts About Abortion: Georgia]</ref> In 2017, there were 26 facilities that provided abortion in Georgia.<ref>https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
*[http://www.feministcenter.org/en/abortion-care Feminist Women's Health Center]: Provide medical abortions and, in the first and second trimester, they also perform surgical abortions.They have low-cost & LGBT-friendly services. Open since 1977. "As a non-profit organization, we are able to offer affordable pricing, discounts for students, medicare/medicaid card holders, and those who demonstrate financial need. Each pregnancy, woman, and situation is different. Please call our friendly Health Educators at 404-728-7900 or 800-877-6013 to discuss your situation and to learn about our fees." Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://carafem.org/location/carafem-health-center-atlanta/ Carefem - Atlanta Health Center]: They offer medical and surgical abortion. "Abortion up to 13 weeks; offering the abortion pill as well as the carafem procedure. Abortion cost: $475 (out of pocket) for the abortion pill, $550 (out of pocket) for the carafem procedure. Click here for more info about what is included in your appointment." Address: 1800 Peachtree St NW, Suite 800 Atlanta, Georgia 30309 855-SAY-CARA<br />
*[https://www.summitcenters.com/atlanta-abortion-clinic/ Summit Medical Associates]: "Summit Medical Associates, P.C. is our Atlanta abortion clinic offers choice for women seeking the highest quality abortion care and reproductive healthcare in the southeast since 1975." Address: 1874 Piedmont Ave NE, Suite 500-E, Atlanta, GA 30324. Phone: (404) 607-0042 | (800) 537-2985<br />
*[http://www.abortionclinicservicesatlantaga.com/ A Preferred Women's Health Center of Atlanta]: APWHC Atlanta is located in a private office park and provides low-cost abortion care through 13 weeks. This location offers both the surgical procedure and abortion pill option. Patients can call the counseling staff at (404) 758-9900 to discuss appointment scheduling, financial assistance, and patient care options. "Atlanta women say that we are the preferred choice for preferred care!"<br />
<br />
Note: Planned Parenthood Atlanta does not provide abortions (as of January 2017) but can provide abortion referral services. Their website says "This health center doesn’t provide abortion services — but we can help you. Call us for a referral list of health care providers in your area that offer abortion services." However, the Planned Parenthood Gwinnett Center (in Lawrenceville, GA) does provide abortion services.<br />
<br />
===Costs===<br />
<br />
In Georgia, abortion is not generally covered under Medicaid. In cases of life endangerment, rape or incest, Georgia does provide some federal funds coverage for abortions.<ref>[https://www.guttmacher.org/state-policy/explore/state-funding-abortion-under-medicaid State Funding of Abortion Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/trauma-survivor Trauma Survivor Care @ Feminist Women's Health Center]: They have low-cost services. "Our sensitive care for survivors of physical violence or trauma program seeks to address the specific physical and emotional needs of our clients by offering a unique program for survivors of violence to include domestic or gang violence, sexual assault, abuse, or incest." Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs ===<br />
<br />
==List of Additional Resources==<br />
<br />
*[https://www.plannedparenthood.org/health-center/georgia/atlanta/30316/east-atlanta-health-center-4286-90330 Planned Parenthood - East Atlanta Health Center]: This is a Planned Parenthood facility. "Planned Parenthood is one of the nation’s leading providers of high-quality, affordable health care, and the nation’s largest provider of sex education. With or without insurance, you can always come to us for your health care." Address: 440 Moreland Ave SE, Atlanta, GA 30316. Phone: (404) 688-9300<br />
*[https://www.cbww.org/ Center for Black Women's Wellness]: "Over the past 30 years, the Center for Black Women’s Wellness has created a legacy in the Atlanta community. That legacy ensures that women and families will always have access to quality healthcare. We know physical, mental, emotional, and financial health is the foundation for full and productive lives where individuals can thrive and not merely survive." Address: 477 Windsor Street SW, Suite 309, Atlanta, GA 30312. Phone: (404)688-9202. Email: info@cbww.org<br />
*[http://thehealthinitiative.org/ The Health Initiative]: "The Health Initiative provides education, advocacy, support and improved access to care to Georgia’s Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community. Founded in 1996, we are the largest non-profit organization in the southeast devoted solely to the health and wellness of LGBTQ people." Address: The Phillip Rush Center, 1530 DeKalb Avenue, NE, Suite A, Atlanta, GA 30307. Phone: 404-688-2524. Fax: 404-688-2638. Email: info@thehealthinitiative.org<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=atlanta, georgia, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Atlanta.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Atlanta&diff=186717Atlanta2022-06-25T18:43:05Z<p>Lani314: added infobox</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|City=Atlanta<br />
}}<br />
<br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
| colspan="8" style="text-align:center" |[[File:Atlanta.jpg|300px | thumb|right]]<br />
|-<br />
|'''Contraception: Over-the-Counter'''<br />
|condoms, pills, patch, ring<br />
|-<br />
|'''Contraception: Prescription/Clinic Required'''<br />
|IUD, implant, shot<br />
|-<br />
|'''Emergency Contraception'''<br />
|no prescription required; available in pharmacies<br />
|-<br />
|'''STIs'''<br />
|no travel restrictions; HIV-positive foreigners not deported<br />
|-<br />
|'''Menstrual Products'''<br />
|pads, tampons, cups<br />
|-<br />
|'''Abortion Law'''<br />
|restrictive (see section for details)<br />
|-<br />
|'''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal<br />
|-<br />
|'''Related Pages'''<br />
|[[United States of America]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Georgia, you will find many health care resources in Atlanta. However, as a more conservative American state, you will need to be careful about choosing your health care providers in Georgia. You need a prescription to obtain birth control. If you're a minor, it's recommended that you visit a Title X clinic to seek out birth control or counseling. If you want emergency contraception (the morning after pill), you can access it without a prescription. You can simply go to a pharmacy or health center and purchase it. There are some low-cost centers for STI/STD tests, and we have a list of places where you can find PrEP in Atlanta. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1">https://www.wabe.org/without-roe-v-wade-protections-georgias-abortion-law-set-to-take-effect/</ref> In May 2019, the governor of Georgia signed into law the most restrictive abortion policy in the United States, which bans abortion at any sign of "embryonic or fetal cardiac activity." This usually occurs in the sixth week of pregnancy. In addition, there are various restrictions imposed upon those who seek out abortions, like mandatory counseling, 24 hour wait periods, and parental notification for minors. <br />
<br />
==Contraception (Birth Control) ==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, you need a prescription to obtain hormonal or long-lasting birth control methods. If you're a minor (under 18 years old), you don't need permission from your parents to get a prescription. This means that you can go to a doctor's office or health clinic yourself, regardless of age, and get a prescription for birth control. If you want to go to a clinic that guarantees completely confidential appointments, billings and records, you can go to a Title X clinic. Title X clinics provide sexual and reproductive health care girls, boys, teens and adults, and they charge on a sliding-scale basis (meaning you pay what you can afford). You can also ask doctor's about their confidentiality rules before scheduling an appointment.<br />
<br />
In Georgia, sex education is required in schools but teaching about contraceptive methods (such as the pill, IUDs, etc.) is not required. Abstinence is taught as the only truly effective method and, in 2010, Atlanta received $1,810,331for abstinence-only-until-marriage education.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|'''Condoms''']]<br />
<br />
You don't need a prescription to buy '''condoms'''. No matter your age, you can purchase condoms at drugstores, pharmacies, grocery stores or online.<br />
<br />
If you want '''hormonal or long-lasting birth control methods, like pills, shots, implant, IUD, etc,''' check out this list of recommended clinics:<br />
<br />
*[http://www.fhcga.org The Family Health Centers of Georgia, Inc]: This is a Title X clinic, meaning they confidentially help everyone (regardless of age) and charge on a sliding-scale basis. You can consult with them about getting a prescription and getting birth control. Address: 868 York Ave SW, Atlanta, GA 30310, (404) 752-1400.<br />
*[http://atlantawomensmedicalcenter.com/ Atlanta Women's Medical Center]: Call: (800) 877-6332. 235 West Wieuca Road, NE, Atlanta, GA 30342<br />
*[https://gradyhealth.org/specialty/family-planning-clinic/ Grady Health System - Family Planning Clinic]: They have a teen center that's LGBT friendly and a regular family planning center. They accept uninsured people and have sliding-scale fees. Grady can provide birth control, including pills, IUDs (hormonal and non-hormonal) and shots. Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They accept uninsured people, provide low-cost services and have LGBT-friendly services. They offer birth control, including pills and IUDs (hormonal and non-hormonal). Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
*[http://www.feministcenter.org/en/ Feminist Women's Health Center]: They have low-cost & LGBT-friendly services. Provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). Open since 1977. Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://www.emoryhealthcare.org/locations/hospitals/emory-university-hospital-midtown/ Emory University Hospital Midtown]: They accept health insurance. They can provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). You can get same-day insertions for IUDs and have LGBT-friendly services. You can request a female provider. Address: 550 Peachtree Street Ne, Atlanta, GA, 30308, (404) 778-3401.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, if you're over 18 years old, you can buy most emergency contraception (the morning after pill) brands without a prescription over the counter. If you're under 18 years old, you can by one brand of emergency contraception (Plan B Step-One) over the counter without a prescription. For other brands, like Next Choice, Next Choice One Dose and My Way, you will need a prescription (if you're under 18 years old). Also, if you want to buy the ella pill, which is currently considered the most effective EC, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For ore information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
*Someone Cares, Inc. of Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: AID Atlanta, 1605 Peachtree Street NE, Atlanta, GA 30309-2955, 404) 870-7700<br />
*Evolution Project Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: 1530 DeKalb Ave NE, Atlanta, GA 30307, (404) 870-7727<br />
*[https://gradyhealth.org/ Grady Health]: They do low-cost HIV tests. They accept the uninsured and have sliding-scale fees.<br />
*[http://cbww.org/ Center for Black Women's Wellness]: They do HIV and other STI tests. They accept uninsured people, provide low-cost services and have LGBT-friendly services. Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
<br />
=== Support===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Primary medical care for men, women, adolescents, and children living with HIV/AIDS. Transition centers for HIV-infected individuals with <200 CD4 cells. Subspecialty care in Dermatology, Hepatitis C, Mental Health/Substance Abuse Treatment, Ophthalmology, and Oral Health. Case management, adherence counseling, nutrition, on-site radiology, laboratory, pharmacy, and peer counseling." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
== Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*For yeast infections, you can get Monistat at drug stores, grocery stores or pharmacies. You don't need a prescription.<br />
*If you have a urinary tract infection (UTI), you will need to get an examination and prescription for UTI medication (antibiotics).<br />
*You can get the HPV vaccine throughout the United States.<br />
<br />
Here is where you can get PrEP in Atlanta:<br />
*AID Atlanta: Address: Limited appointments available for uninsured. 404-870-7762 (2273), 1605 Peachtree Rd. NE, Atlanta, GA 30309<br />
*AIDS Healthcare Foundation-Lithonia: 770-593-6684, 5700 Hillandale Dr., Lithonia, GA 30058<br />
*Absolute CARE: 404-231-4431, 2140 Peachtree Rd. NW, Suite 232, Atlanta, GA 30309<br />
*Fulton County Department of Health and Wellness: 404-613-4708, 99 Jesse Hill Jr. Dr. SE, Atlanta, GA 30303<br />
*Intown Primary Care: (404) 541-0944, 730 Ponce De Leon Pl., Unit B, Atlanta, GA 30306<br />
*Infectious Disease of Atlanta, LLC (AHF Affiliate): 404-588-4680, 735 Piedmont Ave. NE, Atlanta, GA 30308<br />
*Positive Impact Health Centers, Inc.: 678-365-4300<br />
* MISTER Center: 1117 West Peachtree Street, Atlanta, GA 30309<br />
*Dr. Melanie Thompson: 404-874-3102, 619 Rankin St., Atlanta, GA 30306<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [[wikipedia:Menstrual_cup|here]]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Atlanta, you can find pads, tampons and menstrual cups. You can find DivaCup and other menstrual cup brands at Walgreen's, CVS, Whole Foods, West View Giant Eagle Supermarket and some Target locations (for example, 1275 Caroline St NE). For some international menstrual cup brands, like MoonCup or LadyCup, you can order them online and they will be delivered to your address. For eco-friendly menstrual products (like organic tampons), you can find them at Publix Super Market, CVS Pharmacy, Whole Foods, Target, Ingles Food, Kmart, Kroger Marketplace, Kroger Store and Sevanada Natural Foods Market. For menstrual underwear, you can purchase Thinx underwear online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
=== What to Get & Where to Get It===<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/annual-wellness-exam Annual Wellness Exam @ Feminist Women's Center]: Provides individualized and sensitized care that is low-cost and LGBT friendly. Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[http://www.feministcenter.org/en/health-wellness-services/trans-health-initiative#trans-men Trans Health Initiative @ Women's Health Center]: Specializes in services to FTM, Transmasculine, and Intersex clients. Provides lower and pelvic exams, HPV testing, chest exams (pre and post-surgical), STI screenings, hormone replacement therapy, lab work, and gender marker change letters. Affordable rates with sliding scale discounts available. Available services for MTF as well. " We understand that this may be a stressful experience so we offer private rooms for you and your partner or friend, smaller sized instruments, a relaxant prior to the exam, and anesthesia in some cases."7<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our gynecology services include diagnosis and management of reproductive system disorders such as pelvic pain, menstrual abnormalities, menopause issues benign pelvic and uterine tumors; endometriosis; incontinence and pelvic organ prolapse." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
=== Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
*[https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our obstetrics services include complete care for pregnant women is provided in our prenatal clinics, with an emphasis on patient centered care. Innovative group prenatal care is available." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas ===<br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1" /> <br />
<br />
In May 2019, the governor of Georgia signed into law HB 481, which is also known as the "fetal heartbeat" bill. This law states that abortion is banned after the detection of any “embryonic or fetal cardiac activity,” which typically occurs at about six weeks of pregnancy. Furthermore, the bill states that "...unborn children are a class of living, distinct person," and people who seek out abortions can be punished by law. In fact, a pregnant person who seeks out an abortion would considered to be assisting in a murder, according to this law, and therefore could face life in prison. Furthermore, there are no protections against pregnant people who self-terminate abortions, thereby making them vulnerable to prosecution as well.<ref>[https://slate.com/news-and-politics/2019/05/hb-481-georgia-law-criminalizes-abortion-subjects-women-to-life-in-prison.html Georgia Just Criminalized Abortion. Women Who Terminate Their Pregnancies Would Receive Life in Prison.]</ref><br />
<br />
The state is largely conservative and traditional religious beliefs play a large role in politics. For a woman to legally obtain an abortion, she must first receive counseling (which is managed by the state) that includes information explicitly urging her from seeking out an abortion.<ref>[http://statelaws.findlaw.com/georgia-law/georgia-abortion-laws.html Georgia Abortion Laws]</ref><br />
<br />
If you're under 18 years old and want an abortion in Georgia, it's required that one of your parents gets legally notified (i.e. "parental notification"). If you cannot manage the parental notification, you can get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
Across the country, including in Georgia, there has been mounting pressure on abortion clinics. In the last decade, many abortion clinics have been closing in large numbers due to lack of funding and support. In fact, in 2014, it was found that 96% of Georgia counties had no clinics that provided abortions and 58% of Georgian women lived in those counties, despite the fact the legality of abortion, according to the Supreme Court decision. According to one report, "There were 28 abortion-providing facilities in Georgia in 2014, and 17 of those were clinics. These numbers represent no change since 2011 in overall providers, and a a 11% decline in clinics from 2011, when there were 28 abortion providers overall, of which 19 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia State Facts About Abortion: Georgia]</ref> In 2017, there were 26 facilities that provided abortion in Georgia.<ref>https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia</ref><br />
<br />
===What to Get & Where to Get It ===<br />
<br />
*[http://www.feministcenter.org/en/abortion-care Feminist Women's Health Center]: Provide medical abortions and, in the first and second trimester, they also perform surgical abortions.They have low-cost & LGBT-friendly services. Open since 1977. "As a non-profit organization, we are able to offer affordable pricing, discounts for students, medicare/medicaid card holders, and those who demonstrate financial need. Each pregnancy, woman, and situation is different. Please call our friendly Health Educators at 404-728-7900 or 800-877-6013 to discuss your situation and to learn about our fees." Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
*[https://carafem.org/location/carafem-health-center-atlanta/ Carefem - Atlanta Health Center]: They offer medical and surgical abortion. "Abortion up to 13 weeks; offering the abortion pill as well as the carafem procedure. Abortion cost: $475 (out of pocket) for the abortion pill, $550 (out of pocket) for the carafem procedure. Click here for more info about what is included in your appointment." Address: 1800 Peachtree St NW, Suite 800 Atlanta, Georgia 30309 855-SAY-CARA<br />
*[https://www.summitcenters.com/atlanta-abortion-clinic/ Summit Medical Associates]: "Summit Medical Associates, P.C. is our Atlanta abortion clinic offers choice for women seeking the highest quality abortion care and reproductive healthcare in the southeast since 1975." Address: 1874 Piedmont Ave NE, Suite 500-E, Atlanta, GA 30324. Phone: (404) 607-0042 | (800) 537-2985<br />
