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Australia: Difference between revisions
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[[File:Flag of Australia (converted).svg.png|300px | thumb|right|]] | {| class="wikitable" style="width:200px; border:1px solid black;float:right" | ||
|- | |||
|colspan="8" style="text-align:center"|[[File:Flag of Australia (converted).svg.png|300px | thumb|right|]] | |||
|- | |||
| '''Contraception: Over-the-Counter''' | |||
| condoms | |||
|- | |||
| '''Contraception: Prescription Required’’’ | |||
| pills, IUDs, injectable, implant | |||
|- | |||
| '''Emergency Contraception''' | |||
| no prescription required | |||
|- | |||
| '''STIs''' | |||
| testing available; no travel restrictions | |||
|- | |||
| '''Menstrual Products''' | |||
| pads, tampons, cups | |||
|- | |||
| '''Abortion Law''' | |||
| laws depend on state; generally legal | |||
|- | |||
| '''LGBTQ Laws''' | |||
| homosexuality legal | |||
|- | |||
| '''Related Pages''' | |||
| [[Melbourne]], [[Sydney]] | |||
|- | |||
|} | |||
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In Australia, you can find an incredible amount of health care resources, many of which are progressive and LGBT-friendly. While you'll need a prescription for contraception, the prescription process is rather straight-forward, and you may even be able to get a prescription online. As for emergency contraception, it's fully legal for all ages and no prescription is required. There is access to both PrEP and PEP, and many health centers, both large and small, provide STI/STD testing. Regarding abortions, laws vary from | In Australia, you can find an incredible amount of health care resources, many of which are progressive and LGBT-friendly. While you'll need a prescription for contraception, the prescription process is rather straight-forward, and you may even be able to get a prescription online. As for emergency contraception, it's fully legal for all ages and no prescription is required. There is access to both PrEP and PEP, and many health centers, both large and small, provide STI/STD testing. Regarding abortions, laws vary from state to state. For example, in Victoria, you can get an abortion for up to 24 weeks of pregnancy, and if two physicians recommend it, you can even get an abortion after that time. However, this is not the case in other states. | ||
==Contraception (Birth Control)== <!--T:4--> | ==Contraception (Birth Control)== <!--T:4--> | ||
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'''General Note:''' There are many types of contraceptives, including IUDs, oral contraceptives | '''General Note:''' There are many types of contraceptives, including IUDs, oral contraceptives, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | ||
===Laws & Social Stigmas=== <!--T:6--> | ===Laws & Social Stigmas=== <!--T:6--> | ||
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[[File:Levlen australia.jpg|300px | thumb|left|frame|'''Levlen ED birth control pills purchased in Australia''']] | |||
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In Australia, you | In Australia, you can purchase condoms without a prescription at pharmacies. However, you need a prescription to obtain most other forms of contraception, such as birth control pills, implants, injectables, 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> To receive a prescription, you'll typically need to schedule a consultation with a General Practitioner (GP). The consultations are are pretty straight-forward and don't usually require pelvic exams. There is an incredibly wide range of contraceptives offered, though it should be noted that contraceptive patches are not available in Australia, as of February 2019. It is estimated that 67%-70% of Australian women of fertility age (who are married or in unions) use some form of contraception,<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide, 2015]</ref> without about 24% of Australian women on oral contraceptives. | ||
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===What to Get & Where to Get It=== <!--T:9--> | ===What to Get & Where to Get It=== <!--T:9--> | ||
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[[File:Femme ed australia.jpg|200px | thumb|right|frame|'''Femme-Tab ED birth control pills purchased in Australia''']] | |||
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* | * You can receive '''contraceptive counseling''' at [https://www.mariestopes.org.au/ Marie Stopes Australia]. These are appointments where patients discuss their health issues and concerns to help determine which contraceptive method is best for them. You can also check out the [https://www.contraception.org.au/ Contraception website], which lets you know what options are available in Australia. | ||
