San José (Costa Rica)

Costa Rica / Central Valley / San Jose (Costa Rica)

OVERVIEW

Contraception (Birth Control)

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 here.

Laws & Social Stigmas

In Costa Rica, you can purchase contraception (birth control) over-the-counter. No prescription is required. According to a 2015 report, 78.9% of Costa Rican women (who are married/in unions and of reproductive age & married) use some form of contraception, including traditional methods, and 6.2% have unmet family planning needs. For these women, the most popular contraceptive methods were female sterilization (27.7%), birth control pills (21%), condoms (11%) and injectables (8.8%).

What to Get & Where to Get It

• For a list of contraceptive options available in Costa Rica, click here.
• In Costa Rica, you can purchase birth control pills over-the-counter. You can find phasic and combined pills, and the brands typically come from Germany, the UK and the USA. Some brands you may see are Cilest, Femiane, Gynovin, Harmonet, Lo-Rondal, Microgynon, Microgynon-30, Minulet, Miranova, Mirelle, Nordette, Norgylene, Norinyl, Norinyl 1+50, Qlaira, Trinordiol, Yaz, Yasmin and Yermonil.
• If you want a contraceptive shot/injectable, you can options produced in Brazil, Mexico, Costa Rica, USA and Germany. Some of the brands are Cyclofemina, Depo-Provera SAS 150mg/ml, Mesigyna, Norigynon, Noristerat, Proter, Topasel and Yectames.
• If you want a contraceptive implant, you can find Norplant, which has Levonorgestrel 36 x 6 mg and is produced by Bayer HealthCare.
• If you want an IUD, you can get Mirena, which is a hormonal IUD with Levonorgestrel 52 mg, and it's produced by Bayer HealthCare.

Emergency Contraception (Morning After Pill)

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) 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 here and here.

Laws & Social Stigmas

In Costa Rica, emergency contraception (the morning after pill) is illegal. However, you can use regular birth control pills as replacement EC, which we detail in the section below ("What To Get & Where to Get It").

What to Get & Where to Get It

• In Costa Rica, dedicated emergency contraception (the morning after pill) is illegal. However, you can use regular birth control pills as replacement EC. Just remember that, in 28-day packs, only the first 21 pills can be used. Here's what you can do:
  • For any of these brands, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later: Denoval-Wyeth, Neogynon, Nordiol, Ovral, Primovlar
  • For any of these brands, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later: Lo-Rondal, Microgynon-30, Nordette, Norgylene
• You can also get an IUD to prevent pregnancy after unprotected sex. See the "Contraception (Birth Control)" section for details.

Sexually Transmitted Infections (STIs/STDs)

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 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 here.

Laws & Social Stigmas

In Costa Rica, there are no travel or residency restrictions related to HIV status. You can enter the country without being asked for a medical certificate. Furthermore, you won't be deported if you test positive for HIV when you're in the country.

Regarding HPV, according to the HPV Information Centre, "About 3.3% of women in the general population are estimated to harbour cervical HPV-16/18 infection at a given time, and 62.9% of invasive cervical cancers are attributed to HPVs 16 or 18."

Testing Facilities

• In Costa Rica, you can get an STI test at a public clinic or private clinic. If you want to go to a public clinic, the services should be pretty good. However, if you want the highest-quality and fastest services, you can choose to go to a private clinic. Some of the best private hospitals/clinics in the city are The Clínica Bíblica, Cima Hospital and the Clínica Católica.

Support

• Ospedal San Juan de Dios: This hospitals specializes in HiV/AIDS treatment.
• Ospedal México: This hospitals specializes in HiV/AIDS treatment.
• There are no specialized private clinics for HIV/AIDS in Costa Rica.
• The following physicians are recommended (among others) for HIV/AIDS treatment: Sr. Dr. Moya (Phone: 257 2890) and Sr. Dr. Ignácio Salón (Beeper: 256 7890)

Medications & Vaccines

What to Get & Where to Get It

• If you have a yeast infection, you can ask the pharmacist for Fluconazole. The words for "yeast infection" in Spanish are " infección por levaduras."
• This is how you say "urinary tract infection" in Spanish: "Infecciones de las vías urinarias"
• Costa Rica has no national HPV vaccination program, according to a 2016 report. However, you should probably be able to find the HPV vaccine in hospitals and clinics.
• There appears to be no national PrEP (Pre-Exposure Prophylaxis) program.
• We're not sure if PEP (Post-Exposure Prophylaxis) is available in Costa Rica -- if someone does, please update this page!

Costs

If you're registered with Costa Rican social insurance, or if you're a foreigner who legally resides in Costa Rica and pays contributions to the social insurance system, you can receive free HIV treatment.

Menstruation

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 here. To learn more about menstrual underwear, click here.

What to Get & Where to Get It

In Costa Rica, you can find pads, tampons and menstrual cups. Pads are the most readily accessible, and they can be found in pharmacies and grocery stores. While you can find tampons, there's a limited variety and they're not sold in all stores. You can purchase menstrual cups from FemmeCup Costa Rica or you can buy DivaCup online from Mama Ecologica (Avenida 3 Calles 2 y 4 Santo Domingo, Heredia Province, Costa Rica).

Abortion

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 here.