*[http://www.abortionclinicservicesatlantaga.com/ A Preferred Women's Health Center of Atlanta]: APWHC Atlanta is located in a private office park and provides low-cost abortion care through 13 weeks. This location offers both the surgical procedure and abortion pill option. Patients can call the counseling staff at (404) 758-9900 to discuss appointment scheduling, financial assistance, and patient care options. "Atlanta women say that we are the preferred choice for preferred care!"<br />
<br />
Note: Planned Parenthood Atlanta does not provide abortions (as of January 2017) but can provide abortion referral services. Their website says "This health center doesn’t provide abortion services — but we can help you. Call us for a referral list of health care providers in your area that offer abortion services." However, the Planned Parenthood Gwinnett Center (in Lawrenceville, GA) does provide abortion services.<br />
<br />
===Costs===<br />
<br />
In Georgia, abortion is not generally covered under Medicaid. In cases of life endangerment, rape or incest, Georgia does provide some federal funds coverage for abortions.<ref>[https://www.guttmacher.org/state-policy/explore/state-funding-abortion-under-medicaid State Funding of Abortion Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
*[http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/trauma-survivor Trauma Survivor Care @ Feminist Women's Health Center]: They have low-cost services. "Our sensitive care for survivors of physical violence or trauma program seeks to address the specific physical and emotional needs of our clients by offering a unique program for survivors of violence to include domestic or gang violence, sexual assault, abuse, or incest." Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs ===<br />
<br />
==List of Additional Resources==<br />
<br />
*[https://www.plannedparenthood.org/health-center/georgia/atlanta/30316/east-atlanta-health-center-4286-90330 Planned Parenthood - East Atlanta Health Center]: This is a Planned Parenthood facility. "Planned Parenthood is one of the nation’s leading providers of high-quality, affordable health care, and the nation’s largest provider of sex education. With or without insurance, you can always come to us for your health care." Address: 440 Moreland Ave SE, Atlanta, GA 30316. Phone: (404) 688-9300<br />
*[https://www.cbww.org/ Center for Black Women's Wellness]: "Over the past 30 years, the Center for Black Women’s Wellness has created a legacy in the Atlanta community. That legacy ensures that women and families will always have access to quality healthcare. We know physical, mental, emotional, and financial health is the foundation for full and productive lives where individuals can thrive and not merely survive." Address: 477 Windsor Street SW, Suite 309, Atlanta, GA 30312. Phone: (404)688-9202. Email: info@cbww.org<br />
*[http://thehealthinitiative.org/ The Health Initiative]: "The Health Initiative provides education, advocacy, support and improved access to care to Georgia’s Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community. Founded in 1996, we are the largest non-profit organization in the southeast devoted solely to the health and wellness of LGBTQ people." Address: The Phillip Rush Center, 1530 DeKalb Avenue, NE, Suite A, Atlanta, GA 30307. Phone: 404-688-2524. Fax: 404-688-2638. Email: info@thehealthinitiative.org<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=atlanta, georgia, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Atlanta.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Atlanta&diff=186716Atlanta2022-06-25T18:39:20Z<p>Lani314: update based after supreme court struck down roe v. wade</p>
<hr />
<div>{{setLocation<br />
|Country=United States<br />
|City=Atlanta<br />
}}<br />
<br />
[[File:Atlanta.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW''' <br />
<br />
As the largest city in Georgia, you will find many health care resources in Atlanta. However, as a more conservative American state, you will need to be careful about choosing your health care providers in Georgia. You need a prescription to obtain birth control. If you're a minor, it's recommended that you visit a Title X clinic to seek out birth control or counseling. If you want emergency contraception (the morning after pill), you can access it without a prescription. You can simply go to a pharmacy or health center and purchase it. There are some low-cost centers for STI/STD tests, and we have a list of places where you can find PrEP in Atlanta. In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0">https://thehill.com/regulation/court-battles/3535742-read-the-supreme-court-ruling-overturning-roe-v-wade/</ref> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1">https://www.wabe.org/without-roe-v-wade-protections-georgias-abortion-law-set-to-take-effect/</ref> In May 2019, the governor of Georgia signed into law the most restrictive abortion policy in the United States, which bans abortion at any sign of "embryonic or fetal cardiac activity." This usually occurs in the sixth week of pregnancy. In addition, there are various restrictions imposed upon those who seek out abortions, like mandatory counseling, 24 hour wait periods, and parental notification for minors. <br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, you need a prescription to obtain hormonal or long-lasting birth control methods. If you're a minor (under 18 years old), you don't need permission from your parents to get a prescription. This means that you can go to a doctor's office or health clinic yourself, regardless of age, and get a prescription for birth control. If you want to go to a clinic that guarantees completely confidential appointments, billings and records, you can go to a Title X clinic. Title X clinics provide sexual and reproductive health care girls, boys, teens and adults, and they charge on a sliding-scale basis (meaning you pay what you can afford). You can also ask doctor's about their confidentiality rules before scheduling an appointment.<br />
<br />
In Georgia, sex education is required in schools but teaching about contraceptive methods (such as the pill, IUDs, etc.) is not required. Abstinence is taught as the only truly effective method and, in 2010, Atlanta received $1,810,331for abstinence-only-until-marriage education.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
[[File:Lutera usa.jpg|200px | thumb|left|frame|'''Birth control sold in the USA''']]<br />
[[File:Condoms usa.jpg|200px | thumb|left|frame|'''Condoms''']]<br />
<br />
You don't need a prescription to buy '''condoms'''. No matter your age, you can purchase condoms at drugstores, pharmacies, grocery stores or online.<br />
<br />
If you want '''hormonal or long-lasting birth control methods, like pills, shots, implant, IUD, etc,''' check out this list of recommended clinics:<br />
<br />
* [http://www.fhcga.org The Family Health Centers of Georgia, Inc]: This is a Title X clinic, meaning they confidentially help everyone (regardless of age) and charge on a sliding-scale basis. You can consult with them about getting a prescription and getting birth control. Address: 868 York Ave SW, Atlanta, GA 30310, (404) 752-1400.<br />
* [http://atlantawomensmedicalcenter.com/ Atlanta Women's Medical Center]: Call: (800) 877-6332. 235 West Wieuca Road, NE, Atlanta, GA 30342<br />
* [https://gradyhealth.org/specialty/family-planning-clinic/ Grady Health System - Family Planning Clinic]: They have a teen center that's LGBT friendly and a regular family planning center. They accept uninsured people and have sliding-scale fees. Grady can provide birth control, including pills, IUDs (hormonal and non-hormonal) and shots. Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678<br />
* [http://cbww.org/ Center for Black Women's Wellness]: They accept uninsured people, provide low-cost services and have LGBT-friendly services. They offer birth control, including pills and IUDs (hormonal and non-hormonal). Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
* [http://www.feministcenter.org/en/ Feminist Women's Health Center]: They have low-cost & LGBT-friendly services. Provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). Open since 1977. Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
* [https://www.emoryhealthcare.org/locations/hospitals/emory-university-hospital-midtown/ Emory University Hospital Midtown]: They accept health insurance. They can provide birth control, including pills, implants and IUDs (hormonal and non-hormonal). You can get same-day insertions for IUDs and have LGBT-friendly services. You can request a female provider. Address: 550 Peachtree Street Ne, Atlanta, GA, 30308, (404) 778-3401.<br />
<br />
===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Georgia, if you're over 18 years old, you can buy most emergency contraception (the morning after pill) brands without a prescription over the counter. If you're under 18 years old, you can by one brand of emergency contraception (Plan B Step-One) over the counter without a prescription. For other brands, like Next Choice, Next Choice One Dose and My Way, you will need a prescription (if you're under 18 years old). Also, if you want to buy the ella pill, which is currently considered the most effective EC, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For ore information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===Testing Facilities===<br />
<br />
* Someone Cares, Inc. of Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: AID Atlanta, 1605 Peachtree Street NE, Atlanta, GA 30309-2955, 404) 870-7700<br />
* Evolution Project Atlanta: They not only provide HIV and STI tests, but they're also known to be respectful of the trans community. Address: 1530 DeKalb Ave NE, Atlanta, GA 30307, (404) 870-7727<br />
* [https://gradyhealth.org/ Grady Health]: They do low-cost HIV tests. They accept the uninsured and have sliding-scale fees. <br />
* [http://cbww.org/ Center for Black Women's Wellness]: They do HIV and other STI tests. They accept uninsured people, provide low-cost services and have LGBT-friendly services. Address: 477 Windsor Street, Suite 309, Atlanta, GA, 30312, (404) 688-9202.<br />
<br />
===Support===<br />
<br />
* [https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Primary medical care for men, women, adolescents, and children living with HIV/AIDS. Transition centers for HIV-infected individuals with <200 CD4 cells. Subspecialty care in Dermatology, Hepatitis C, Mental Health/Substance Abuse Treatment, Ophthalmology, and Oral Health. Case management, adherence counseling, nutrition, on-site radiology, laboratory, pharmacy, and peer counseling." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For yeast infections, you can get Monistat at drug stores, grocery stores or pharmacies. You don't need a prescription.<br />
* If you have a urinary tract infection (UTI), you will need to get an examination and prescription for UTI medication (antibiotics).<br />
* You can get the HPV vaccine throughout the United States.<br />
<br />
Here is where you can get PrEP in Atlanta:<br />
* AID Atlanta: Address: Limited appointments available for uninsured. 404-870-7762 (2273), 1605 Peachtree Rd. NE, Atlanta, GA 30309<br />
* AIDS Healthcare Foundation-Lithonia: 770-593-6684, 5700 Hillandale Dr., Lithonia, GA 30058<br />
* Absolute CARE: 404-231-4431, 2140 Peachtree Rd. NW, Suite 232, Atlanta, GA 30309<br />
* Fulton County Department of Health and Wellness: 404-613-4708, 99 Jesse Hill Jr. Dr. SE, Atlanta, GA 30303<br />
* Intown Primary Care: (404) 541-0944, 730 Ponce De Leon Pl., Unit B, Atlanta, GA 30306<br />
* Infectious Disease of Atlanta, LLC (AHF Affiliate): 404-588-4680, 735 Piedmont Ave. NE, Atlanta, GA 30308<br />
* Positive Impact Health Centers, Inc.: 678-365-4300<br />
* MISTER Center: 1117 West Peachtree Street, Atlanta, GA 30309<br />
* Dr. Melanie Thompson: 404-874-3102, 619 Rankin St., Atlanta, GA 30306<br />
<br />
===Costs===<br />
<br />
==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In Atlanta, you can find pads, tampons and menstrual cups. You can find DivaCup and other menstrual cup brands at Walgreen's, CVS, Whole Foods, West View Giant Eagle Supermarket and some Target locations (for example, 1275 Caroline St NE). For some international menstrual cup brands, like MoonCup or LadyCup, you can order them online and they will be delivered to your address. For eco-friendly menstrual products (like organic tampons), you can find them at Publix Super Market, CVS Pharmacy, Whole Foods, Target, Ingles Food, Kmart, Kroger Marketplace, Kroger Store and Sevanada Natural Foods Market. For menstrual underwear, you can purchase Thinx underwear online.<br />
<br />
===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/annual-wellness-exam Annual Wellness Exam @ Feminist Women's Center]: Provides individualized and sensitized care that is low-cost and LGBT friendly. Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
* [http://www.feministcenter.org/en/health-wellness-services/trans-health-initiative#trans-men Trans Health Initiative @ Women's Health Center]: Specializes in services to FTM, Transmasculine, and Intersex clients. Provides lower and pelvic exams, HPV testing, chest exams (pre and post-surgical), STI screenings, hormone replacement therapy, lab work, and gender marker change letters. Affordable rates with sliding scale discounts available. Available services for MTF as well. " We understand that this may be a stressful experience so we offer private rooms for you and your partner or friend, smaller sized instruments, a relaxant prior to the exam, and anesthesia in some cases."7<br />
* [https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our gynecology services include diagnosis and management of reproductive system disorders such as pelvic pain, menstrual abnormalities, menopause issues benign pelvic and uterine tumors; endometriosis; incontinence and pelvic organ prolapse." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://gradyhealth.org/ Grady Health]: They accept the uninsured and have sliding-scale fees. "Our obstetrics services include complete care for pregnant women is provided in our prenatal clinics, with an emphasis on patient centered care. Innovative group prenatal care is available." Grady accepts private health insurance, Medicare, Medicaid and workers’ compensation. We accept cash, checks, traveler’s check, money orders, Discover, Visa, MasterCard and American Express for payment. Address: 80 Jesse Hill Jr Drive SE, South Towers, Atlanta, GA, 30303, (404) 616-3678.<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In June 2022, the United States Supreme Court struck down Roe v. Wade, a ruling that formerly protected federal abortion rights.<ref name=":0" /> This means that states can determine their own abortion laws. In the case of Georgia, this means that they can impose their 2019 HB 481 law.<ref name=":1" /> <br />
<br />
In May 2019, the governor of Georgia signed into law HB 481, which is also known as the "fetal heartbeat" bill. This law states that abortion is banned after the detection of any “embryonic or fetal cardiac activity,” which typically occurs at about six weeks of pregnancy. Furthermore, the bill states that "...unborn children are a class of living, distinct person," and people who seek out abortions can be punished by law. In fact, a pregnant person who seeks out an abortion would considered to be assisting in a murder, according to this law, and therefore could face life in prison. Furthermore, there are no protections against pregnant people who self-terminate abortions, thereby making them vulnerable to prosecution as well.<ref>[https://slate.com/news-and-politics/2019/05/hb-481-georgia-law-criminalizes-abortion-subjects-women-to-life-in-prison.html Georgia Just Criminalized Abortion. Women Who Terminate Their Pregnancies Would Receive Life in Prison.]</ref><br />
<br />
The state is largely conservative and traditional religious beliefs play a large role in politics. For a woman to legally obtain an abortion, she must first receive counseling (which is managed by the state) that includes information explicitly urging her from seeking out an abortion.<ref>[http://statelaws.findlaw.com/georgia-law/georgia-abortion-laws.html Georgia Abortion Laws]</ref><br />
<br />
If you're under 18 years old and want an abortion in Georgia, it's required that one of your parents gets legally notified (i.e. "parental notification"). If you cannot manage the parental notification, you can get a "judicial bypass." This is when you ask a judge for permission instead or, if it's an emergency (for medical reasons), you can get special permission.<ref>[https://sexetc.org/states/georgia Sex in the States: Georgia]</ref><br />
<br />
Across the country, including in Georgia, there has been mounting pressure on abortion clinics. In the last decade, many abortion clinics have been closing in large numbers due to lack of funding and support. In fact, in 2014, it was found that 96% of Georgia counties had no clinics that provided abortions and 58% of Georgian women lived in those counties, despite the fact the legality of abortion, according to the Supreme Court decision. According to one report, "There were 28 abortion-providing facilities in Georgia in 2014, and 17 of those were clinics. These numbers represent no change since 2011 in overall providers, and a a 11% decline in clinics from 2011, when there were 28 abortion providers overall, of which 19 were clinics."<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia State Facts About Abortion: Georgia]</ref> In 2017, there were 26 facilities that provided abortion in Georgia.<ref>https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-georgia</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [http://www.feministcenter.org/en/abortion-care Feminist Women's Health Center]: Provide medical abortions and, in the first and second trimester, they also perform surgical abortions.They have low-cost & LGBT-friendly services. Open since 1977. "As a non-profit organization, we are able to offer affordable pricing, discounts for students, medicare/medicaid card holders, and those who demonstrate financial need. Each pregnancy, woman, and situation is different. Please call our friendly Health Educators at 404-728-7900 or 800-877-6013 to discuss your situation and to learn about our fees." Address: 924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
* [https://carafem.org/location/carafem-health-center-atlanta/ Carefem - Atlanta Health Center]: They offer medical and surgical abortion. "Abortion up to 13 weeks; offering the abortion pill as well as the carafem procedure. Abortion cost: $475 (out of pocket) for the abortion pill, $550 (out of pocket) for the carafem procedure. Click here for more info about what is included in your appointment." Address: 1800 Peachtree St NW, Suite 800 Atlanta, Georgia 30309 855-SAY-CARA<br />
* [https://www.summitcenters.com/atlanta-abortion-clinic/ Summit Medical Associates]: "Summit Medical Associates, P.C. is our Atlanta abortion clinic offers choice for women seeking the highest quality abortion care and reproductive healthcare in the southeast since 1975." Address: 1874 Piedmont Ave NE, Suite 500-E, Atlanta, GA 30324. Phone: (404) 607-0042 | (800) 537-2985<br />
* [http://www.abortionclinicservicesatlantaga.com/ A Preferred Women's Health Center of Atlanta]: APWHC Atlanta is located in a private office park and provides low-cost abortion care through 13 weeks. This location offers both the surgical procedure and abortion pill option. Patients can call the counseling staff at (404) 758-9900 to discuss appointment scheduling, financial assistance, and patient care options. "Atlanta women say that we are the preferred choice for preferred care!"<br />
<br />
Note: Planned Parenthood Atlanta does not provide abortions (as of January 2017) but can provide abortion referral services. Their website says "This health center doesn’t provide abortion services — but we can help you. Call us for a referral list of health care providers in your area that offer abortion services." However, the Planned Parenthood Gwinnett Center (in Lawrenceville, GA) does provide abortion services.<br />
<br />
===Costs===<br />
<br />
In Georgia, abortion is not generally covered under Medicaid. In cases of life endangerment, rape or incest, Georgia does provide some federal funds coverage for abortions.<ref>[https://www.guttmacher.org/state-policy/explore/state-funding-abortion-under-medicaid State Funding of Abortion Under Medicaid]</ref><br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