* If you want '''condoms''', they're easy to purchase at supermarkets, chemists/pharmacies, convenience stores and petrol stations. If you're looking for free condoms, check out | * If you want '''condoms''', they're easy to purchase at supermarkets, chemists/pharmacies, convenience stores and petrol stations. If you're looking for free condoms, check out the [https://endinghiv.org.au/stay-safe/find-free-condoms/ Ending HIV website], which shows free condom distributors across Australia. Some states also have programs that focus on free condom access for youth (such as the [https://www.fpnsw.org.au/media-news/news-events/health-promotion-projects/condom-credit-card-project NSW Condom Credit Card (CCC)] program). There's also [http://www.redaware.org.au/sexual-health-information/ Red Aware]: "If you live in Australia, you can receive a free safe sex kit with condoms tin, and awesome safe sex ... Would you like to sign up to receive a free RedAware safe sex kit?" | ||
* If you're interested in '''birth control pills''', you will need to consult with a physicians for a prescription. Once you have a prescription, you'll find a wide variety of birth control pills available | * If you're interested in '''birth control pills''', you will need to consult with a physicians for a prescription. You can consult a women's clinic or an NGO, like [https://www.mariestopes.org.au/ Marie Stopes Australia], to obtain a prescription. Once you have a prescription, you'll find a wide variety of birth control pills available (over 30 brands registered) in Australia.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=AU IPFF Australia]</ref> | ||
* As for '''IUDs''', you can get them | * As for '''IUDs''', you can get them at various clinics and health care facilities, such as [https://www.mariestopes.org.au/ Marie Stopes Australia]. | ||
* If you want a '''contraceptive implant''', you can find Implanon | ** One female traveler wrote about the Mirena that they got in Australia: "It lasts up to 5 years, needs to be fitted by an OBGYN (some charge to put it in, some don't), costs about $40 to buy the IUD if you have a Medicare card and about $245 if you don't." | ||
* If you want a '''contraceptive shot/injectable''', you can find Depo-Provera and Depo-Ralovera in Australia.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=AU IPFF Australia]</ref> | ** Tip from Marie Stopes Australia Staff: "Many people are inclined to get their IUD with their GP, however we strongly recommend that they do with a proceduralist, like Marie Stopes Australia. Many GPs haven’t performed an insertion at all, or don’t perform them regularly and this makes the risk of perforation or other side effects much higher. A proceduralist, like Marie Stopes or Family Planning are people who specialise in doing the insertion and removal of contraception and might perform it up to 10 times a day, so they are going to be much more skilled at minimising pain and the risk of side effects." | ||
* If you want a '''contraceptive implant''', you can get them at various clinics and health care facilities, such as [https://www.mariestopes.org.au/ Marie Stopes Australia]. One brand you may find is Implanon.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=AU IPFF Australia]</ref> | |||
* If you want a '''contraceptive shot/injectable''', you can get them at various clinics and health care facilities, such as [https://www.mariestopes.org.au/ Marie Stopes Australia]. Some brands you can expect to find are Depo-Provera and Depo-Ralovera in Australia.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=AU IPFF Australia]</ref> | |||
* The '''contraceptive patch''' is not available in Australia, as of February 2019. | |||
===Costs=== <!--T:11--> | ===Costs=== <!--T:11--> | ||
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* For '''birth control pills,''' you may pay $3-6 for a month supply, if you’re eligible for a Medicare card. It's common to pay for a 4-month supply upfront. | |||
* For '''condoms''', if you're a young person, you should look into the Condom Credit Card, which is "a friendly, confidential way for young people to get FREE condoms! Simply go to a Family Planning NSW clinic or a service that displays the CCCard posters and ask for your own CCCard. Then you can to receive free condoms every time you present your CCCard at a registered provider." For more information about the Condom Credit Card, visit the [https://www.fpnsw.org.au/media-news/news-events/health-promotion-projects/condom-credit-card-project NSW website] or the [http://www.bettertoknow.org.au/AMS Aboriginal Medical Services website]. | |||
