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United States of America: Difference between revisions
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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. | 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. | ||
=== | ===Clinics=== | ||
Since the clinic options vary by metropolitan area, here are some general guidelines when trying to find a provider: | |||
* [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. | |||
* 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. | |||
* 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. | |||
* 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. | |||
=== What's available === | |||
* '''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> | * '''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> | ||
* '''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> | * '''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> | ||
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* '''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> | * '''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> | ||
* '''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> | * '''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> | ||
* '''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> | |||
===Costs=== | ===Costs=== | ||
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* '''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" /> | * '''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" /> | ||
* '''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" /> | * '''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" /> | ||
* '''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" /> | * '''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" /> | ||
* '''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" /> | * '''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" /> | ||
* '''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" /> | |||
==Emergency Contraception (Morning After Pill)== | ==Emergency Contraception (Morning After Pill)== | ||