==Advocacy & Counseling==<br />
<br />
* [http://www.feministcenter.org/en/health-wellness-services/comprehensive-gyn/trauma-survivor Trauma Survivor Care @ Feminist Women's Health Center]: They have low-cost services. "Our sensitive care for survivors of physical violence or trauma program seeks to address the specific physical and emotional needs of our clients by offering a unique program for survivors of violence to include domestic or gang violence, sexual assault, abuse, or incest." Address: 1924 Cliff Valley Way NE, Atlanta, GA, 30329, (404) 728-7900.<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
* [https://www.plannedparenthood.org/health-center/georgia/atlanta/30316/east-atlanta-health-center-4286-90330 Planned Parenthood - East Atlanta Health Center]: This is a Planned Parenthood facility. "Planned Parenthood is one of the nation’s leading providers of high-quality, affordable health care, and the nation’s largest provider of sex education. With or without insurance, you can always come to us for your health care." Address: 440 Moreland Ave SE, Atlanta, GA 30316. Phone: (404) 688-9300<br />
* [https://www.cbww.org/ Center for Black Women's Wellness]: "Over the past 30 years, the Center for Black Women’s Wellness has created a legacy in the Atlanta community. That legacy ensures that women and families will always have access to quality healthcare. We know physical, mental, emotional, and financial health is the foundation for full and productive lives where individuals can thrive and not merely survive." Address: 477 Windsor Street SW, Suite 309, Atlanta, GA 30312. Phone: (404)688-9202. Email: info@cbww.org<br />
* [http://thehealthinitiative.org/ The Health Initiative]: "The Health Initiative provides education, advocacy, support and improved access to care to Georgia’s Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) community. Founded in 1996, we are the largest non-profit organization in the southeast devoted solely to the health and wellness of LGBTQ people." Address: The Phillip Rush Center, 1530 DeKalb Avenue, NE, Suite A, Atlanta, GA 30307. Phone: 404-688-2524. Fax: 404-688-2638. Email: info@thehealthinitiative.org<br />
<br />
==References==<br />
<references /><br />
<br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=atlanta, georgia, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Atlanta.<br />
}}</div>Lani314https://gynopedia.org/w/index.php?title=Medell%C3%ADn&diff=186715Medellín2022-02-24T13:56:29Z<p>Lani314: </p>
<hr />
<div>{{setLocation<br />
|Country=Colombia<br />
|City=Medellín<br />
}}<br />
<br />
<languages/><br />
<translate><br />
<br />
<!--T:1--><br />
{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
|colspan="8" style="text-align:center"|[[File:Medellin.jpg|300px | thumb|right|]]<br />
|-<br />
| '''Contraception: Over-the-Counter'''<br />
| condoms, pills<br />
|-<br />
| '''Contraception: Prescription/Clinic Required'''<br />
| IUD, implant, shot, patch, ring, <br />
|-<br />
| '''Emergency Contraception'''<br />
| no prescription required; widely available in pharmacies<br />
|-<br />
| '''STIs'''<br />
| no travel restrictions<br />
|-<br />
| '''Menstrual Products'''<br />
| pads, tampons, cups<br />
|-<br />
| '''Abortion Law'''<br />
| not available upon request; legal in restricted circumstances<br />
|-<br />
| '''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal (surgery required)<br />
|-<br />
| '''Related Pages'''<br />
| [[Bogotá]], [[Colombia]]<br />
|-<br />
|}<br />
<br />
<br />
<!--T:2--><br />
'''OVERVIEW''' <br />
<br />
<!--T:86--><br />
As a major city in Colombia, you will find many health care resources in Medellín. However, you should be aware of the complex picture regarding reproductive and sexual health care in the country. On the one hand, Colombia is a primarily Catholic nation, and many Colombians attach great importance to the Catholic Church. As a result, certain health care personnel may hold traditional social views, which may impact how they interact with patients. Furthermore, Colombian society is traditionally patriarchal, and some women may struggle to realize full autonomy and independence, though this certainly varies by each individual, family, and community.<ref>[http://www.everyculture.com/Bo-Co/Colombia.html Countries and Their Cultures: Colombia]</ref> <br />
<br />
<!--T:87--><br />
On the other hand, Colombia has seen a massive expansion of its family planning services in the past few decades, particularly that of <br />
[http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)], an affiiliate of the International Planned Parenthood Federation, which has sixty-six clinics and mobile health units, and accounts for nearly three-quarters of the country’s family planning capacity. As a result, fertility rate has fallen from 6 children per woman in the 1960s to just above replacement level (i.e. about 2 children per woman), as of 2017. This is largely due to increased literacy, family planning services, and urbanization in the country.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/co.html CIA World Factbook - Colombia]</ref> Meanwhile, homosexuality, gay marriage, and gender change are all legal in Colombia.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/co.html LGBT Rights in Colombia]</ref><br />
<br />
<!--T:3--><br />
Generally speaking, contraceptives, such as birth control pills and condoms, are legal and widely available. Emergency contraception is also legal and, while a prescription may be technically required, it seems easily obtainable regardless of prescription status for women. However, some minors may experience difficulty obtaining emergency contraceptive pills, particularly if they look underaged. If you are a teenager, you are legally allowed to purchase emergency contraception, but you may need to contact a few pharmacists before finding one who grants you access to emergency contraception. Regarding STIs, there are no travel or residency restrictions related to HIV status in Colombia. For STI tests, Profamilia is a great resource, and there are numerous locations, including mobile clinics, throughout Colombia. <br />
<br />
According to Colombian law, women are entitled to 14 weeks of maternity leave. In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion>[https://www.cnn.com/2022/02/21/americas/colombia-decriminalize-abortion-intl/index.html Colombia becomes latest Latin American country to partially decriminalize abortion]</ref> Since 2006, abortion has been legal for certain cases in Colombia, but it was not yet available upon request. <br />
<br />
==Contraception (Birth Control)== <!--T:5--><br />
<br />
===Laws & Social Stigmas=== <!--T:6--><br />
<br />
<!--T:7--><br />
In Colombia, oral contraceptives (birth control pills) and condoms are legal and widely available. They can be purchased over-the-counter at pharmacies. No prescription is required.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> However, for other contraceptive methods, such as contraceptive implants, injectables or IUDs, you will need to visit a physician.<br />
<br />
<!--T:8--><br />
Generally speaking, Colombian women use contraceptives at a slightly higher rate than the South American average. In 2015, it was found that about 78% of Colombian women (who were between 15-49 years old and married/in unions) used some form of contraception, including traditional methods, which was a bit higher than the South American average for that year (about 75% of women). Furthermore, about 8% of women had unmet family planning needs, which was lower than the South American average of that year (about 10%). The most common forms of contraception was female sterilization (about 34% of women). This was followed by contraceptive injectables (9%), birth control pills (8%), IUDs (7%), and male condoms (7%). There were rather low rates of usage for contraceptive implants (3%) and male sterilization (3%). Traditional methods, such as withdrawal/pull out method (4%) and the rhythm method (3%) were also not very common. There were practically no users of vaginal barrier methods (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref><br />
<br />
<!--T:9--><br />
In Colombia, birth control pills and IUDs were the most popular contraceptive option for women in the 1960s and 1970s. However, since that time, female sterilization has become the most common contraceptive method. Some women have cited the fact that they prefer a permanent contraceptive method, rather than worrying about maintaining a medication regimen, as a reason for seeking out sterilization. It is especially common for older women to seek out sterilization when they feel that they want no more children.<ref>[https://link.springer.com/article/10.1007/s10995-017-2296-x The Rise of Female Sterilization: A Closer Look at Colombia]</ref> In particular, Profamilia, the main family planning organization in Colombia, has provided female sterilization services to many women.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/2237994 An evaluation of Profamilia's female sterilization program in Colombia]</ref> However, there are also some concerns that people with disabilities in Colombia have undergone forced sterilization.<ref>[https://www.rootedinrights.org/report-finds-extensive-use-of-forced-sterilization-in-colombia/ Report finds extensive use of forced sterilization in Colombia]</ref><br />
<br />
<!--T:10--><br />
In 2010, the Colombian Congress passed a law that guaranteed free access to contraceptives for all citizens, including procedures like vasectomies and sterilization. When the law first passed, the first communities to receive attention were those most in need.<ref>[http://articles.latimes.com/2010/dec/12/world/la-fg-colombia-birth-control-20101212 Colombia launches large-scale birth control effort]</ref><br />
<br />
<!--T:11--><br />
In 2016, Colombia has became the country with the second highest rate of Zika viruses. This has lead the Colombian government and the Pope to promote condom usage for the Colombian people.<ref>[https://www.thecitypaperbogota.com/living/popes-words-matter-but-colombians-already-use-birth-control With or without Pope’s approval, Colombians use birth control]</ref><br />
<br />
<!--T:12--><br />
Here's is a [http://www.planet-love.com/index.php?topic=6327.0 thread] (from back in 2011) about public attitude toward birth control in Colombia.<br />
<br />
===What to Get & Where to Get It=== <!--T:13--><br />
<br />
<!--T:14--><br />
* If you want '''condoms''' ("condon" in Spanish), you can find them in pharmacies, drug stores, and sometimes in bathrooms at clubs and bars.<br />
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), you can find over 20 brands of combined and progestagen-only pills in Colombian pharmacies, including Belara, Cerazette, Cilest, Diane, Marvelon, Neogynon, Noral, Nordiol, Microfemin, Microfemin CD, Microgynon, Microgynon 28 and Nordette, etc. <br />
* If you want '''contraceptive injectables''' ("anticonceptivo inyectable" in Spanish), there are many options, including Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna, Norigynon, Progestin 100 and Progestin Depot.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You can get the injections at pharmacies or clinics in Colombia.<br />
* If you want a '''contraceptive implant''' ("implante anticonceptivo" in Spanish), you can find Jadelle in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the implant.<br />
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the IUD.<br />
<br />
===Recommended Pharmacies=== <!--T:15--><br />
<br />
<!--T:16--><br />
* For an extensive list of pharmacies in Medellín, check out the links [https://www.google.com/search?q=pharmacies+medellin+colombia&npsic=0&rflfq=1&rlha=0&rllag=6236114,-75581993,3410&tbm=lcl&ved=2ahUKEwj4y-PFla7fAhUSTt8KHRCJCcMQjGp6BAgAECg&tbs=lrf:!2m1!1e3!3sIAE,lf:1,lf_ui:3&rldoc=1&biw=1350&bih=824#rlfi=hd:;si:16646229010675074542;mv:!1m2!1d6.268014!2d-75.5556221!2m2!1d6.179189000000001!2d-75.6049565 here] and [https://maps.me/catalog/health/amenity-pharmacy/country-colombia/city-medellin-344799743/ here].<br />
<br />
===Costs=== <!--T:18--><br />
<br />
<!--T:19--><br />
* Birth control should cost between 18,000-20,000 COP, as of 2016. <br />
* In 2011, Microgynon (birth control) 21 tablets could be found for 8,374 COP, injectable birth control cost about 14,000 COP, IUD insertion was about $23 and removal was about $17.<br />
<br />
==Emergency Contraception (Morning After Pill)== <!--T:20--><br />
<br />
===Laws & Social Stigmas=== <!--T:21--><br />
<br />
<!--T:22--><br />
You can access emergency contraception (the morning after pill) in Colombia over-the-counter. While you may technically need a prescription to obtain EC,<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref> it appears that most pharmacists sell EC without a prescription. From a legal standpoint, there are no age restrictions for purchasing EC. However, many Colombian pharmacists reportedly do not sell EC to teens due to personal or moral objections. If you are a teen and you need to buy EC, it's recommended that you seek out a few pharmacies or have an older female purchase EC for you.<br />
<br />
<!--T:23--><br />
According to some sources, Colombian pharmacists often do not want to sell emergency contraception to minors, even though there are no laws that prohibit them from doing so.<ref>[[https://www.ippfwhr.org/en/blog/investigating-access-to-emergency-contraception-in-bogot%C3%A1 personal account]</ref> For this reason, if you're a minor who is seeking out emergency contraceptive pills, you may need to visit many pharmacies before you find someone who is willing to see ECPs to you.<br />
<br />
<!--T:24--><br />
In 2005, studies found that about 41% of Colombian women had knowledge of emergency contraception, and about 3% had ever used emergency contraceptives. However, as this data is rather old, we can assume that more women may have knowledge of or may have used ECPs today.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:25--><br />
<br />
<!--T:26--><br />
* In Colombia, locals report that you can purchase emergency contraceptive pills (the morning after pill) without a prescription at pharmacies (though minors may have some difficulty purchasing ECPs). For progestin-only EC, you'll find Escinor 1.5, NorLevo 1.5mg, PostDay 1 or Postinor 1 (for these brands, take 1 pill within 120 hours after unprotected sex). You can also find Emergyn, PostDay, Postinor-2, Pregnon or Tace (for these brands, take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. For progestin-only pills, you can take Microlut (take 50 pills within 120 hours after unprotected sex). You can also take progestin-estrogen combined pills but remember that, in 28-day packs, only the first 21 pills can be used. You can take Neogynon, Noral, Nordiol (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Microfemin, Microfemin CD, Microgynon, Microgynon 28 or Nordette (for these take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Microgynon Suave (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
<br />
===Costs=== <!--T:27--><br />
<br />
<!--T:28--><br />
* In 2018, emergency contraceptive pills are about 16,000 - 20,000 COP.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)== <!--T:29--><br />
<br />
===Laws & Social Stigmas=== <!--T:30--><br />
<br />
<!--T:31--><br />
There are no residency and travel restrictions related to HIV in Colombia. This means that, if you're a foreigner and you are planning to visit Colombia, you will not be asked for medical certificates or proof of your HIV status upon entering the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=49 COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> According to HIVTravel: "The Colombian Embassy in Brazil informs us that the Colombian authorities have never requested HIV-specific information from people entering the country. Proof of Yellow Fever vaccination is required from people who have visited endemic areas. The Embassy refers to the Public Health General Director in Bogotá."<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryCode=CO COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref><br />
<br />
<!--T:32--><br />
Generally speaking, Colombia has a low rate of HIV infection. It is estimated that 150,000 adults (ages 15-49) , or about 0.5% of the population, are living with HIV, as of 2017. However, HIV does particularly impact certain groups and communities, such as sex workers (1.2% infection rate), men who have sex with men (17% infection rate), injection drug users (2.8% infection rate), prisoners (1.4% infection rate), and transgender people (21.4% infection rate). For people who do live with HIV, there are social issues related to stigma and shame that they may deal with. According to a 2015 survey, only about 37% of Colombian said that they would buy fresh vegetables from a vendor if they knew that person had HIV, and only about 30% of young people (ages 15 to 24) had sufficient knowledge of HIV prevention.<ref>[http://www.unaids.org/en/regionscountries/countries/colombia Country factsheets - COLOMBIA 2017]</ref><br />
<br />
<!--T:33--><br />
One major concern for health care officials is the low HIV testing rate. The majority of Colombians never receive HIV tests, and only 20% of at-risk Colombians ever get tested.<ref>[https://www.hindawi.com/journals/art/2014/803685/ HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities]</ref> There are many factors that contribute to the low test rate, particularly because HIV tests are expensive, ranging from the equivalent of $20 to $40 USD, which is simply unaffordable to many Colombians. Furthermore, HIV may be perceived as not a real threat or real issue to Colombians, especially if they're in relationships. Doctors also typically do not offer an HIV test to their patients, especially if they're not seen as part of a traditionally high-risk group. These factors worry some officials, who think that the HIV infection rate may grow under these circumstances. There are also new groups of people who are becoming more commonly infected, such as housewives, who have contracted HIV from husbands who had unprotected sex outside of their marriage. Health care experts hope that women, along with all Colombians, can be tested more often.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref> <ref>[https://www.nyu.edu/about/news-publications/news/2016/february/a-window-to-prevent-hivaids-epidemic-in-colombia.html A Window to Prevent HIV/AIDS Epidemic in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:34--><br />
<br />
<!--T:35--><br />
In Spanish, this is how you say STDs: "Enfermedades de transmisión sexual." <br />
<br />
====Testing Facilities==== <!--T:36--><br />
<br />
<!--T:37--><br />
* [http://www.profamilia.org.co/ Profamilia]: This is basically the Planned Parenthood-like organization of Colombia. Provides STI tests and other sexual/reproductive health services. Has 66 facilities, including mobile clinics, throughout Colombia. Country-wide helpline (toll free): 01-8000-110-900. Address : Cl. 54 ## 43-47, Medellín, Antioquia, Colombia. Phone : +57 4 2836688.<br />
<br />
====Support==== <!--T:38--><br />
<br />
<!--T:39--><br />
* Corporación de Lucha Contra el SIDA (CLS): This nonprofit, multi-partner organization provides comprehensive care to people living with HIV/AIDS, promotes HIV education and research, and helps support testing at local clinics.<br />
* Fundación Santa Fé de Bogotà: Calle 119 (#) 9-33<br />
* SIDA - Fundación Apoyemonos: CRA. 15 (#) 59 - 57 Ap. 503 <br />
* [http://www.indetectable.org/ Revista Indectable]: An online magazine for people living with HIV. Has a special section for women.<br />
* [http://fundapoyarte.org/sitio-vih/index.html Fundación Apoyarte]: Address: Carrera 15 N°124-29 Of 416 – Edificio las Arcadas, Bogotá - Colombia, Telephone: +57 1 320 4919605, Email: comunicaciones@fundapoyarte.org<br />
* [http://www.ins.gov.co Instituto Nacional de Salud]: Vigilancia y Análisis del Riesgo en Salud Pública, Address: Avenida calle 26 No. 51-60, Zona 6 CAN Bogotá, Telephone: +57 1 2207700, Fax: +57 1 2200901, Email: contactenos@ins.gov.co<br />
* [http://www.ligasida.org.co Liga Colombiana de Lucha Contra el SIDA]: Address: Cl 32 carrera 15, Bogotá, Telephone: +57 1 2454757, Fax: +57 1 2454757, Email: jpacheco@ligasida.org.co<br />