* For an '''IUD''', costs will vary, depending on whether your health coverage. If you're not covered, you can expect to pay around $100 for the insertion procedure, plus the additional cost of the IUD device (which is around $200 without sedation and around $450 with sedation), at [https://www.mariestopes.org.au/ Marie Stopes Australia], as of November 2018. | |||
* For a '''contraceptive implant''', you can expect to pay around $100 for the insertion procedure, plus the additional cost of the implanted device (around $100), at [https://www.mariestopes.org.au/ Marie Stopes Australia], as of November 2018. | |||
* For a '''contraceptive shot/injectable''', you can expect to pay $90 for the injection and and $30 for necessary medications at [https://www.mariestopes.org.au/ Marie Stopes Australia], as of November 2018. | |||
* One Australian wrote, "I am from Queensland (Gold Coast) and have Medicare so costs might be a bit different. Levlen cost $10-12 ish (for a box of 4 x 28 pills). The Implanon (without Medicare) was about $200 and with Medicare about $30 plus I had to go to a clinic to have a doctor put it in. Average cost of doctor's visit in Australia (without Medicare) is $60-80." | |||
For condoms, if you're a young person, you should look into the Condom Credit Card, which is "a friendly, confidential way for young people to get FREE condoms! Simply go to a Family Planning NSW clinic or a service that displays the CCCard posters and ask for your own CCCard. Then you can to receive free condoms every time you present your CCCard at a registered provider." For more information about the Condom Credit Card, visit the [https://www.fpnsw.org.au/media-news/news-events/health-promotion-projects/condom-credit-card-project NSW website] or the [http://www.bettertoknow.org.au/AMS Aboriginal Medical Services website]. | * '''Important Tip''': If you qualify, you may want to get a Medicare Card and look into Bulk Billing, which is a payment option under Australia's Medicare system. When the health service provider (e.g. doctor) bills the government (via the patient's Medicare card), the provider is paid 85% of the scheduled fee for outpatient services and 75% of the scheduled fee for inpatient services by the government. This allows the service provider to receive a fixed proportion of the scheduled fee and avoid debt collection. And, as a patient, this means you may not be charged anything. | ||
'''Important Tip''': If you qualify, you may want to get a Medicare Card and look into Bulk Billing, which is a payment option under Australia's Medicare system. When the health service provider (e.g. doctor) bills the government (via the patient's Medicare card), the provider is paid 85% of the scheduled fee for outpatient services and 75% of the scheduled fee for inpatient services by the government. This allows the service provider to receive a fixed proportion of the scheduled fee and avoid debt collection. And, as a patient, this means you may not be charged anything. | |||
==Emergency Contraception (Morning After Pill)== <!--T:16--> | ==Emergency Contraception (Morning After Pill)== <!--T:16--> | ||
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Emergency | Emergency contraceptive pills are legal and obtainable without a prescription. There are no age restrictions and anyone, no matter their sex, can buy them. EC pills can be found in public sector clinics, pharmacies and emergency rooms. The law requires that pharmacists supply EC for therapeutic reasons. This means that, if a pharmacists wants to confirm therapeutic need, he or she may ask questions about your medical history, medical issues and any medications that you're currently taking before issuing EC. | ||
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* It should cost around 15-45 AUD to purchase the emergency contraceptive pill, as of 2018.<ref>[https://www.mariestopes.org.au/contraception/emergency-contraception/ Morning after pill cost]</ref> | |||
==Sexually Transmitted Infections (STIs/STDs)== <!--T:28--> | ==Sexually Transmitted Infections (STIs/STDs)== <!--T:28--> | ||
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'''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]. | '''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]. | ||
===Laws & Social Stigmas=== <!--T:30--> | ===Laws & Social Stigmas=== <!--T:30--> | ||
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If you are applying for permanent Australian visa, you will be required to take an HIV test. If you are found to be HIV+, this will not automatically disqualify you but it will be included in the criteria used to assess your application.<ref>[HIV Travel: Australia]</ref> | If you are applying for permanent Australian visa, you will be required to take an HIV test. If you are found to be HIV+, this will not automatically disqualify you but it will be included in the criteria used to assess your application.<ref>[HIV Travel: Australia]</ref> | ||
===Testing Facilities=== <!--T:34--> | |||
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* You can get STI/STD tests from most doctors, family planning clinics, or sexual healths clinics in Australia. Check out the city pages, such as [[Melbourne]] and [[Sydney]] pages, for specific recommendations. | |||
* HIV self-administered test kits (home HIV test kits) are not sold in individual pharmacies although the kit was actually introduced in Australia in 2014 following the government lifting restrictions of self-testing, direct to consumer kits. But these kits have not yet been approved by the TgA (The Therapeutic Goods Administration which falls under the Department of Health in Australia). Hence, because they have not yet been regulated or approved by the TGA they are currently not legally allowed to be sold or exported. When it comes HIV testing in Australia, the choice is between Rapid HIV testing, which has TGA approval, but is limited to clinical situations and must be carried out by appropriately trained workers and laboratory based tests, which involve a medical blood draw and laboratory analysis of the sample. | |||
* [http://www.checkyourrisk.org.au/ Check Your Risk] - This is NOT a replacement for an STI/STD test. But it is a resource, based out of Australia, that helps you assess your risk | * [http://www.checkyourrisk.org.au/ Check Your Risk] - This is NOT a replacement for an STI/STD test. But it is a resource, based out of Australia, that helps you assess your risk | ||
* There are companies, for example INSTI®, that provide rapid HIV screening testing kits online anywhere in Australia but, in the case of INSTI® the company is Canadian and based in Canada. Positive HIV screening results will require further testing by a laboratory/clinic which can actually diagnose the disease. | |||
===Support=== <!--T:89--> | |||
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* [http://www.ahmf.com.au Australian Herpes Management Forum] | * [http://www.ahmf.com.au Australian Herpes Management Forum] | ||
* [https://www.afao.org.au/ Australian Federation of AIDS Organisations] | * [https://www.afao.org.au/ Australian Federation of AIDS Organisations] | ||
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* [http://www.easydna.com.au/knowledge-base/home-hiv-testing-in-australia/ Laws and Info for HIV home kits] | * [http://www.easydna.com.au/knowledge-base/home-hiv-testing-in-australia/ Laws and Info for HIV home kits] | ||
===Costs=== <!--T: | ===Costs=== <!--T:91--> | ||
==Medications & Vaccines== <!--T:39--> | ==Medications & Vaccines== <!--T:39--> | ||
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[[File:Priceline Pharmacy Australia.jpg|300px | thumb|left|A pharmacy in Australia]] | |||
===Laws & Social Stigmas=== <!--T:40--> | ===Laws & Social Stigmas=== <!--T:40--> | ||
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===What to Get & Where to Get It=== <!--T:41--> | ===What to Get & Where to Get It=== <!--T:41--> | ||
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For yeast infections, you should be able to buy Canesten in Australia pharmacies or online at [http://www.chemistwarehouse.com.au/Shop-Online/1402/Thrush-Treatments Chemist Warehouse]. Regarding the HPV vaccine, Australia is incredibly proactive and has vaccination programs in place for both girls and boys. For more info on Australia's HPV vaccination program, check out [http://www.australia.gov.au/hpv this link]. For most STI/STD medications, you will need to first visit a physician for a prescription, which you can then usually fill at hospitals or pharmacies. | * For yeast infections, you should be able to buy Canesten in Australia pharmacies or online at [http://www.chemistwarehouse.com.au/Shop-Online/1402/Thrush-Treatments Chemist Warehouse]. Regarding the HPV vaccine, Australia is incredibly proactive and has vaccination programs in place for both girls and boys. For more info on Australia's HPV vaccination program, check out [http://www.australia.gov.au/hpv this link]. For most STI/STD medications, you will need to first visit a physician for a prescription, which you can then usually fill at hospitals or pharmacies. | ||