* [http://www.recolvih.org Red Colombiana de PVVS - RECOLVIH]: Address: Calle 9 # 2 - 73, Barrio La Candelaria, Bogotá, Telephone: +57 314 3399985, Email: recolvihbogota@gmail.com<br />
* [http://www.redla.org Red Latinoamericana de Personas con VIH/SIDA - REDLA+]: Secretario Regional, Address: Calidonia, Peru Avenue and 35 East Street, Masnou Building, 2-D, Panamá, Telephone: +507 396 5161, Fax: +507 396 5160, Email: repo_pa@yahoo.com<br />
* [http://www.unaids.org/en/regionscountries/countries/colombia UNAIDS Latin America]: Contact - César Antonio Núñez, Director, Regional Support Team for Latin America and the Caribbean. Phone: +5073014600. Email: nunezc@unaids.org<br />
<br />
===Costs=== <!--T:40--><br />
<br />
<!--T:41--><br />
* HIV tests can be the equivalent of $20 to $40 USD, which is unaffordable for many Colombians.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref><br />
<br />
==Medication & Vaccines== <!--T:42--><br />
<br />
===Laws & Social Stigmas=== <!--T:43--><br />
<br />
===What to Get & Where to Get It=== <!--T:44--><br />
<br />
<!--T:45--><br />
* If you have a '''yeast infection''' ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.<br />
* If you have a '''urinary tract infection''' ("Infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.<br />
* There is currently no known formal distributor or trial for '''Pre-Exposure Prophylaxis (PrEP)''' in Colombia, as of July 2018.<ref>[https://www.prepwatch.org/ PrEP Watch World Map]</ref><br />
* '''Post-Exposure Prophylaxis (PEP)''' is available in Colombia<ref>[https://www.minsalud.gov.co/English/Paginas/Transit-of-patients-with-HIV-through-Colombia.aspx Transit of patients with HIV through Colombia]</ref>, though we don't know how common or available it is.<br />
<br />
===Costs=== <!--T:46--><br />
<br />
==Menstruation== <!--T:47--><br />
<br />
===Laws & Social Stigmas=== <!--T:48--><br />
<br />
===What to Get & Where to Get It=== <!--T:49--><br />
<br />
<!--T:50--><br />
* You can find '''pads/pantyliners''' in many stores. One of the most common brands is "Nosotras," which are maxipads that vary in absorbency. <br />
* For '''tampons''', you can expect to find tampons without applicators, particularly OB. Check out the [https://www.jnjcolombia.com/tampones-ob OB Colombia website] for details. <br />
* For '''menstrual cups''', you can find a variety of brands. You can find DivaCup sold at Proveestetica (Contact: María Sanchez, E-mail: s.maryh24@hotmail.com; andresfgalvis@hotmail.com, Tel. 1-3037451, Cel. 3122547900). For Ladycup, check out [http://ladycup.co/ Ladycup Colombia]. There are also some online communities that focus on menstrual cups, and which often sell menstrual cups as well, such as [https://www.facebook.com/Copamenstrualcol/?ref=br_rs Copa Menstrual Colombia], [https://www.facebook.com/copamenstrualladycupcolombia/?ref=br_rs Copa Menstrual LadyCup Colombia], [https://www.facebook.com/EvaCopaMenstrual/?ref=br_rs Eva Copa Menstrual], etc.<br />
<br />
===Costs=== <!--T:51--><br />
<br />
==Gynecological Exams== <!--T:52--><br />
<br />
===Laws & Social Stigmas=== <!--T:53--><br />
<br />
===What to Get & Where to Get It=== <!--T:54--><br />
<br />
<!--T:55--><br />
* Dr. Mauricio Arango Gonzalez: Address: Salud Sura, Carrera 43A #1-50 , Torre 3, Room 1004, San Fernando Plaza. Tel: 604-1361<br />
* [https://www.clinicamedellin.com/servicios-y-especialidades/especialidades/ginecologia-oncologica/ Clínica Medellín]: This clinic provides services to foreigners and international patients. "The Clinic Medellin has two locations strategically located in the south and west of the city, where we provide our users with complete facilities, equipped with the best technology and a high quality medical and assistance group." Western Address: Carrera 65 B No. 30 - 95; Switch: (574) 444 61 52. El Poblado Address: Calle 7 No. 39 - 290; Switch: (574) 311 28 00; Fax: (574) 312 49 30<br />
* [http://www.clinicaelrosario.com/encuentre-un-medico/sede-centro/ginecobstetras.html Clínica Rosario]: This is supposed to be a small yet high-quality that provides services to foreigners and locals. They have eight gynecologists on staff, as of December 2018. Contact Details - Address : Cra. 20 # 2 Sur 185, Medellín, Antioquia, Colombia. Hours: Open 24 hours; Single service line: 4441555 Appointment; request: EPS - 3269200; Prepaid Medicine - 3269299; Private Patient - 3269179; Email: clinicaelrosario@clinicaelrosario.com<br />
<br />
===Costs=== <!--T:56--><br />
<br />
==Pregnancy== <!--T:57--><br />
<br />
===Laws & Social Stigmas=== <!--T:58--><br />
<br />
<!--T:59--><br />
In Colombia, women are entitled to 14 weeks of maternity leave. They can leave up to 2 weeks before their expected date of delivery. By one week before expected delivery, it is mandatory that the woman takes maternity leave. As detailed in AngloInfo: "After the 37th week of pregnancy, the mother should ask her doctor to prepare a ''Licencia de maternidad pre parto'', entitling her to maternity leave one or two weeks prior to the birth of the baby. In the event of a premature birth the mother should contact the health service provider to follow the procedure with the employer."<ref>[https://www.angloinfo.com/colombia/how-to/page/colombia-healthcare-pregnancy-birth-maternity-protection AngloInfo Colombia: Maternity Protection]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:60--><br />
<br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer fertility services. To learn more about their fertility services, click [https://profamilia.org.co/inicio/mujer-2/servicios-mujer/unidad-de-fertilidad-mujer/ here]. <br />
<br />
===Costs=== <!--T:61--><br />
<br />
==Abortion== <!--T:62--><br />
<br />
===Laws & Social Stigmas=== <!--T:63--><br />
<br />
<!--T:64--><br />
In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion /><br />
<br />
Prior to the 2022 ruling, abortion was legal under three circumstances: to save the life of the woman, risk of fatal fetal malformations and cases of rape, incest or non-consensual insemination. For cases dealing with maternal health, this decision was left to medical authorities (there was no official court finding on what is included). For fetal malformations, there were no specific provisions for what qualifies at the court level, so this was left to medical opinion. For cases of rape, incest or non-consensual insemination, a report needed be made to authorities.<ref>[https://en.wikipedia.org/wiki/Abortion_in_Colombia Abortion in Colombia]</ref> In all other cases, such as to preserve physical health, to preserve mental health, economic or social reasons, or available on request, were not legal reasons, according to the 2006 Colombian Constitutional Court ruling. <br />
<br />
<!--T:65--><br />
During the 2006 court rulings, the court also considered conscientious objectors. It was decided that health care centers (e.g. clinics, hospitals, etc) cannot refuse to perform an abortion. However, individual doctors can refuse to perform abortions on religious grounds. If this is the case, they must refer women to providers who can perform abortions.<br />
<br />
<!--T:66--><br />
In 2008, it was estimated that 400,400 abortions were performed in Colombia, and only 322 of the abortions were legal. Yet it should be noted that, for decades, the abortion rate in Colombia has remained pretty consistent. For example, the rate was 36 abortions per 1000 women (of reproductive age) in 1989, and it was 39 women out of 1000 women in 2008. Some of the highest rates of abortion are in Bogota. <ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Guttmacher Institute: Unintended Pregnancy and Induced Abortion in Colombia]</ref> As reported by the Center for Reproductive Rights: "While the government continues to demonstrate its commitment to the promotion and protection of reproductive rights, women in Colombia still face barriers to accessing safe abortion services, such as onerous medical requirements to prove they qualify for a legal abortion, as well as refusals to provide safe abortion services by doctors, medical institutions —and even judges—based on their personal or moral objections."<ref>[http://www.reproductiverights.org/press-room/10-years-of-legal-abortion-in-colombia 10 Years of Legal Abortion in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:67--><br />
<br />
<!--T:68--><br />
Medical Abortion - You can access Misoprostol (the abortion pill) in Colombia. It's estimated that half of all abortions are performed this way. '''Warning''' - Go to a clinic/doctor that knows what they're doing because "... despite the drug´s safety and efficacy when used correctly, inadequate knowledge of its use among women and providers results in a high rate of complications (32%), primarily heavy bleeding and incomplete abortion."<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:69--><br />
Surgical Abortion - If you're interested in surgical abortions, you should know that 8 out of 10 facilities use the dilation and curettage (D&C) method. This is considered invasive and expensive. It's recommended to find a facility that performs surgical abortions with the manual vacuum aspiration (MVA), which is also recommended by WHO for first trimester abortions.<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:70--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer abortion services. You can schedule a consultation for an abortion on their website by clicking [https://profamilia.org.co/aborto/agenda-tu-cita/ here]. To learn more about abortion from their website, click [https://profamilia.org.co/aborto/que-es-aborto/ here]. "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services." Address: Asociación Pro-bienestar de la Familia Colombiana, Calle 34 #14-52, Bogotá, D.C. Colombia. P: (57-1) 339-0900<br />
<br />
===Costs=== <!--T:71--><br />
<br />
<!--T:72--><br />
For surgical abortion, you can expect to pay between $45 (at lower-end facilities) to $200 (at higher end facilities).<br />
<br />
==Advocacy & Counseling== <!--T:73--><br />
<br />
===Laws & Social Stigmas=== <!--T:74--><br />
<br />
===What to Get & Where to Get It=== <!--T:75--><br />
<br />
<!--T:76--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer resources/support for victims of gender-based or domestic violence. To learn more, click [http://profamilia.org.co/inicio/mujer-2/servicios-mujer/violencia-mujer/ here]. <br />
* [http://evaw-global-database.unwomen.org/en/countries/americas/colombia/2006/shelters-in-medellin-antioquia-and-bogota-for-victims-of-domestic-violence The Restorative Shelters]: "The Restorative Shelters in Medellín, Antioquia provide refuge and comprehensive support for women and their children below the age of 14 years whose lives and physical integrity are threatened by domestic violence."<br />
<br />
===Costs=== <!--T:77--><br />
<br />
==List of Additional Resources== <!--T:78--><br />
<br />
===LGBTQ Resources=== <!--T:79--><br />
<br />
<!--T:80--><br />
* Click [https://www.equaldex.com/region/colombia here] to learn about LGBTQ rights and laws in Colombia. As of 2018, homosexuality is legal, homosexual marriage is recognized, and it is legal to change gender.<ref>[https://www.equaldex.com/region/colombia LGBT Rights in Colombia]</ref><br />
* [http://colombiadiversa.org/ Colombia Diversa]: "Founded in 2004, Colombia Diversa is the leading organization for the defense of human rights of LGBT people in Colombia. [The organization's] work focuses on three main areas: 1. Promote and defend the human and legal rights of LGBT people in Colombia. 2. Work to positively transform perceptions about LGBT people in Colombia. 3. The promotion of the organization and the political impact of the LGBT community in Colombia." Website in Spanish and English.<br />
* [http://colombiadiversa.org/category/derechos-trans/ Colombia Diversa - Trans Rights & Cases]: To learn more about transgender-related rights and cases in Colombia, this webpage is a useful resource, which can be found on the Colombia Diversa website.<br />
* [http://caribeafirmativo.lgbt/ Caribe Afirmativo]: "Our purpose is to influence the construction and positioning of sexual and gender diversity agendas in the Caribbean, which allow the recognition of rights and access to justice for LGBTI people in a post-conflict scenario." Address: Cra 53 No. 75-87, office 4, Barranquilla, Colombia. Phone: (5) 3116810. Email: info@caribeafirmativo.lgbt<br />
<br />
====General Women's Resources==== <!--T:81--><br />
<br />
<!--T:82--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services." <br />
* Red Feminista Antimilitarista: Address: Cl. 61 #50a49, Medellín, Antioquia, Colombia<br />
* [http://www.sismamujer.org/ Sisma Mujer]: Colombian feminist organization focused on women's citizenship and human rights. "We are a Colombian feminist organization that since 1998 has contributed to the consolidation of the women's movement, has worked with women victims of violence and discrimination because of being women, in private, public and armed conflict, for the expansion of their citizenship, the full validity of their human rights and the promotion of their role as transforming actors of their reality." Address: Carrera 13 No. 33 - 74, office 304. Email: infosisma@www.sismamujer.org. Phone: (+571) 285 93 19<br />
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==References== <!--T:83--><br />
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<references /><br />
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<!--T:85--><br />
{{#seo:<br />
|title=Gynopedia<br />
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|keywords=medellín, medellin, colombia, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights<br />
|description=Find sexual, reproductive and women's health care in Medellín.<br />
}}<br />
<br />
</translate></div>Lani314https://gynopedia.org/w/index.php?title=Colombia&diff=186714Colombia2022-02-24T13:55:03Z<p>Lani314: </p>
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{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
|colspan="8" style="text-align:center"|[[File:Flag of Colombia.svg.png|300px | thumb|right|]]<br />
|-<br />
| '''Contraception: Over-the-Counter'''<br />
| condoms, pills<br />
|-<br />
| '''Contraception: Prescription/Clinic Required'''<br />
| IUD, implant, shot, patch, ring, <br />
|-<br />
| '''Emergency Contraception'''<br />
| no prescription required; widely available in pharmacies<br />
|-<br />
| '''STIs'''<br />
| no travel restrictions<br />
|-<br />
| '''Menstrual Products'''<br />
| pads, tampons, cups<br />
|-<br />
| '''Abortion Law'''<br />
| not available upon request; legal in restricted circumstances<br />
|-<br />
| '''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal (surgery required)<br />
|-<br />
| '''Related Pages'''<br />
| [[Bogotá]], [[Medellín]]<br />
|-<br />
|}<br />
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<!--T:2--><br />
'''OVERVIEW''' <br />
<br />
<!--T:86--><br />
As the capital of Colombia, you will find many health care resources in Bogota. However, you should be aware of the complex picture regarding reproductive and sexual health care in the country. On the one hand, Colombia is a primarily Catholic nation, and many Colombians attach great importance to the Catholic Church. As a result, certain health care personnel may hold traditional social views, which may impact how they interact with patients. Furthermore, Colombian society is traditionally patriarchal, and some women may struggle to realize full autonomy and independence, though this certainly varies by each individual, family, and community.<ref>[http://www.everyculture.com/Bo-Co/Colombia.html Countries and Their Cultures: Colombia]</ref> <br />
<br />
<!--T:87--><br />
On the other hand, Colombia has seen a massive expansion of its family planning services in the past few decades, particularly that of <br />
[http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)], an affiiliate of the International Planned Parenthood Federation, which has sixty-six clinics and mobile health units, and accounts for nearly three-quarters of the country’s family planning capacity. As a result, fertility rate has fallen from 6 children per woman in the 1960s to just above replacement level (i.e. about 2 children per woman), as of 2017. This is largely due to increased literacy, family planning services, and urbanization in the country.<ref>[https://www.cia.gov/the-world-factbook/countries/colombia/ CIA World Factbook - Colombia]</ref> Meanwhile, homosexuality, gay marriage, and gender change are all legal in Colombia.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/co.html LGBT Rights in Colombia]</ref><br />
<br />
<!--T:3--><br />
Generally speaking, contraceptives, such as birth control pills and condoms, are legal and widely available. Emergency contraception is also legal and, while a prescription may be technically required, it seems easily obtainable regardless of prescription status for women. However, some minors may experience difficulty obtaining emergency contraceptive pills, particularly if they look underaged. If you are a teenager, you are legally allowed to purchase emergency contraception, but you may need to contact a few pharmacists before finding one who grants you access to emergency contraception. Regarding STIs, there are no travel or residency restrictions related to HIV status in Colombia. Furthermore, Profamilia is a great resource, and there are numerous locations, including mobile clinics, throughout Colombia. <br />
<br />
According to Colombian law, women are entitled to 14 weeks of maternity leave. In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion>[https://www.cnn.com/2022/02/21/americas/colombia-decriminalize-abortion-intl/index.html Colombia becomes latest Latin American country to partially decriminalize abortion]</ref> Since 2006, abortion has been legal for certain cases in Colombia, but it was not yet available upon request. <br />
<br />
==Contraception (Birth Control)== <!--T:5--><br />
<br />
===Laws & Social Stigmas=== <!--T:6--><br />
<br />
<!--T:7--><br />
In Colombia, oral contraceptives (birth control pills) and condoms are legal and widely available. They can be purchased over-the-counter at pharmacies. No prescription is required.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> However, for other contraceptive methods, such as contraceptive implants, injectables or IUDs, you will need to visit a physician.<br />
<br />
<!--T:8--><br />
Generally speaking, Colombian women use contraceptives at a slightly higher rate than the South American average. In 2015, it was found that about 78% of Colombian women (who were between 15-49 years old and married/in unions) used some form of contraception, including traditional methods, which was a bit higher than the South American average for that year (about 75% of women). Furthermore, about 8% of women had unmet family planning needs, which was lower than the South American average of that year (about 10%). The most common forms of contraception was female sterilization (about 34% of women). This was followed by contraceptive injectables (9%), birth control pills (8%), IUDs (7%), and male condoms (7%). There were rather low rates of usage for contraceptive implants (3%) and male sterilization (3%). Traditional methods, such as withdrawal/pull out method (4%) and the rhythm method (3%) were also not very common. There were practically no users of vaginal barrier methods (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref><br />
<br />
<!--T:9--><br />
In Colombia, birth control pills and IUDs were the most popular contraceptive option for women in the 1960s and 1970s. However, since that time, female sterilization has become the most common contraceptive method. Some women have cited the fact that they prefer a permanent contraceptive method, rather than worrying about maintaining a medication regimen, as a reason for seeking out sterilization. It is especially common for older women to seek out sterilization when they feel that they want no more children.<ref>[https://link.springer.com/article/10.1007/s10995-017-2296-x The Rise of Female Sterilization: A Closer Look at Colombia]</ref> In particular, Profamilia, the main family planning organization in Colombia, has provided female sterilization services to many women.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/2237994 An evaluation of Profamilia's female sterilization program in Colombia]</ref> However, there are also some concerns that people with disabilities in Colombia have undergone forced sterilization.<ref>[https://www.rootedinrights.org/report-finds-extensive-use-of-forced-sterilization-in-colombia/ Report finds extensive use of forced sterilization in Colombia]</ref><br />