* '''Pre-Exposure Prophylaxis (PrEP)''' is available, but the drugs are extremely expensive and require a medical prescription. You can order the drug online as importation is permitted under the Personal Importation Scheme Rules set by the Therapeutic Goods Administration. Only a three month supply for personal use is permitted. According to PrEPWatch: "There are three ongoing demonstration projects in Australia—VicPrEP in MSM, transgender women, heterosexual serodiscordant couples and people who received N-PEP on more than two occasions; PRELUDE in men and women at high and ongoing risk of HIV; and EPIC-NSW enrolling high-risk, mostly gay and bisexual men in New South Wales. A fourth demonstration project, PrEPX, will start later this year. The Therapeutic Goods Administration has approved daily oral Truvada for HIV prevention."<ref>[http://www.prepwatch.org/australia/ PrEP Watch: Australia]</ref> | |||
* You can be assessed for '''Post Exposure Prophylaxis (PEP)''' at sexual health clinics, doctors (including some general practitioners) who specialise in HIV/AIDS, and hospital accident and emergency departments (which are open 24 hours). There are sexual health (MSHC) centres, which are walk-in clinics providing testing and treatment for sexually transmissible infections. For people with a relevant visa, that have applied for permanent residency or are a visitor from a reciprocal health care agreement country, treatment is given for free, if they hold a Medicare card. You can call PEP Information Line (1800 889 887) for more information. | |||
===Costs=== <!--T: | ===Costs=== <!--T:94--> | ||
==Menstruation== <!--T: | ==Menstruation== <!--T:95--> | ||
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===Laws & Social Stigmas=== <!--T:48--> | ===Laws & Social Stigmas=== <!--T:48--> | ||
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In January 2019, the federal government officially abolished the GST (goods and services tax) from menstrual products sales. In the past, menstrual products were considered a "luxury," so a 10% tax was added to their sales.<ref>[https://www.abc.net.au/news/2018-10-03/tampon-tax-to-go-states-and-territories-agree-to-remove-gst/10332490 Tampon tax to go, with states and territories agreeing to remove GST from sanitary products]</ref> | |||
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There have been some state initiatives to improve menstrual product access. For example, in the state of Victoria, the Victorian Women's Trust implemented paid period leave.<ref>[https://edition.cnn.com/2018/10/03/health/period-leave-australia-explainer-intl/index.html Employer's paid period leave policy in Australia stirs world debate]</ref> | |||
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'''Here are some Australian menstrual resources to check out:''' | |||
* [https://jeanhailes.org.au/health-a-z/periods/about-the-menstrual-cycle Jean Hailes Organisation - FAQ on the menstrual cycle] | |||
* [https://lovelibra.com/ Love Libra] - They sell menstrual products and provide educational resources | |||
* [https://lovelibra.com/libra-girl/ Love Libra Girl] - This is a resource for teenage girls in Australia and New Zealand | |||
===What to Get & Where to Get It=== <!--T:49--> | ===What to Get & Where to Get It=== <!--T:49--> | ||
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Pads and tampons (without applicators) are very easy to find. Aside from being sold in supermarkets, pharmacies and convenience stores, you can also find them in many bathrooms. You can find tampons with applicators (usually cardboard), like Tampax or Kotex, in major supermarkets and shopping malls. As for menstrual cups, there is one Australian distributor of DivaCup: [http://www.bartonbrands.com.au Barton Brands], Represented By: Lightning Brokers: PO Box 1218, Springwood, Qld 4127, 1-300-884-456, info@biosports.com.au. As for MoonCup, there are no distributors in Australia, it seems, so it should be bought online. As for LadyCup, there are no distributors in Australia, so it's best to buy online or purchase online from an NZ distributor, like Tweedle or Mother's Instinct. | * Pads and tampons (without applicators) are very easy to find. Aside from being sold in supermarkets, pharmacies and convenience stores, you can also find them in many bathrooms. You can find tampons with applicators (usually cardboard), like Tampax or Kotex, in major supermarkets and shopping malls. Some other major brands in the menstrual product space are U, Libra, and Stayfree. If you're looking for environmentally-friendly menstrual products, you can also check out [https://thetomco.com/our-brands/tom-organic/ TOM Organic] or [http://cottons.com.au/ Cottons]. | ||
** Tip: You can get free tampon samples from [https://www.ubykotex.com.au/ U by Kotex]. | |||
* As for menstrual cups, there is one Australian distributor of DivaCup: [http://www.bartonbrands.com.au Barton Brands], Represented By: Lightning Brokers: PO Box 1218, Springwood, Qld 4127, 1-300-884-456, info@biosports.com.au. As for MoonCup, there are no distributors in Australia, it seems, so it should be bought online. As for LadyCup, there are no distributors in Australia, so it's best to buy online or purchase online from an NZ distributor, like Tweedle or Mother's Instinct. | |||
===Costs=== <!--T:51--> | ===Costs=== <!--T:51--> | ||
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===Laws & Social Stigmas=== <!--T:53--> | ===Laws & Social Stigmas=== <!--T:53--> | ||
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In the past, the Australian health care system recommended a "pap smear" every two years. However, in the last few years, the system has been completely overhauled and a "cervical screen" is now recommended, which is done every five years (if your results are clear). The cervical screen is considered more effective at finding health risks.<ref>[http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/the-pap-test-has-changed-more-accurate-less-often The Pap test has changed: More Accurate. Less Often.]</ref> | |||
===What to Get & Where to Get It=== <!--T:54--> | ===What to Get & Where to Get It=== <!--T:54--> | ||
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* For local recommendations of gynecologists and women's clinics, please visit the city pages, such as the [[Melbourne]] and [[Sydney]] pages. | |||
* You can get a cervical screen from your General Practitioner (GP) and, if you’re eligible for a Medicare card, they’re usually bulk billed. | |||
===Costs=== <!--T:55--> | ===Costs=== <!--T:55--> | ||
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===What to Get & Where to Get It=== <!--T:58--> | ===What to Get & Where to Get It=== <!--T:58--> | ||
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* [http://homebirthaustralia.org/ Home Birth Australia]: "HBA is the peak national body for Homebirth in Australia. We are consumers, midwives and related health professionals committed to ensuring the survival of homebirth as a birth option for Australian women." email: info@homebirthaustralia.org | |||
* [http://www.maternitychoices.org.au/ Maternity Choices Australia]: "We aim to see all women, no matter their circumstances have access to a number of maternity care choices that are based on respectful, women-centred care and are modelled and delivering care that is formed on best evidence." | |||
* [http://www.mothering.org.au/ The Australian Motherhood Initiative for Research and Community Involvement (AMIRCI) ]: The Australian Motherhood Initiative for Research and Community Involvement (AMIRCI) is a non-profit organisation devoted to promoting research into mothering, motherhood, motherwork, and related areas." | |||
* [https://www.panda.org.au/ PANDA - Perinatal Anxiety & Depression Australia]: "PANDA - Perinatal Anxiety & Depression Australia supports women, men and families across Australia affected by anxiety and depression during pregnancy and in the first year of parenthood. PANDA operates Australia’s only National Helpline (Call 1300 726 306) for individuals and their families to recover from perinatal anxiety and depression, a serious illness that affects up to one in five expecting or new mums and one in ten expecting or new dads." | |||
===Costs=== <!--T:59--> | ===Costs=== <!--T:59--> | ||
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'''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 | '''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 series of pills to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For more information about medical and surgical abortions, you can visit the [https://www.mariestopes.org.au/abortion/ Marie Stopes Australia abortion page]. | ||
===Laws & Social Stigmas=== <!--T:62--> | ===Laws & Social Stigmas=== <!--T:62--> | ||
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In Australia, abortion laws are determined by state. In Victoria, abortion is permitted for up to 24 weeks of pregnancy. After 24 weeks, it is legal if two physicians agree that it is appropriate. All standard reasons for an abortion are permitted, including | In Australia, abortion laws are determined by state. We have provided some information (see below) -- and for additional information, you can review this [https://www.childrenbychoice.org.au/factsandfigures/australianabortionlawandpractice summary], provided by Children by Choice. | ||