<br />
<!--T:10--><br />
In 2010, the Colombian Congress passed a law that guaranteed free access to contraceptives for all citizens, including procedures like vasectomies and sterilization. When the law first passed, the first communities to receive attention were those most in need.<ref>[http://articles.latimes.com/2010/dec/12/world/la-fg-colombia-birth-control-20101212 Colombia launches large-scale birth control effort]</ref><br />
<br />
<!--T:11--><br />
In 2016, Colombia has became the country with the second highest rate of Zika viruses. This has lead the Colombian government and the Pope to promote condom usage for the Colombian people.<ref>[https://www.thecitypaperbogota.com/living/popes-words-matter-but-colombians-already-use-birth-control With or without Pope’s approval, Colombians use birth control]</ref><br />
<br />
<!--T:12--><br />
Here's is a [http://www.planet-love.com/index.php?topic=6327.0 thread] (from back in 2011) about public attitude toward birth control in Colombia.<br />
<br />
===What to Get & Where to Get It=== <!--T:13--><br />
<br />
<!--T:14--><br />
* If you want '''condoms''' ("condón" in Spanish), you can find them in pharmacies, drug stores, and sometimes in bathrooms at clubs and bars.<br />
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), you can find over 20 brands of combined and progestagen-only pills in Colombian pharmacies, including Belara, Cerazette, Cilest, Diane, Marvelon, Neogynon, Noral, Nordiol, Microfemin, Microfemin CD, Microgynon, Microgynon 28 and Nordette, etc. <br />
* If you want '''contraceptive injectables''' ("anticonceptivo inyectable" in Spanish), there are many options, including Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna, Norigynon, Progestin 100 and Progestin Depot.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You can get the injections at pharmacies or clinics in Colombia.<br />
* If you want a '''contraceptive implant''' ("implante anticonceptivo" in Spanish), you can find Jadelle in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the implant.<br />
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the IUD.<br />
<br />
===Recommended Pharmacies=== <!--T:15--><br />
<br />
<!--T:16--><br />
Here are some major pharmacies to consider, all of which provide home delivery of medication:<br />
<br />
<!--T:17--><br />
* Acuña: This is a chain store of pharmacies with home delivery. Tel: (1) 4882888<br />
* Cafam: Tel: (1) 3077011<br />
* Colsubsidio: Tel: (1) 7450999<br />
* Farmacity: Tel: (1) 6214524<br />
* Farmasanitas: 24 hours. Another big Colombian pharmacy chain with home delivery. Tel: (1) 4865000<br />
* [http://www.farmatodo.com.co/ Farmatodo]: Open 24 hours. Home delivery. This is a chain-store (i.e. well-known) pharmacy. Tel: (1) 7469000<br />
* La rebaja: Tel: 018000 939900<br />
* Locatel: Tel: (1) 4192525<br />
* Droguerias Olimpica: Another big Colombian chain with home delivery. Tel: (1) 6064000<br />
* Superpharma: Big drugstore offering home delivery. Tel: (1) 4111010<br />
<br />
===Costs=== <!--T:18--><br />
<br />
<!--T:19--><br />
* Birth control should cost between 18,000-20,000 COP, as of 2016. <br />
* In 2011, Microgynon (birth control) 21 tablets could be found for 8,374 COP, injectable birth control cost about 14,000 COP, IUD insertion was about $23 and removal was about $17.<br />
<br />
==Emergency Contraception (Morning After Pill)== <!--T:20--><br />
<br />
===Laws & Social Stigmas=== <!--T:21--><br />
<br />
<!--T:22--><br />
You can access emergency contraception (the morning after pill) in Colombia over-the-counter. While you may technically need a prescription to obtain EC,<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref> it appears that most pharmacists sell EC without a prescription. From a legal standpoint, there are no age restrictions for purchasing EC. However, many Colombian pharmacists reportedly do not sell EC to teens due to personal or moral objections. If you are a teen and you need to buy EC, it's recommended that you seek out a few pharmacies or have an older female purchase EC for you.<br />
<br />
<!--T:23--><br />
According to some sources, Colombian pharmacists often do not want to sell emergency contraception to minors, even though there are no laws that prohibit them from doing so.<ref>[[https://www.ippfwhr.org/en/blog/investigating-access-to-emergency-contraception-in-bogot%C3%A1 personal account]</ref> For this reason, if you're a minor who is seeking out emergency contraceptive pills, you may need to visit many pharmacies before you find someone who is willing to see ECPs to you.<br />
<br />
<!--T:24--><br />
In 2005, studies found that about 41% of Colombian women had knowledge of emergency contraception, and about 3% had ever used emergency contraceptives. However, as this data is rather old, we can assume that more women may have knowledge of or may have used ECPs today.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:25--><br />
<br />
<!--T:26--><br />
* In Colombia, locals report that you can purchase emergency contraceptive pills (the morning after pill) without a prescription at pharmacies (though minors may have some difficulty purchasing ECPs). For progestin-only EC, you'll find Escinor 1.5, NorLevo 1.5mg, PostDay 1 or Postinor 1 (for these brands, take 1 pill within 120 hours after unprotected sex). You can also find Emergyn, PostDay, Postinor-2, Pregnon or Tace (for these brands, take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. For progestin-only pills, you can take Microlut (take 50 pills within 120 hours after unprotected sex). You can also take progestin-estrogen combined pills but remember that, in 28-day packs, only the first 21 pills can be used. You can take Neogynon, Noral, Nordiol (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Microfemin, Microfemin CD, Microgynon, Microgynon 28 or Nordette (for these take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Microgynon Suave (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
<br />
===Costs=== <!--T:27--><br />
<br />
<!--T:28--><br />
* In 2018, emergency contraceptive pills are about 16,000 - 20,000 COP.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)== <!--T:29--><br />
<br />
===Laws & Social Stigmas=== <!--T:30--><br />
<br />
<!--T:31--><br />
There are no residency and travel restrictions related to HIV in Colombia. This means that, if you're a foreigner and you are planning to visit Colombia, you will not be asked for medical certificates or proof of your HIV status upon entering the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=49 COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> According to HIVTravel: "The Colombian Embassy in Brazil informs us that the Colombian authorities have never requested HIV-specific information from people entering the country. Proof of Yellow Fever vaccination is required from people who have visited endemic areas. The Embassy refers to the Public Health General Director in Bogotá."<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryCode=CO COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref><br />
<br />
<!--T:32--><br />
Generally speaking, Colombia has a low rate of HIV infection. It is estimated that 150,000 adults (ages 15-49) , or about 0.5% of the population, are living with HIV, as of 2017. However, HIV does particularly impact certain groups and communities, such as sex workers (1.2% infection rate), men who have sex with men (17% infection rate), injection drug users (2.8% infection rate), prisoners (1.4% infection rate), and transgender people (21.4% infection rate). For people who do live with HIV, there are social issues related to stigma and shame that they may deal with. According to a 2015 survey, only about 37% of Colombian said that they would buy fresh vegetables from a vendor if they knew that person had HIV, and only about 30% of young people (ages 15 to 24) had sufficient knowledge of HIV prevention.<ref>[http://www.unaids.org/en/regionscountries/countries/colombia Country factsheets - COLOMBIA 2017]</ref><br />
<br />
<!--T:33--><br />
One major concern for health care officials is the low HIV testing rate. The majority of Colombians never receive HIV tests, and only 20% of at-risk Colombians ever get tested.<ref>[https://www.hindawi.com/journals/art/2014/803685/ HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities]</ref> There are many factors that contribute to the low test rate, particularly because HIV tests are expensive, ranging from the equivalent of $20 to $40 USD, which is simply unaffordable to many Colombians. Furthermore, HIV may be perceived as not a real threat or real issue to Colombians, especially if they're in relationships. Doctors also typically do not offer an HIV test to their patients, especially if they're not seen as part of a traditionally high-risk group. These factors worry some officials, who think that the HIV infection rate may grow under these circumstances. There are also new groups of people who are becoming more commonly infected, such as housewives, who have contracted HIV from husbands who had unprotected sex outside of their marriage. Health care experts hope that women, along with all Colombians, can be tested more often.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref> <ref>[https://www.nyu.edu/about/news-publications/news/2016/february/a-window-to-prevent-hivaids-epidemic-in-colombia.html A Window to Prevent HIV/AIDS Epidemic in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:34--><br />
<br />
<!--T:35--><br />
In Spanish, this is how you say STDs: "Enfermedades de transmisión sexual." <br />
<br />
====Testing Facilities==== <!--T:36--><br />
<br />
<!--T:37--><br />
* [http://www.profamilia.org.co/ Profamilia]: This is basically the Planned Parenthood-like organization of Colombia. Provides STI tests and other sexual/reproductive health services. Has 66 facilities, including mobile clinics, throughout Colombia. Calle 34 #14-52, Bogotá, D.C. Colombia, P: (57-1) 339-0900. Bogota Helpline: 489-1664. Rest of the country helpline (toll free): 01-8000-110-900.<br />
<br />
====Support==== <!--T:38--><br />
<br />
<!--T:39--><br />
* Corporación de Lucha Contra el SIDA (CLS): This nonprofit, multi-partner organization provides comprehensive care to people living with HIV/AIDS, promotes HIV education and research, and helps support testing at local clinics.<br />
* Fundación Santa Fé de Bogotà: Calle 119 (#) 9-33<br />
* SIDA - Fundación Apoyemonos: CRA. 15 (#) 59 - 57 Ap. 503 <br />
* [http://www.indetectable.org/ Revista Indectable]: An online magazine for people living with HIV. Has a special section for women.<br />
* [http://fundapoyarte.org/sitio-vih/index.html Fundación Apoyarte]: Address: Carrera 15 N°124-29 Of 416 – Edificio las Arcadas, Bogotá - Colombia, Telephone: +57 1 320 4919605, Email: comunicaciones@fundapoyarte.org<br />
* [http://www.ins.gov.co Instituto Nacional de Salud]: Vigilancia y Análisis del Riesgo en Salud Pública, Address: Avenida calle 26 No. 51-60, Zona 6 CAN Bogotá, Telephone: +57 1 2207700, Fax: +57 1 2200901, Email: contactenos@ins.gov.co<br />
* [http://www.ligasida.org.co Liga Colombiana de Lucha Contra el SIDA]: Address: Cl 32 carrera 15, Bogotá, Telephone: +57 1 2454757, Fax: +57 1 2454757, Email: jpacheco@ligasida.org.co<br />
* [http://www.recolvih.org Red Colombiana de PVVS - RECOLVIH]: Address: Calle 9 # 2 - 73, Barrio La Candelaria, Bogotá, Telephone: +57 314 3399985, Email: recolvihbogota@gmail.com<br />
* [http://www.redla.org Red Latinoamericana de Personas con VIH/SIDA - REDLA+]: Secretario Regional, Address: Calidonia, Peru Avenue and 35 East Street, Masnou Building, 2-D, Panamá, Telephone: +507 396 5161, Fax: +507 396 5160, Email: repo_pa@yahoo.com<br />
* [http://www.unaids.org/en/regionscountries/countries/colombia UNAIDS Latin America]: Contact - César Antonio Núñez, Director, Regional Support Team for Latin America and the Caribbean. Phone: +5073014600. Email: nunezc@unaids.org<br />
<br />
===Costs=== <!--T:40--><br />
<br />
<!--T:41--><br />
* HIV tests can be the equivalent of $20 to $40 USD, which is unaffordable for many Colombians.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref><br />
<br />
==Medication & Vaccines== <!--T:42--><br />
<br />
===Laws & Social Stigmas=== <!--T:43--><br />
<br />
===What to Get & Where to Get It=== <!--T:44--><br />
<br />
<!--T:45--><br />
* If you have a '''yeast infection''' ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.<br />
* If you have a '''urinary tract infection''' ("Infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.<br />
* There is currently no known formal distributor or trial for '''Pre-Exposure Prophylaxis (PrEP)''' in Colombia, as of July 2018.<ref>[https://www.prepwatch.org/ PrEP Watch World Map]</ref><br />
* '''Post-Exposure Prophylaxis (PEP)''' is available in Colombia<ref>[https://www.minsalud.gov.co/English/Paginas/Transit-of-patients-with-HIV-through-Colombia.aspx Transit of patients with HIV through Colombia]</ref>, though we don't know how common or available it is.<br />
<br />
===Costs=== <!--T:46--><br />
<br />
==Menstruation== <!--T:47--><br />
<br />
===Laws & Social Stigmas=== <!--T:48--><br />
<br />
===What to Get & Where to Get It=== <!--T:49--><br />
<br />
<!--T:50--><br />
* You can find '''pads/pantyliners''' in many stores. One of the most common brands is "Nosotras," which are maxipads that vary in absorbency. <br />
* For '''tampons''', you can expect to find tampons without applicators, particularly OB. Check out the [https://www.jnjcolombia.com/tampones-ob OB Colombia website] for details. <br />
* For '''menstrual cups''', you can find a variety of brands. You can find DivaCup sold at Proveestetica (Contact: María Sanchez, E-mail: s.maryh24@hotmail.com; andresfgalvis@hotmail.com, Tel. 1-3037451, Cel. 3122547900). For Ladycup, check out [http://ladycup.co/ Ladycup Colombia]. There are also some online communities that focus on menstrual cups, and which often sell menstrual cups as well, such as [https://www.facebook.com/Copamenstrualcol/?ref=br_rs Copa Menstrual Colombia], [https://www.facebook.com/copamenstrualladycupcolombia/?ref=br_rs Copa Menstrual LadyCup Colombia], [https://www.facebook.com/EvaCopaMenstrual/?ref=br_rs Eva Copa Menstrual], etc.<br />
<br />
===Costs=== <!--T:51--><br />
<br />
==Gynecological Exams== <!--T:52--><br />
<br />
===Laws & Social Stigmas=== <!--T:53--><br />
<br />
===What to Get & Where to Get It=== <!--T:54--><br />
<br />
<!--T:55--><br />
* Check out the [[Bogotá]] and [[Medellín]] for local recommendations of individual clinics and gynecologists. <br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer gynecological exams, as well as other medical and health services. You can learn more about their examination services [https://profamilia.org.co/inicio/mujer-2/servicios-mujer/consultas-mujer/ here]. "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services."<br />
<br />
===Costs=== <!--T:56--><br />
<br />
==Pregnancy== <!--T:57--><br />
<br />
===Laws & Social Stigmas=== <!--T:58--><br />
<br />
<!--T:59--><br />
In Colombia, women are entitled to 14 weeks of maternity leave. They can leave up to 2 weeks before their expected date of delivery. By one week before expected delivery, it is mandatory that the woman takes maternity leave. As detailed in AngloInfo: "After the 37th week of pregnancy, the mother should ask her doctor to prepare a ''Licencia de maternidad pre parto'', entitling her to maternity leave one or two weeks prior to the birth of the baby. In the event of a premature birth the mother should contact the health service provider to follow the procedure with the employer."<ref>[https://www.angloinfo.com/colombia/how-to/page/colombia-healthcare-pregnancy-birth-maternity-protection AngloInfo Colombia: Maternity Protection]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:60--><br />
<br />
<!--T:88--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer fertility services. To learn more about their fertility services, click [https://profamilia.org.co/inicio/mujer-2/servicios-mujer/unidad-de-fertilidad-mujer/ here].<br />
<br />
===Costs=== <!--T:61--><br />
<br />
==Abortion== <!--T:62--><br />
<br />
===Laws & Social Stigmas=== <!--T:63--><br />
<br />
<!--T:64--><br />
In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion /><br />
<br />
Prior to the 2022 ruling, abortion was legal under three circumstances: to save the life of the woman, risk of fatal fetal malformations and cases of rape, incest or non-consensual insemination. For cases dealing with maternal health, this decision was left to medical authorities (there was no official court finding on what is included). For fetal malformations, there were no specific provisions for what qualifies at the court level, so this was left to medical opinion. For cases of rape, incest or non-consensual insemination, a report needed be made to authorities.<ref>[https://en.wikipedia.org/wiki/Abortion_in_Colombia Abortion in Colombia]</ref> In all other cases, such as to preserve physical health, to preserve mental health, economic or social reasons, or available on request, were not legal reasons, according to the 2006 Colombian Constitutional Court ruling. <br />
<br />
<!--T:65--><br />
During the 2006 court rulings, the court also considered conscientious objectors. It was decided that health care centers (e.g. clinics, hospitals, etc) cannot refuse to perform an abortion. However, individual doctors can refuse to perform abortions on religious grounds. If this is the case, they must refer women to providers who can perform abortions.<br />
<br />
<!--T:66--><br />
In 2008, it was estimated that 400,400 abortions were performed in Colombia, and only 322 of the abortions were legal. Yet it should be noted that, for decades, the abortion rate in Colombia has remained pretty consistent. For example, the rate was 36 abortions per 1000 women (of reproductive age) in 1989, and it was 39 women out of 1000 women in 2008. Some of the highest rates of abortion are in Bogota. <ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Guttmacher Institute: Unintended Pregnancy and Induced Abortion in Colombia]</ref> As reported by the Center for Reproductive Rights: "While the government continues to demonstrate its commitment to the promotion and protection of reproductive rights, women in Colombia still face barriers to accessing safe abortion services, such as onerous medical requirements to prove they qualify for a legal abortion, as well as refusals to provide safe abortion services by doctors, medical institutions —and even judges—based on their personal or moral objections."<ref>[http://www.reproductiverights.org/press-room/10-years-of-legal-abortion-in-colombia 10 Years of Legal Abortion in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:67--><br />
<br />
<!--T:68--><br />
Medical Abortion - You can access Misoprostol (the abortion pill) in Colombia. It's estimated that half of all abortions are performed this way. '''Warning''' - Go to a clinic/doctor that knows what they're doing because "... despite the drug´s safety and efficacy when used correctly, inadequate knowledge of its use among women and providers results in a high rate of complications (32%), primarily heavy bleeding and incomplete abortion."<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:69--><br />
Surgical Abortion - If you're interested in surgical abortions, you should know that 8 out of 10 facilities use the dilation and curettage (D&C) method. This is considered invasive and expensive. It's recommended to find a facility that performs surgical abortions with the manual vacuum aspiration (MVA), which is also recommended by WHO for first trimester abortions.<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:70--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer abortion services. You can schedule a consultation for an abortion on their website by clicking [https://profamilia.org.co/aborto/agenda-tu-cita/ here]. To learn more about abortion from their website, click [https://profamilia.org.co/aborto/que-es-aborto/ here]. "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services."<br />