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In the state of Victoria, abortion is permitted for up to 24 weeks of pregnancy. After 24 weeks, it is legal if two physicians agree that it is appropriate. All standard reasons for an abortion are permitted, including to save the life of the woman, to preserve physical health, to preserve mental health, rape or incest, fetal impairment, economic or social reasons, and available on request. Furthermore, Mifepristone (the abortion pill) was registered in 2012. The abortion laws in Victoria have been in place since the Abortion Law Reform Act (2008). Before that time, the Victorian Crimes Act, abortions were only permitted if the pregnancy threatened the life of health of the woman.<ref>[https://en.wikipedia.org/wiki/Abortion_Law_Reform_Act_2008_(Victoria) Abortion Law Reform Act 2008 (Victoria)]</ref> | |||
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In Queensland, abortion laws changed in 2018, when the state’s parliament voted to legalize abortion upon request.<ref>[https://www.theguardian.com/australia-news/2018/oct/17/queensland-parliament-votes-to-legalise-abortion Queensland parliament votes to legalise abortion]</ref> | |||
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In the state of New South Wales, abortion was decriminalized in September 2019.<ref>[https://edition.cnn.com/2019/09/26/asia/abortion-australia-decriminalized-intl-hnk/ CNN: Abortion decriminalized in Sydney after Australian lawmakers overturn 119-year-old law]</ref> Before that time, it was legally permitted in many scenarios, which were very general and broad, meaning that many people were still able find legal means of obtaining an abortion in New South Wales.<ref>[https://www.clinic66.com.au/pregnancy-termination-abortion/abortion-legal-australia/ Is Abortion Legal in Australia?]</ref> However, the passing of the decriminalization legislation unambiguously enabled people to obtain abortion services, fully and legally. | |||
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Regarding | Regarding Misoprostol availabilty, Women on Waves reports that "Misoprostol is available as cytotec. We do not have any information on how easy it is to get in a pharmacy. In 2012, mifepristone and misoprostol were approved for use in termination of pregnancy by our Therapeutic Goods Administration (http://www.tga.gov.au/hp/information-medicines-mifepristone-gymiso.htm). They are only available through medical practitioners, and cannot be purchased over the counter in pharmacies without a prescription. In practice, access will be difficult for women who don’t live geographically near a clinic or practitioner who provides this service (a similar problem for surgical abortion in Australia)."<ref>[https://www.womenonwaves.org/en/page/4970/australia--organizations-and-clinics Australia: Organizations and clinics, Women on Waves]</ref> | ||
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In some states, abortion facilities are protected. In these cases, it is illegal to protest within 150 meters of an abortion service.<ref>[http://childrenbychoice.org.au/factsandfigures/australianabortionlawandpractice Australian Abortion Law and Practice]</ref> However, this does not apply to all states. | |||
===What to Get & Where to Get It=== <!--T:66--> | ===What to Get & Where to Get It=== <!--T:66--> | ||
====Medical Abortion ("the abortion pill") Information==== <!--T:68--> | |||
====Medical Abortion ("the abortion pill") | |||
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Women can access medical abortion through a phone service telephone number: 1300 003 707. | |||
* | * Please note that General Practitioners can provide medical terminations in primary care practices and community health centres, however often don't want to advertise this for fear of anti-choice picketers or other activities. Check with a Family Planning organisation in the state or territory you are in to find your closest provider. | ||
====Clinics & Hospitals Offering Abortion Services==== <!--T:70--> | ====Clinics & Hospitals Offering General Abortion Services==== <!--T:70--> | ||
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Visit the city pages for recommended | * Tip: Visit the city pages, such as the [[Melbourne]] or [[Sydney]] pages, for recommended clinics at a local level. | ||