* [http://www.orientame.org.co/ Fundación Oriéntame]: One of the two main nonprofit clinics in Bogotá that provide legal abortion services. You can [https://rewire.news/article/2014/02/05/experience-fundacion-orientame-bogota-model-reproductive-care-latin-america/ read an account] by someone who worked at Fundacion Orientame.<br />
<br />
===Costs=== <!--T:71--><br />
<br />
<!--T:72--><br />
For surgical abortion, you can expect to pay between $45 (at lower-end facilities) to $200 (at higher end facilities).<br />
<br />
==Advocacy & Counseling== <!--T:73--><br />
<br />
===Laws & Social Stigmas=== <!--T:74--><br />
<br />
===What to Get & Where to Get It=== <!--T:75--><br />
<br />
<!--T:76--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer resources/support for victims of gender-based or domestic violence. To learn more, click [http://profamilia.org.co/inicio/mujer-2/servicios-mujer/violencia-mujer/ here]. <br />
* Casa de la Mujer, Apartado 36151, Bogota, Colombia. Tel. 248 2469.<br />
* [http://www.familiesoffana.org/colombia/fana/ FANA]: "Located in Suba, the 11th locality of the Capital District of the Colombian capital city, Bogotá, FANA (the Spanish acronym for the Foundation for the Assistance of Abandoned Children) is a modern facility with up-to-date medical care, staff and equipment capable of caring for 150 children. FANA is also able to offer prenatal and delivery services to any birth mother in need. Any child who is placed for adoption is cared for in a new born intensive care facility under the supervision of full-time physicians and medical personnel."<br />
<br />
===Costs=== <!--T:77--><br />
<br />
==List of Additional Resources== <!--T:78--><br />
<br />
===LGBTQ Resources=== <!--T:79--><br />
<br />
<!--T:80--><br />
* Click [https://www.equaldex.com/region/colombia here] to learn about LGBTQ rights and laws in Colombia. As of 2018, homosexuality is legal, homosexual marriage is recognized, and it is legal to change gender.<ref>[https://www.equaldex.com/region/colombia LGBT Rights in Colombia]</ref><br />
* [http://colombiadiversa.org/ Colombia Diversa]: "Founded in 2004, Colombia Diversa is the leading organization for the defense of human rights of LGBT people in Colombia. [The organization's] work focuses on three main areas: 1. Promote and defend the human and legal rights of LGBT people in Colombia. 2. Work to positively transform perceptions about LGBT people in Colombia. 3. The promotion of the organization and the political impact of the LGBT community in Colombia." Website in Spanish and English.<br />
* [http://colombiadiversa.org/category/derechos-trans/ Colombia Diversa - Trans Rights & Cases]: To learn more about transgender-related rights and cases in Colombia, this webpage is a useful resource, which can be found on the Colombia Diversa website.<br />
* [http://caribeafirmativo.lgbt/ Caribe Afirmativo]: "Our purpose is to influence the construction and positioning of sexual and gender diversity agendas in the Caribbean, which allow the recognition of rights and access to justice for LGBTI people in a post-conflict scenario." Address: Cra 53 No. 75-87, office 4, Barranquilla, Colombia. Phone: (5) 3116810. Email: info@caribeafirmativo.lgbt<br />
* [http://ccdlgbt.blogspot.com/ Centros Comunitarios LGBT de Bogota]: This webpage provides a community space/portal for the LGBTQ community in Colombia. They have information on groups, events, etc.<br />
* [https://www.facebook.com/lgbtbogota/ LGBT Bogota Facebook Page]: This is an active Facebook page for the LGBTQ community in Bogota. They tend to focus on news and world events related to the community.<br />
<br />
====General Women's Resources==== <!--T:81--><br />
<br />
<!--T:82--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services." Address: Asociación Pro-bienestar de la Familia Colombiana, Calle 34 #14-52, Bogotá, D.C. Colombia. P: (57-1) 339-0900<br />
* [http://www.casmujer.com/ Casa de la Mujer]: "We are a feminist organization, legally constituted as a non-profit entity. We were born in 1982, in a country at war and in the midst of critical cases of violence against women that were not registered by official sources or recognized as a violation of their rights. After 35 years, we are assuming one of the most important challenges for the country: the construction of peace with social justice and with the active and equal participation of women. " Address: Corporación Casa de la Mujer, Carrera 35 # 53a - 86, Bogotá - Colombia. Telephones: (57 1) 221 8785 Fax (57 1) 222 9170. Email: coordinacion@casmujer.com.<br />
* [http://www.sismamujer.org/ Sisma Mujer]: Colombian feminist organization focused on women's citizenship and human rights. "We are a Colombian feminist organization that since 1998 has contributed to the consolidation of the women's movement, has worked with women victims of violence and discrimination because of being women, in private, public and armed conflict, for the expansion of their citizenship, the full validity of their human rights and the promotion of their role as transforming actors of their reality." Address: Carrera 13 No. 33 - 74, office 304. Email: infosisma@www.sismamujer.org. Phone: (+571) 285 93 19<br />
<br />
==References== <!--T:83--><br />
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<!--T:84--><br />
<references /><br />
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<!--T:85--><br />
{{#seo:<br />
|title=Gynopedia<br />
|titlemode=append<br />
|keywords=colombia, contraception, birth control, morning after pill, plan b, hiv, emergency contraception, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health<br />
|description=Find sexual, reproductive and women's health care in Colombia.<br />
}}<br />
<br />
</translate></div>Lani314https://gynopedia.org/w/index.php?title=Bogot%C3%A1&diff=186713Bogotá2022-02-24T13:51:36Z<p>Lani314: update based on feb 2022 ruling on abortion</p>
<hr />
<div>{{setLocation<br />
|Country=Colombia<br />
|State=Andino<br />
|City=Bogotá<br />
}}<br />
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<languages/><br />
<translate><br />
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{| class="wikitable" style="width:200px; border:1px solid black;float:right"<br />
|-<br />
|colspan="8" style="text-align:center"|[[File:La Candelaria, Bogota, Colombia (5818105341).jpg|300px | thumb|right|]]<br />
|-<br />
| '''Contraception: Over-the-Counter'''<br />
| condoms, pills<br />
|-<br />
| '''Contraception: Prescription/Clinic Required'''<br />
| IUD, implant, shot, patch, ring, <br />
|-<br />
| '''Emergency Contraception'''<br />
| no prescription required; widely available in pharmacies<br />
|-<br />
| '''STIs'''<br />
| no travel restrictions<br />
|-<br />
| '''Menstrual Products'''<br />
| pads, tampons, cups<br />
|-<br />
| '''Abortion Law'''<br />
| not available upon request; legal in restricted circumstances<br />
|-<br />
| '''LGBTQ Laws'''<br />
| homosexuality legal; gender change legal (surgery required)<br />
|-<br />
| '''Related Pages'''<br />
| [[Medellín]], [[Colombia]]<br />
|-<br />
|}<br />
<br />
'''OVERVIEW''' <br />
<br />
<!--T:2--><br />
As the capital of Colombia, you will find many health care resources in Bogota. However, you should be aware of the complex picture regarding reproductive and sexual health care in the country. On the one hand, Colombia is a primarily Catholic nation, and many Colombians attach great importance to the Catholic Church. As a result, certain health care personnel may hold traditional social views, which may impact how they interact with patients. Furthermore, Colombian society is traditionally patriarchal, and some women may struggle to realize full autonomy and independence, though this certainly varies by each individual, family, and community.<ref>[http://www.everyculture.com/Bo-Co/Colombia.html Countries and Their Cultures: Colombia]</ref> <br />
<br />
<!--T:85--><br />
On the other hand, Colombia has seen a massive expansion of its family planning services in the past few decades, particularly that of <br />
[http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)], an affiiliate of the International Planned Parenthood Federation, which has sixty-six clinics and mobile health units, and accounts for nearly three-quarters of the country’s family planning capacity. As a result, fertility rate has fallen from 6 children per woman in the 1960s to just above replacement level (i.e. about 2 children per woman), as of 2017. This is largely due to increased literacy, family planning services, and urbanization in the country.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/co.html CIA World Factbook - Colombia]</ref> Meanwhile, homosexuality, gay marriage, and gender change are all legal in Colombia.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/co.html LGBT Rights in Colombia]</ref><br />
<br />
<!--T:3--><br />
Generally speaking, contraceptives, such as birth control pills and condoms, are legal and widely available. Emergency contraception is also legal and, while a prescription may be technically required, it seems easily obtainable regardless of prescription status for women. However, some minors may experience difficulty obtaining emergency contraceptive pills, particularly if they look underaged. If you are a teenager, you are legally allowed to purchase emergency contraception, but you may need to contact a few pharmacists before finding one who grants you access to emergency contraception. Regarding STIs, there are no travel or residency restrictions related to HIV status in Colombia. Furthermore, there are numerous STI testing locations, including mobile clinics, throughout Colombia, although STI testing rates remain generally low in the country.<br />
<br />
According to Colombian law, women are entitled to 14 weeks of maternity leave. In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion>[https://www.cnn.com/2022/02/21/americas/colombia-decriminalize-abortion-intl/index.html Colombia becomes latest Latin American country to partially decriminalize abortion]</ref> Since 2006, abortion has been legal for certain cases in Colombia, but it was not yet available upon request. <br />
<br />
==Contraception (Birth Control)== <!--T:4--><br />
<br />
===Laws & Social Stigmas=== <!--T:5--><br />
<br />
<!--T:6--><br />
In Colombia, oral contraceptives (birth control pills) and condoms are legal and widely available. They can be purchased over-the-counter at pharmacies. No prescription is required.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> However, for other contraceptive methods, such as contraceptive implants, injectables or IUDs, you will need to visit a physician or trained pharmacy professional.<br />
<br />
<!--T:7--><br />
Generally speaking, Colombian women use contraceptives at a slightly higher rate than the South American average. In 2015, it was found that about 78% of Colombian women (who were between 15-49 years old and married/in unions) used some form of contraception, including traditional methods, which was a bit higher than the South American average for that year (about 75% of women). Furthermore, about 8% of women had unmet family planning needs, which was lower than the South American average of that year (about 10%). The most common forms of contraception was female sterilization (about 34% of women). This was followed by contraceptive injectables (9%), birth control pills (8%), IUDs (7%), and male condoms (7%). There were rather low rates of usage for contraceptive implants (3%) and male sterilization (3%). Traditional methods, such as withdrawal/pull out method (4%) and the rhythm method (3%) were also not very common. There were practically no users of vaginal barrier methods (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref><br />
<br />
<!--T:8--><br />
In Colombia, birth control pills and IUDs were the most popular contraceptive option for women in the 1960s and 1970s. However, since that time, female sterilization has become the most common contraceptive method. Some women have cited the fact that they prefer a permanent contraceptive method, rather than worrying about maintaining a medication regimen, as a reason for seeking out sterilization. It is especially common for older women to seek out sterilization when they feel that they want no more children.<ref>[https://link.springer.com/article/10.1007/s10995-017-2296-x The Rise of Female Sterilization: A Closer Look at Colombia]</ref> In particular, Profamilia, the main family planning organization in Colombia, has provided female sterilization services to many women.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/2237994 An evaluation of Profamilia's female sterilization program in Colombia]</ref> However, there are also some concerns that people with disabilities in Colombia have undergone forced sterilization.<ref>[https://www.rootedinrights.org/report-finds-extensive-use-of-forced-sterilization-in-colombia/ Report finds extensive use of forced sterilization in Colombia]</ref><br />
<br />
<!--T:9--><br />
In 2010, the Colombian Congress passed a law that guaranteed free access to contraceptives for all citizens, including procedures like vasectomies and sterilization. When the law first passed, the first communities to receive attention were those most in need.<ref>[http://articles.latimes.com/2010/dec/12/world/la-fg-colombia-birth-control-20101212 Colombia launches large-scale birth control effort]</ref><br />
<br />
<!--T:10--><br />
In 2016, Colombia has became the country with the second highest rate of Zika viruses. This has lead the Colombian government and the Pope to promote condom usage for the Colombian people.<ref>[https://www.thecitypaperbogota.com/living/popes-words-matter-but-colombians-already-use-birth-control With or without Pope’s approval, Colombians use birth control]</ref><br />
<br />
<!--T:11--><br />
Here's is a [http://www.planet-love.com/index.php?topic=6327.0 thread] (from back in 2011) about public attitude toward birth control in Colombia.<br />
<br />
===What to Get & Where to Get It=== <!--T:12--><br />
<br />
<!--T:13--><br />
* If you want '''condoms''' ("condon" in Spanish), you can find them in pharmacies, drug stores, and sometimes in bathrooms at clubs and bars. You can get a box of 100 European-made condoms for around 17 USD in Profamilia farmacies.<br />
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), you can find over 20 brands of combined and progestagen-only pills in Colombian pharmacies, including Belara, Cerazette, Cilest, Diane, Marvelon, Neogynon, Noral, Nordiol, Microfemin, Microfemin CD, Microgynon, Microgynon 28 and Nordette, etc. <br />
* If you want '''contraceptive injectables''' ("anticonceptivo inyectable" in Spanish), there are many options, including Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna, Norigynon, Progestin 100 and Progestin Depot.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You can get the injections at pharmacies or clinics in Colombia.<br />
* If you want a '''contraceptive implant''' ("implante anticonceptivo" in Spanish), you can find Jadelle in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the implant.<br />
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena and other IUDs in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> For example, at [http://www.clinicadelamujer.com.co/index.php/es/ Clinica de la Mujer], a private clinic, you can get an IUD insertion procedure for 320,000 COP, as of July 2018. However, it should be noted that you can probably find cheaper options at public clinics and IPPF-affiliated programs, like Profamilia.<br />
<br />
===Recommended Pharmacies=== <!--T:14--><br />
<br />
<!--T:15--><br />
Here are some major pharmacies to consider, all of which provide home delivery of medication:<br />
<br />
<!--T:16--><br />
* Acuña: This is a chain store of pharmacies with home delivery. Tel: (1) 4882888<br />
* Cafam: Tel: (1) 3077011<br />
* Colsubsidio: Tel: (1) 7450999<br />
* Farmacity: Tel: (1) 6214524<br />
* Farmasanitas: 24 hours. Another big Colombian pharmacy chain with home delivery. Tel: (1) 4865000<br />
* [http://www.farmatodo.com.co/ Farmatodo]: Open 24 hours. Home delivery. This is a chain-store (i.e. well-known) pharmacy. Tel: (1) 7469000<br />
* La rebaja: Tel: 018000 939900<br />
* Locatel: Tel: (1) 4192525<br />
* Droguerias Olimpica: Another big Colombian chain with home delivery. Tel: (1) 6064000<br />
* Superpharma: Big drugstore offering home delivery. Tel: (1) 4111010<br />
<br />
===Costs=== <!--T:17--><br />
<br />
<!--T:18--><br />
* Birth control should cost between 18,000-20,000 COP, as of 2016. <br />
* In 2011, Microgynon (birth control) 21 tablets could be found for 8,374 COP, injectable birth control cost about 14,000 COP, IUD insertion was about $23 and removal was about $17.<br />
<br />
==Emergency Contraception (Morning After Pill)== <!--T:19--><br />
<br />
===Laws & Social Stigmas=== <!--T:20--><br />
<br />
<!--T:21--><br />
You can access emergency contraception (the morning after pill) in Colombia over-the-counter. While you may technically need a prescription to obtain EC,<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref> it appears that most pharmacists sell EC without a prescription. From a legal standpoint, there are no age restrictions for purchasing EC. However, many Colombian pharmacists reportedly do not sell EC to teens due to personal or moral objections. If you are a teen and you need to buy EC, it's recommended that you seek out a few pharmacies or have an older female purchase EC for you.<br />
<br />
<!--T:22--><br />
According to some sources, Colombian pharmacists often do not want to sell emergency contraception to minors, even though there are no laws that prohibit them from doing so.<ref>[[https://www.ippfwhr.org/en/blog/investigating-access-to-emergency-contraception-in-bogot%C3%A1 personal account]</ref> For this reason, if you're a minor who is seeking out emergency contraceptive pills, you may need to visit many pharmacies before you find someone who is willing to see ECPs to you.<br />
<br />
<!--T:23--><br />
In 2005, studies found that about 41% of Colombian women had knowledge of emergency contraception, and about 3% had ever used emergency contraceptives. However, as this data is rather old, we can assume that more women may have knowledge of or may have used ECPs today.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:24--><br />
<br />
<!--T:25--><br />
* In Colombia, locals report that you can purchase emergency contraceptive pills (the morning after pill) without a prescription at pharmacies (though minors may have some difficulty purchasing ECPs). For progestin-only EC, you'll find Escinor 1.5, NorLevo 1.5mg, PostDay 1 or Postinor 1 (for these brands, take 1 pill within 120 hours after unprotected sex). You can also find Emergyn, PostDay, Postinor-2, Pregnon or Tace (for these brands, take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. For progestin-only pills, you can take Microlut (take 50 pills within 120 hours after unprotected sex). You can also take progestin-estrogen combined pills but remember that, in 28-day packs, only the first 21 pills can be used. You can take Neogynon, Noral, Nordiol (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Microfemin, Microfemin CD, Microgynon, Microgynon 28 or Nordette (for these take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Microgynon Suave (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><br />
<br />
===Costs=== <!--T:26--><br />
<br />
<!--T:27--><br />
* In 2018, emergency contraceptive pills are about 16,000 - 20,000 COP.<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)== <!--T:28--><br />
<br />
===Laws & Social Stigmas=== <!--T:29--><br />
<br />
<!--T:30--><br />
There are no residency and travel restrictions related to HIV in Colombia. This means that, if you're a foreigner and you are planning to visit Colombia, you will not be asked for medical certificates or proof of your HIV status upon entering the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=49 COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> According to HIVTravel: "The Colombian Embassy in Brazil informs us that the Colombian authorities have never requested HIV-specific information from people entering the country. Proof of Yellow Fever vaccination is required from people who have visited endemic areas. The Embassy refers to the Public Health General Director in Bogotá."<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryCode=CO COLOMBIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref><br />
<br />
<!--T:31--><br />
Generally speaking, Colombia has a low rate of HIV infection. It is estimated that 150,000 adults (ages 15-49) , or about 0.5% of the population, are living with HIV, as of 2017. However, HIV does particularly impact certain groups and communities, such as sex workers (1.2% infection rate), men who have sex with men (17% infection rate), injection drug users (2.8% infection rate), prisoners (1.4% infection rate), and transgender people (21.4% infection rate). For people who do live with HIV, there are social issues related to stigma and shame that they may deal with. According to a 2015 survey, only about 37% of Colombian said that they would buy fresh vegetables from a vendor if they knew that person had HIV, and only about 30% of young people (ages 15 to 24) had sufficient knowledge of HIV prevention.<ref>[http://www.unaids.org/en/regionscountries/countries/colombia Country factsheets - COLOMBIA 2017]</ref><br />
<br />
<!--T:32--><br />
One major concern for health care officials is the low HIV testing rate. The majority of Colombians never receive HIV tests, and only 20% of at-risk Colombians ever get tested.<ref>[https://www.hindawi.com/journals/art/2014/803685/ HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities]</ref> There are many factors that contribute to the low test rate, particularly because HIV tests are expensive, ranging from the equivalent of $20 to $40 USD, which is simply unaffordable to many Colombians. Furthermore, HIV may be perceived as not a real threat or real issue to Colombians, especially if they're in relationships. Doctors also typically do not offer an HIV test to their patients, especially if they're not seen as part of a traditionally high-risk group. These factors worry some officials, who think that the HIV infection rate may grow under these circumstances. There are also new groups of people who are becoming more commonly infected, such as housewives, who have contracted HIV from husbands who had unprotected sex outside of their marriage. Health care experts hope that women, along with all Colombians, can be tested more often.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref> <ref>[https://www.nyu.edu/about/news-publications/news/2016/february/a-window-to-prevent-hivaids-epidemic-in-colombia.html A Window to Prevent HIV/AIDS Epidemic in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:33--><br />
<br />
<!--T:34--><br />
In Spanish, this is how you say STDs: "Enfermedades de transmisión sexual." <br />
<br />
====Testing Facilities==== <!--T:35--><br />
<br />
<!--T:36--><br />
* [http://www.profamilia.org.co/ Profamilia]: This is basically the Planned Parenthood-like organization of Colombia. Provides STI tests and other sexual/reproductive health services. Has 66 facilities, including mobile clinics, throughout Colombia. Calle 34 #14-52, Bogotá, D.C. Colombia, P: (57-1) 339-0900. Bogota Helpline: 489-1664. Rest of the country helpline (toll free): 01-8000-110-900.<br />
<br />
====Support==== <!--T:37--><br />
<br />
<!--T:38--><br />
* Corporación de Lucha Contra el SIDA (CLS): This nonprofit, multi-partner organization provides comprehensive care to people living with HIV/AIDS, promotes HIV education and research, and helps support testing at local clinics.<br />
* Fundación Santa Fé de Bogotà: Calle 119 (#) 9-33<br />
* SIDA - Fundación Apoyemonos: CRA. 15 (#) 59 - 57 Ap. 503 <br />
* [http://www.indetectable.org/ Revista Indectable]: An online magazine for people living with HIV. Has a special section for women.<br />
* [http://fundapoyarte.org/sitio-vih/index.html Fundación Apoyarte]: Address: Carrera 15 N°124-29 Of 416 – Edificio las Arcadas, Bogotá - Colombia, Telephone: +57 1 320 4919605, Email: comunicaciones@fundapoyarte.org<br />
* [http://www.ins.gov.co Instituto Nacional de Salud]: Vigilancia y Análisis del Riesgo en Salud Pública, Address: Avenida calle 26 No. 51-60, Zona 6 CAN Bogotá, Telephone: +57 1 2207700, Fax: +57 1 2200901, Email: contactenos@ins.gov.co<br />
* [http://www.ligasida.org.co Liga Colombiana de Lucha Contra el SIDA]: Address: Cl 32 carrera 15, Bogotá, Telephone: +57 1 2454757, Fax: +57 1 2454757, Email: jpacheco@ligasida.org.co<br />
* [http://www.recolvih.org Red Colombiana de PVVS - RECOLVIH]: Address: Calle 9 # 2 - 73, Barrio La Candelaria, Bogotá, Telephone: +57 314 3399985, Email: recolvihbogota@gmail.com<br />
* [http://www.redla.org Red Latinoamericana de Personas con VIH/SIDA - REDLA+]: Secretario Regional, Address: Calidonia, Peru Avenue and 35 East Street, Masnou Building, 2-D, Panamá, Telephone: +507 396 5161, Fax: +507 396 5160, Email: repo_pa@yahoo.com<br />
* [http://www.unaids.org/en/regionscountries/countries/colombia UNAIDS Latin America]: Contact - César Antonio Núñez, Director, Regional Support Team for Latin America and the Caribbean. Phone: +5073014600. Email: nunezc@unaids.org<br />
<br />
===Costs=== <!--T:39--><br />
<br />
<!--T:40--><br />
* HIV tests can be the equivalent of $20 to $40 USD, which is unaffordable for many Colombians.<ref>[https://www.dw.com/en/hiv-infections-increasing-in-colombia/av-17553354 HIV infections increasing in Colombia]</ref><br />
<br />
==Medication & Vaccines== <!--T:41--><br />
<br />
===Laws & Social Stigmas=== <!--T:42--><br />
<br />
===What to Get & Where to Get It=== <!--T:43--><br />
<br />
<!--T:44--><br />
* If you have a '''yeast infection''' ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.<br />
* If you have a '''urinary tract infection''' ("Infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.<br />
* There is currently no known formal distributor or trial for '''Pre-Exposure Prophylaxis (PrEP)''' in Colombia, as of July 2018.<ref>[https://www.prepwatch.org/ PrEP Watch World Map]</ref><br />
* '''Post-Exposure Prophylaxis (PEP)''' is available in Colombia<ref>[https://www.minsalud.gov.co/English/Paginas/Transit-of-patients-with-HIV-through-Colombia.aspx Transit of patients with HIV through Colombia]</ref>, though we don't know how common or available it is.<br />
<br />
===Costs=== <!--T:45--><br />
<br />
==Menstruation== <!--T:46--><br />
<br />
===Laws & Social Stigmas=== <!--T:47--><br />
<br />
===What to Get & Where to Get It=== <!--T:48--><br />
<br />
<!--T:49--><br />
* You can find '''pads/pantyliners''' in many stores. One of the most common brands is "Nosotras," which are maxipads that vary in absorbency. <br />
* For '''tampons''', you can expect to find tampons without applicators, particularly OB. Check out the [https://www.jnjcolombia.com/tampones-ob OB Colombia website] for details. <br />
* For '''menstrual cups''', you can find a variety of brands. You can find DivaCup sold at Proveestetica (Contact: María Sanchez, E-mail: s.maryh24@hotmail.com; andresfgalvis@hotmail.com, Tel. 1-3037451, Cel. 3122547900). For Ladycup, check out [http://ladycup.co/ Ladycup Colombia]. There are also some online communities that focus on menstrual cups, and which often sell menstrual cups as well, such as [https://www.facebook.com/Copamenstrualcol/?ref=br_rs Copa Menstrual Colombia], [https://www.facebook.com/copamenstrualladycupcolombia/?ref=br_rs Copa Menstrual LadyCup Colombia], [https://www.facebook.com/EvaCopaMenstrual/?ref=br_rs Eva Copa Menstrual], etc.<br />
<br />
===Costs=== <!--T:50--><br />
<br />
==Gynecological Exams== <!--T:51--><br />
<br />
===Laws & Social Stigmas=== <!--T:52--><br />
<br />
<!--T:86--><br />
In Colombia, you have a choice of private or public clinics and hospitals. For most women in the country, they receive health care through public providers, as they are more affordable. The main provider of sexual and reproductive health care services for women in the country is [http://www.profamilia.org.co/ Profamilia].<br />
<br />
===What to Get & Where to Get It=== <!--T:53--><br />
<br />
<!--T:54--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they focus on providing low-cost and affordable health care to women in Colombia. Address: Asociación Pro-bienestar de la Familia Colombiana, Calle 34 #14-52, Bogotá, D.C. Colombia. P: (57-1) 339-0900.<br />
* [http://www.clinicadelamujer.com.co/index.php/es/ Clinica de la Mujer]: This private clinic, established in 1991, has been recommended by multiple locals. They charge 189,000 COP for an appointment consultation, as of July 2018. Address: Cra 19C No. 91-17, Bogota Colombia. Phone: Call +57 1 6161799. Email: anarino@clinicadelamujer.com.co<br />
** Recommended ob/gyn: Ricardo Martin in Clinica Santa Fe and Clinica de la Mujer: A local says: "He is amazing." Phone: 215-2300.<br />
* [https://www.fsfb.org.co/wps/portal/fsfb/inicio/servicioensalud/ Fundación Santa Fe]: This is a private university hospital, and it one of the best clinics in Colombia. Their gynecology department is equipped to handle many specialties, including Maternal Fetal Medicine, Oncology, Gynecology, Endocrinology and Infertility, Menopause, Minimally Invasive Surgery and Family Planning, and with them covers the entire perinatal cycle. Address: Carrera 7 No. 117 - 15. Telephones: (571) 6030303 / Fax (571) 6575714 / AA 220246. Email: info@fsfb.org.co <br />
* [http://www.husi.org.co/servicios-y-especialidades/especialidades-quirurgicas/ginecologia-y-obstetricia Hospital San Ignacio de Bogotá]: This private university hospital, established in 1942, does not provide regular gynecological exams, but they do provide specialized gynecological surgery for a range of issues. Address : Cra. 7 # 40-62, Bogotá, Colombia.<br />
<br />
===Costs=== <!--T:55--><br />
<br />
==Pregnancy== <!--T:56--><br />
<br />
===Laws & Social Stigmas=== <!--T:57--><br />
<br />
<!--T:58--><br />
In Colombia, women are entitled to 14 weeks of maternity leave. They can leave up to 2 weeks before their expected date of delivery. By one week before expected delivery, it is mandatory that the woman takes maternity leave. As detailed in AngloInfo: "After the 37th week of pregnancy, the mother should ask her doctor to prepare a ''Licencia de maternidad pre parto'', entitling her to maternity leave one or two weeks prior to the birth of the baby. In the event of a premature birth the mother should contact the health service provider to follow the procedure with the employer."<ref>[https://www.angloinfo.com/colombia/how-to/page/colombia-healthcare-pregnancy-birth-maternity-protection AngloInfo Colombia: Maternity Protection]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:59--><br />
<br />
<!--T:87--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer fertility services. To learn more about their fertility services, click [https://profamilia.org.co/inicio/mujer-2/servicios-mujer/unidad-de-fertilidad-mujer/ here].<br />
<br />
===Costs=== <!--T:60--><br />
<br />
==Abortion== <!--T:61--><br />
<br />
===Laws & Social Stigmas=== <!--T:62--><br />
<br />
<!--T:63--><br />
In February 2022, the Colombian Constitutional Court voted to decriminalize abortion.<ref name="cnn_colombiadecriminalizeabortion /><br />
<br />
Prior to the 2022 ruling, abortion was legal under three circumstances: to save the life of the woman, risk of fatal fetal malformations and cases of rape, incest or non-consensual insemination. For cases dealing with maternal health, this decision was left to medical authorities (there was no official court finding on what is included). For fetal malformations, there were no specific provisions for what qualifies at the court level, so this was left to medical opinion. For cases of rape, incest or non-consensual insemination, a report needed be made to authorities.<ref>[https://en.wikipedia.org/wiki/Abortion_in_Colombia Abortion in Colombia]</ref> In all other cases, such as to preserve physical health, to preserve mental health, economic or social reasons, or available on request, were not legal reasons, according to the 2006 Colombian Constitutional Court ruling. <br />
<br />
<!--T:64--><br />
During the 2006 court rulings, the court also considered conscientious objectors. It was decided that health care centers (e.g. clinics, hospitals, etc) cannot refuse to perform an abortion. However, individual doctors can refuse to perform abortions on religious grounds. If this is the case, they must refer women to providers who can perform abortions.<br />
<br />
<!--T:65--><br />
In 2008, it was estimated that 400,400 abortions were performed in Colombia, and only 322 of the abortions were legal. Yet it should be noted that, for decades, the abortion rate in Colombia has remained pretty consistent. For example, the rate was 36 abortions per 1000 women (of reproductive age) in 1989, and it was 39 women out of 1000 women in 2008. Some of the highest rates of abortion are in Bogota. <ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Guttmacher Institute: Unintended Pregnancy and Induced Abortion in Colombia]</ref> As reported by the Center for Reproductive Rights: "While the government continues to demonstrate its commitment to the promotion and protection of reproductive rights, women in Colombia still face barriers to accessing safe abortion services, such as onerous medical requirements to prove they qualify for a legal abortion, as well as refusals to provide safe abortion services by doctors, medical institutions —and even judges—based on their personal or moral objections."<ref>[http://www.reproductiverights.org/press-room/10-years-of-legal-abortion-in-colombia 10 Years of Legal Abortion in Colombia]</ref><br />
<br />
===What to Get & Where to Get It=== <!--T:66--><br />
<br />
<!--T:67--><br />
Medical Abortion - You can access Misoprostol (the abortion pill) in Colombia. It's estimated that half of all abortions are performed this way. '''Warning''' - Go to a clinic/doctor that knows what they're doing because "... despite the drug´s safety and efficacy when used correctly, inadequate knowledge of its use among women and providers results in a high rate of complications (32%), primarily heavy bleeding and incomplete abortion."<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:68--><br />
Surgical Abortion - If you're interested in surgical abortions, you should know that 8 out of 10 facilities use the dilation and curettage (D&C) method. This is considered invasive and expensive. It's recommended to find a facility that performs surgical abortions with the manual vacuum aspiration (MVA), which is also recommended by WHO for first trimester abortions.<ref>[https://www.guttmacher.org/fact-sheet/unintended-pregnancy-and-induced-abortion-colombia Unintended Pregnancy and Induced Abortion in Colombia]</ref><br />
<br />
<!--T:69--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer abortion services. They have many locations across the country, and they offer abortion services. You can schedule a consultation for an abortion on their website by clicking [https://profamilia.org.co/aborto/agenda-tu-cita/ here]. To learn more about abortion from their website, click [https://profamilia.org.co/aborto/que-es-aborto/ here]. "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services." Address: Asociación Pro-bienestar de la Familia Colombiana, Calle 34 #14-52, Bogotá, D.C. Colombia. P: (57-1) 339-0900<br />
* [http://www.orientame.org.co/ Fundación Oriéntame]: One of the two main nonprofit clinics in Bogotá that provide legal abortion services. You can [https://rewire.news/article/2014/02/05/experience-fundacion-orientame-bogota-model-reproductive-care-latin-america/ read an account] by someone who worked at Fundacion Orientame.<br />
<br />
===Costs=== <!--T:70--><br />
<br />
<!--T:71--><br />
For surgical abortion, you can expect to pay between $45 (at lower-end facilities) to $200 (at higher end facilities).<br />
<br />
==Advocacy & Counseling== <!--T:72--><br />
<br />
===Laws & Social Stigmas=== <!--T:73--><br />
<br />
===What to Get & Where to Get It=== <!--T:74--><br />
<br />
<!--T:75--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: They have many locations across the country, and they offer resources/support for victims of gender-based or domestic violence. To learn more, click [http://profamilia.org.co/inicio/mujer-2/servicios-mujer/violencia-mujer/ here]. <br />
* Casa de la Mujer, Apartado 36151, Bogota, Colombia. Tel. 248 2469.<br />
* [http://www.familiesoffana.org/colombia/fana/ FANA]: "Located in Suba, the 11th locality of the Capital District of the Colombian capital city, Bogotá, FANA (the Spanish acronym for the Foundation for the Assistance of Abandoned Children) is a modern facility with up-to-date medical care, staff and equipment capable of caring for 150 children. FANA is also able to offer prenatal and delivery services to any birth mother in need. Any child who is placed for adoption is cared for in a new born intensive care facility under the supervision of full-time physicians and medical personnel."<br />
<br />
===Costs=== <!--T:76--><br />
<br />
==List of Additional Resources== <!--T:77--><br />
<br />
===LGBTQ Resources=== <!--T:78--><br />
<br />
<!--T:79--><br />
* Click [https://www.equaldex.com/region/colombia here] to learn about LGBTQ rights and laws in Colombia. As of 2018, homosexuality is legal, homosexual marriage is recognized, and it is legal to change gender.<ref>[https://www.equaldex.com/region/colombia LGBT Rights in Colombia]</ref><br />
* [http://colombiadiversa.org/ Colombia Diversa]: "Founded in 2004, Colombia Diversa is the leading organization for the defense of human rights of LGBT people in Colombia. [The organization's] work focuses on three main areas: 1. Promote and defend the human and legal rights of LGBT people in Colombia. 2. Work to positively transform perceptions about LGBT people in Colombia. 3. The promotion of the organization and the political impact of the LGBT community in Colombia." Website in Spanish and English.<br />
* [http://colombiadiversa.org/category/derechos-trans/ Colombia Diversa - Trans Rights & Cases]: To learn more about transgender-related rights and cases in Colombia, this webpage is a useful resource, which can be found on the Colombia Diversa website.<br />
* [http://caribeafirmativo.lgbt/ Caribe Afirmativo]: "Our purpose is to influence the construction and positioning of sexual and gender diversity agendas in the Caribbean, which allow the recognition of rights and access to justice for LGBTI people in a post-conflict scenario." Address: Cra 53 No. 75-87, office 4, Barranquilla, Colombia. Phone: (5) 3116810. Email: info@caribeafirmativo.lgbt<br />
* [http://ccdlgbt.blogspot.com/ Centros Comunitarios LGBT de Bogota]: This webpage provides a community space/portal for the LGBTQ community in Colombia. They have information on groups, events, etc.<br />
* [https://www.facebook.com/lgbtbogota/ LGBT Bogota Facebook Page]: This is an active Facebook page for the LGBTQ community in Bogota. They tend to focus on news and world events related to the community.<br />
<br />
====General Women's Resources==== <!--T:80--><br />
<br />
<!--T:81--><br />
* [http://www.profamilia.org.co/ Asociación Pro-bienestar de la Familia Colombiana (Profamilia)]: "Profamilia operates sixty-six clinics and mobile health units in Colombia, accounting for nearly three-quarters of the country’s family planning capacity. It works to ensure poor people living in urban and rural communities are able to receive high-quality sexual and reproductive health services, including contraception, gynecological exams, pregnancy and STI testing, abortion, and cervical and breast cancer screenings. In 2015, Profamila provided more than three million services." Address: Asociación Pro-bienestar de la Familia Colombiana, Calle 34 #14-52, Bogotá, D.C. Colombia. P: (57-1) 339-0900<br />
* [http://www.casmujer.com/ Casa de la Mujer]: "We are a feminist organization, legally constituted as a non-profit entity. We were born in 1982, in a country at war and in the midst of critical cases of violence against women that were not registered by official sources or recognized as a violation of their rights. After 35 years, we are assuming one of the most important challenges for the country: the construction of peace with social justice and with the active and equal participation of women. " Address: Corporación Casa de la Mujer, Carrera 35 # 53a - 86, Bogotá - Colombia. Telephones: (57 1) 221 8785 Fax (57 1) 222 9170. Email: coordinacion@casmujer.com.<br />
* [http://www.sismamujer.org/ Sisma Mujer]: Colombian feminist organization focused on women's citizenship and human rights. We are a Colombian feminist organization that since 1998 has contributed to the consolidation of the women's movement, has worked with women victims of violence and discrimination because of being women, in private, public and armed conflict, for the expansion of their citizenship, the full validity of their human rights and the promotion of their role as transforming actors of their reality." Address: Carrera 13 No. 33 - 74, office 304. Email: infosisma@www.sismamujer.org. Phone: (+571) 285 93 19<br />
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==References== <!--T:82--><br />
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</translate></div>Lani314https://gynopedia.org/w/index.php?title=Miami&diff=186712Miami2022-02-18T15:26:50Z<p>Lani314: updated abortion law in florida due to feb 2022 changes</p>
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<div>{{setLocation<br />
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|State=Florida<br />
|City=Miami<br />
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[[File:Miami.jpg|400px | thumb|right|]]<br />
<br />
'''OVERVIEW'''<br />
<br />
As a major American city, you can find many health care resources in Miami. For most forms of birth control, you will need a prescription. If you're a minor, you'll typically need parental permission to obtain birth control. You can purchase many brands of emergency contraception (the morning after pill), regardless of age, but note that this may not apply to all ECP brands. There are many places where you can receive free or low-cost STI tests. There is a large LGBTQ community in Miami, and some STI resources focus on the community. Regarding pregnancy, parental leave is covered under FMLA, though this does not cover all individuals. Finally, abortion has been available upon request for the first 24 weeks after the last menstrual cycle. However, in February 2022, the Florida House passed a ban on abortions after fifteen weeks of pregnancy.<ref name=":0">https://www.npr.org/2022/02/17/1081450530/florida-house-abortion-ban</ref><br />
<br />
==Contraception (Birth Control)==<br />
<br />
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In Florida, you need a prescription to obtain most birth control methods, except for some methods (like condoms and spermicide).If you're a minor (under 18 years old), you typically need parental permission to get a birth control prescription. The only exception to the rule is if you're married, if you're a parent, if you're pregnant (or if you've ever been pregnant or if you have a health reason (as approved by a physician) for taking birth control.<ref>[https://sexetc.org/action-center/sex-in-the-states/ Sex in the States: Florida]</ref> However, if you're a minor, you can go to a Title X Clinic. These clinics are completely confidential, which means that your appointment and billing will be confidential.<br />
<br />
At Title X Clinics, teens and adults can receive sexual and reproductive health care. They charge on a sliding-scale basis. They may be able to give you a prescription to birth control pills, as well as condoms and sexual health counseling. If you pay for their services with family health insurance and you're a teenager, your parents may see that you visited the clinic in their bills.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
You can get condoms in grocery stores, drug stores, convenience stores and online. There are no age restrictions for purchasing condoms. Typically, a 12-pack of condoms costs around $12. Female condoms cost around $2 to $4 per condom. You can also get free condoms at health centers (like Planned Parenthood), HIV testing centers and local health departments. Call 1-800-230-PLAN (7526) to learn where you can get free condoms in your area.<br />
<br />
Here are some places to get contraception (birth control):<br />
<br />
* [http://www.jtchc.org/#/welcome Jessie Trice Community Health Center Incorporated - Main Clinic]: This is a community healthcare center that accept both uninsured and insured people; sliding-scale fees. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 5361 NW 22nd Ave, Miami, FL, 33142. Phone: (305) 637-6400<br />
* Dade County Health Department - Health District Family Planning Clinic: They provide low-cost services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1350 N.W. 14th St, Ste. 325, Miami, FL, 33125. Phone: (863) 361-4437<br />
* University of Miami: They accept insured people and provide LGBT-friendly services. You can get birth control options like pills, IUDs (hormonal and non-hormonal) and implants. Address: 1400 Nw 12th Avenue, Miami, FL, 33136, (305) 243-4530.<br />
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===Costs===<br />
<br />
==Emergency Contraception (Morning After Pill)==<br />
<br />
'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
Generally, anyone (no matter their age) can buy Plan B One-Step without a prescription. For other brands, like Next, Next Choice One Dose, My Way and Levonorgestrel, you can buy them without a prescription if they are 17 or older. If you want the ella pill, you'll need a prescription (regardless of age).<br />
<br />
===What to Get & Where to Get It===<br />
<br />
In the United States, you'll generally be able to find Plan B One-Step, Next Choice One-Dose and My Way in pharmacies. Here's a full breakdown of what you can expect to find, thanks to the [http://ec.princeton.edu/ Princeton EC Website]:<br />
<br />
''Dedicated Products / Anti-Progestin<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* ella<br />
<br />
''Dedicated Products / Progestin Only<br />
Take 1 pill within 120 hours after unprotected sex:''<br />
* My Way<br />
* Next Choice One Dose<br />
* Plan B One-Step<br />
* Take Action<br />
<br />
''Take 2 pills within 120 hours after unprotected sex:''<br />
* Levonorgestrel Tablets (available from a pharmacist without a prescription)<br />
<br />
If you can't access emergency contraception, many oral contraceptives can be used as replacement EC. The list of potential contraceptives that can be used for this purpose is very long, and instructions vary according to the specific brand. So, to find specific instructions based on the brands you may have available, please check out the [http://ec.princeton.edu/ Princeton EC Website]. You can search for EC under "United States" and see recommended pills and dosages on that site.<br />
<br />
'''Important Note:''' If you have been raped and want emergency contraception, you can get it at an emergency room or hospital. You can also call the National Sexual Assault Hotline at 1-800-656-HOPE (4673), which is open 24 hours and will let you know where you can get EC. For more information, you can also visit the [https://www.rainn.org/index.php RAINN (Rape, Abuse & Incest National Network) website].<br />
<br />
===Costs===<br />
<br />
==Sexually Transmitted Infections (STIs/STDs)==<br />
<br />
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
The United States has no travel restrictions related to HIV status. <br />
<br />
===Testing Facilities===<br />
<br />
* [http://miamidade.floridahealth.gov/programs-and-services/infectious-disease-services/std/index.html Florida Department of Health - Miami Dade County]: "You can now make an appointment for STD Clinic Services. Health District Center: 305-575-3800, West Perrine: 305-256-3800." Email: miamidade@flhealth.gov<br />
* [https://outofthecloset.org/testing/ Miami Out of the Closeti]: Out of the Closet is a thrift store that also offers HIV test (with a focus on the LGBT community). Give them a call to find details about testing. "Tests are performed by certified testing counselors, using the most advanced testing technology and test results are ready in 20 minutes or less. There is no more paperwork to fill out, and you can use our Touch Screens or iPads to complete your test!" Address: 2900 Biscayne Blvd., Miami, Fl 33137. Phone: 1-877-259-8728<br />
* [https://locations.aidshealth.org/ AHF Wellness Center]: They provide free testing services with a focus on the LGBT community. Address: 2900 Biscayne Blvd, Miami, FL 33137, USA. Phone: +1 877-259-8727.<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33176/kendall-health-center-2258-90320/std-testing-treatment Kendall Health Center - Miami, FL]: "Kendall Health Center offers the following services related to the testing and treatment of sexually transmitted diseases (STDs): STD testing, diagnosis and treatment, including: bacterial vaginosis (BV), chlamydia, genital warts, gonorrhea, herpes, HIV (testing and diagnosis only), syphilis, trichomoniasis (trich). Other STD testing, diagnosis and treatment services are also available. Please ask our staff for more information., STD/safer sex education, Vaccines are available: during all business hours on a walk-in basis." Address: 11440 SW 88th Street, Suite 109, Miami, FL 33176. Phone: 786.263.0001 | f: 786.263.0004.<br />
* [http://www.careresource.org/hivaids/testing-hours-locations/ Care Resource]: "STD Testing is done for syphilis (blood sample), gonorrhea and chlamydia (urine sample), free of charge. In our Broward location the test results are returned in 3-4 business days; in our Dade locations the results are returned in 2 – 2 1/2 weeks. Treatment options are provided as well as additional support services." Care Resource is a nonprofit organization providing health care to children, adolescents and adults. They have many locations for testing in Miami, including Care Resource Midtown (3510 Biscayne Blvd., Miami, FL 33137) and Care Resource Little Havana (Care Resource Little Havana). For a complete list of locations, click [http://www.careresource.org/hivaids/testing-hours-locations/ here].<br />
<br />
===Support===<br />
<br />
* [http://aidsnet.org/ Miami-Dade HIV/AIDS Partnership]: "Our vision is to eliminate disparities and improve health outcomes for all people living with or at risk for HIV/AIDS." <br />
* [http://www.jacksonhealth.org/services-sfan.asp#gref South Florida AIDS Network (SFAN)]: They provide many HIV/AIDS services, including education, confidential HIV tests, Medicaid waiver program, etc.<br />
* [http://hepatitisfoundation.org/ Hepatitis Foundation]: This is a national organization focused on hepatitis.<br />
<br />
===Costs===<br />
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==Medications & Vaccines==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* If you think you have a urinary tract infection (UTI), you'll need to visit a doctor, who will give you a check-up and test to see if you have a UTI. If you do have a UTI, you will be prescribed antibiotics to treat the infection. You cannot get UTI antibiotic medication without a prescription.<br />
* If you have a yeast infection, you can get treatment over-the-counter (no prescription needed). The most common yeast infection treatment in the United States is called "Monistat." There are different treatment plans (for example, 1 day, 3 days and 7 days). It's recommended to do more than 1 day to completely clear the infection.<br />
* You can get the HPV vaccine in Florida. The Florida Department of Health also helps young girls get their vaccines. Click [http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/immunizations/index.html here] for more details.<br />
* You can get PrEP in Miami, even if you're uninsured, at places like Care Resource (Little Havana), Care Resource (Miami-Dade), Care Resource (Miami Beach), Empower "U" Inc., Community Health Center and other locations. Check out this [https://www.greaterthan.org/get-prep/ link] to find PrEP in your area.<br />
* You can get PEP at [http://www.miamiurgentcare.com/hiv-post-exposureprophylaxis.html Miami Urgent Care] (callː 305 494-0536) and other health care locations.<br />
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===Costs===<br />
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==Menstruation==<br />
<br />
'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* Pads and tampons are incredibly common in the United States. You should be able to find them at most convenience stores and grocery stores in Miami. If you want organic tampons, you may be able to find them at Whole Foods (299 Se 3rd Street or 1020 Alton Rd.), Publix Super Market (multiple locations), CVS, Winn Dixie and Target. There's also company called [http://www.kaliboxes.com/ Kali], which is based out of Ft. Lauderdale and sends you organic menstrual products (pads and/or tampons) in the mail each month.<br />
* You can buy many menstrual cup brands, such as DivaCup and Lunette, at stores like Walgreens and CVS.<ref>[http://menstrualcupmap.com/ Menstrual Cup Map]</ref><br />
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===Costs===<br />
<br />
==Gynecological Exams==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For lower-cost services, one option is to visit Planned Parenthood. You should try to book an appointment online or via phone before visiting, if possible. Services provided may include: checkups when you have a reproductive/sexual health problem, breast exams, cervical cancer screening, colposcopy, cryotherapy, LEEP (treatment of abnormal pap), mammogram referrals, menopause and midlife education, Pap test, urinary tract infection (UTI) testing and treatment, vaginal infection testing and treatment. Other services we may provide include help with irregular periods or no periods, painful periods, painful sex, bleeding between periods, menstrual problems (premenstrual syndrome) or even a lost tampon."There are three main locations:<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/womens-health Planned Parenthood - Jean Shehan Health Center]ː Address: 1378 Coral Way, 4th Fl, Miami, FL, 33145. Phone: 305-285-5535<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33186/kendall-health-center-2258-90320/womens-health Planned Parenthood - Kendall Health Center]: Address: 8900 SW 117th Avenue Unit 207-B, Miami, FL, 33186. Phone: 786-263-0001.<br />
** [https://www.plannedparenthood.org/health-center/florida/miami/33169/golden-glades-miami-health-center-4183-90320?utm_campaign=golden-glades-miami-health-center&utm_medium=organic&utm_source=local-listing Planned Parenthood - Golden Glade Center]: Address: 585 NW 161st St, Miami, FL 33169. Phone: 305-831-4111.<br />
* [https://www.miamiobgyns.com/gynecology/ Miami Center of Excellence for Obstetrics & Gynecology]ː This provider seems to be recommended by Miami locals, and they also seem to take uninsured people.<br />
* [http://evewomensmedical.com/OBGYN-checkup-gynecological-services.html Eve Women's Health Center]ː "At Eve Women’s Medical Centers, we are here to help you and to provide you with comprehensive, low cost, quality health care, in a safe, serene and supportive atmosphere." 24Hr Hotlines 305-591-2288 305-670-9797.<br />
<br />
===Costs===<br />
<br />
==Pregnancy==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, the National Family and Medical Leave Act (FMLA) guarantees 12 weeks of unpaid maternity leave for women. But the FLMA has loopholes (for example, it doesn't apply to companies with less than 50 employees). So, for this reason, many women don't actually receive 12 weeks of maternity leave, and many women (even if their employers do qualify) can't take off 12 weeks of unpaid work. There is currently no comparable federal paternity leave policy in the United States.<br />
<br />
===What to Get & Where to Get It===<br />
<br />
===Costs===<br />
<br />
==Abortion==<br />
<br />
'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].<br />
<br />
===Laws & Social Stigmas===<br />
<br />
In the United States, abortion has been fully legal since the Roe v. Wade Supreme Court decision (1973).<br />
<br />
In February 2022, the Florida House approved a ban on most abortions after fifteen weeks of pregnancy.<ref name=":0" /> This was a departure from the previous state policy, in which people could obtain abortions upon request in the first 24 weeks after the last menstrual cycle. After 24 weeks, people could only obtain an abortion if their life or health is endangered by the pregnancy. <br />
<br />
If someone is a minor (under 18 years old), their parents must be notified before they obtain an abortion. Furthermore, before someone obtains an abortion, they must receive an ultrasound and the health care provider must ask if they want to see the image.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
In 2014, there were 86 facilities that provided abortions in Florida, and 70% of Florida counties had no clinics that provided abortions.<ref>[https://www.guttmacher.org/fact-sheet/state-facts-about-abortion-florida State Facts About Abortion: Florida]</ref><br />
<br />
===What to Get & Where to Get It===<br />
<br />
* [https://www.plannedparenthood.org/health-center/florida/miami/33145/jean-shehan-health-center-3369-90320/abortion Jean Shehan Health Center- Miami, FL]ː Services includeː "abortion pill (medication abortion), pre- and post-abortion patient education, post-abortion follow-up exams, referrals for other abortion services, as needed." Addressː 3119A Coral Way, Miami, FL 33145. Phone: 305.285.5535. Fax: 305.285.6956<br />
* [http://www.eveabortioncarespecialists.com/ Eve Medical Centers]ː They provide abortions for first and second trimester.<br />
* [http://www.aastrawomenscenter.com/ Aastra Women's Center]ː Services includeː surgical abortion, abortion pill. Addressː 10 Southwest 44th Avenue, Plantation, Florida 33317 | Phoneː 954-792-9198<br />
<br />
Important Note: Be careful -- there are some places that advertise themselves as abortion clinics, but they're actually anti-abortion clinics, typically run by pro-life Christian conservatives. They're known as crisis pregnancy centers (PRC). The main issues with these centers are that 1) They often falsely advertise themselves as abortion clinics and 2) They don't allow people to make choices for themselves (they only accept one choice). For these reasons, if you're looking for an abortion provider, we urge you to carefully select a trusted service. For more information on PRC, click [https://en.wikipedia.org/wiki/Crisis_pregnancy_center here].<br />
<br />
===Costs===<br />
<br />
Nationwide, the abortion pill can cost $800, but often less. For an in-clinic procedure, abortions can cost $1500, but often less. You can often find cheaper options at Planned Parenthood or some clinics. For low-income women (regardless of citizenship status), there are a variety of programs that may help pay for these costs.<br />
<br />
If you need help paying for an abortion, call the National Abortion Federation Hotline at 1-800-772-9100, Monday–Friday, 7 a.m. to 11 p.m.; Saturday–Sunday, 9 a.m. to 9 p.m. (Eastern Daylight Time). The hotline can tell you where and how to get financial help for an abortion in the U.S.<br />
<br />
==Advocacy & Counseling==<br />
<br />
===Laws & Social Stigmas===<br />
<br />
===What to Get & Where to Get It===<br />
<br />
* For emergencies, call 911 to get police and an ambulance.<br />
* If you're dealing with domestic abuse, you can call the [http://www.thehotline.org/ National Domestic Violence Hotline Number] at 1-800-787-3224. "Our highly-trained advocates are available 24/7 to talk confidentially with anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. "<br />
* [https://suicidepreventionlifeline.org/ National Suicide Prevention Lifeline]: Call 1-800-273-8255. "We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals."<br />
* If you have been abused and are in need of support, the [http://rainn.org Rape, Abuse, and Incest National Network (RAINN)] may be able to provide help and counseling. Visit their website call their 24-hour crisis hotline at 1-800-656-HOPE.<br />
* [http://www.thetrevorproject.org/ The Trevor Project (Lifeline)]: Call: 866-488-7386. This is a 24/7 hotline for LGBT youth. "Our trained counselors are here to support you 24/7. If you are a young person in crisis, feeling suicidal, or in need of a safe and judgment-free place to talk, call the Trevor Lifeline now at 866-488-7386."<br />
* [http://www.glbthotline.org/national-hotline.html Lesbian, Gay, Bisexual & Transgender National Hotline]: Toll-free: 1-888-843-4564. HOURS: Monday thru Friday from 1pm to 9pm, pacific time (Monday thru Friday from 4pm to midnight, eastern time). Saturday from 9am to 2pm, pacific time. (Saturday from noon to 5pm, eastern time). "All of our services are free and confidential.We speak with callers of all ages about coming-out issues, relationship concerns, bullying, workplace issues, HIV/AIDS anxiety and safer-sex information, and lots more!"<br />
<br />
===Costs===<br />
<br />
==List of Additional Resources==<br />
<br />
==References==<br />
<references /><br />
<br />
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