* [https://www.mariestopes.org.au/ Marie Stopes Australia]: Marie Stopes provides surgical abortion, medical abortion, vasectomy, contraception (and Tubal Ligation in Western Australia only) and counselling. Prices can be found [https://www.mariestopes.org.au/bookings/prices/ here], but they do vary a little by state. All of services come with access to a 24/7 aftercare line in case of complications or concerns. Marie Stopes offer both medical and surgical terminations, including medical abortion via telephone (telehealth). They also offer [https://www.mariestopes.org.au/your-choices/decision-based-abortion-counselling/ decision based counselling] for patients who are unsure if an abortion is right for them, as well as post-abortion counselling for any patients who request it. No referral is required, (except in Western Australia where it is a requirement to access abortion services), patients can call them directly to arrange an appointment or discuss their options on 1300 207 382 or inquire online. Callers outside Australia: +61 3 9658 7470. If you’ve had a procedure and have any concerns, please call [https://www.mariestopes.org.au/support-services/24-hour-aftercare/ 24-hour aftercare service]. | |||
* Queensland based organisation, [https://www.childrenbychoice.org.au/ Children by Choice], maintains a list of larger providers on their website: Queensland services [https://www.childrenbychoice.org.au/forwomen/abortion/clinicsqld here]; Other states and territories [https://www.childrenbychoice.org.au/forwomen/abortion/clinicsinterstate here] | |||
===Costs=== <!--T:72--> | ===Costs=== <!--T:72--> | ||
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===Laws & Social Stigmas=== <!--T:75--> | ===Laws & Social Stigmas=== <!--T:75--> | ||
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* For legal information, you can look into contacting the [https://feministlegal.org/ Feminist Legal Clinic] | |||
===What to Get & Where to Get It=== <!--T:76--> | ===What to Get & Where to Get It=== <!--T:76--> | ||
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* 1800 RESPECT or 1800 737 732: The National Sexual Assault, Family & Domestic Violence Counselling Line is a free telephone and online confidential service for any Australian experiencing or who has experienced domestic or family violence and/or sexual assault. It is available 24 hours a day, 7 days a week. | * 1800 RESPECT or 1800 737 732: The National Sexual Assault, Family & Domestic Violence Counselling Line is a free telephone and online confidential service for any Australian experiencing or who has experienced domestic or family violence and/or sexual assault. It is available 24 hours a day, 7 days a week. | ||
* [http://www.wdvcs.org.au/ Women’s Domestic Violence Crisis Service]: 1800 015 188 or 03 9322 3555 | * [http://www.wdvcs.org.au/ Women’s Domestic Violence Crisis Service]: 1800 015 188 or 03 9322 3555 | ||
* 1800 RESPECT or 1800 737 732: The National Sexual Assault, Family & Domestic Violence Counselling Line is a free telephone and online confidential service for any Australian experiencing or who has experienced domestic or family violence and/or sexual assault. It is available 24 hours a day, 7 days a week. | |||
* 13 11 14: "Lifeline has a national number who can help put you in contact with a crisis service in your State. Anyone across Australia experiencing a personal crisis or thinking about suicide can call 13 11 14." | |||
* Suicide Call Back Service: Call 1300 659 467. For ages 15+. Provides immediate telephone counseling and support in a crisis. Available 24/7. | |||
* Aboriginal Family Domestic Violence Hotline: 1800 019 123 | |||
* [https://www.beyondblue.org.au/ beyondblue]: Call 1300 22 4636 or chat online. "3 million Australians are living with anxiety or depression. beyondblue provides information and support to help everyone in Australia achieve their best possible mental health, whatever their age and wherever they live." | |||
===Costs=== <!--T:78--> | ===Costs=== <!--T:78--> | ||
==List of Additional Resources== <!--T:79--> | ==List of Additional Resources== <!--T:79--> | ||
* | * [http://www.health.gov.au/ The Department of Health - Australia] | ||
* | * [http://familyplanningallianceaustralia.org.au/ Family Planning Alliance Australia]: "Family Planning Alliance Australia is the nation's peak body in reproductive and sexual health. It promotes advances in public health through policy insight and advocacy and represents leading health and education agencies across Australia." Email: secretariat@familyplanningallianceaustralia.org.au | ||
* [http://www. | * [http://awhn.org.au/ Australian Women's Health Network]: "The Australian Women’s Health Network (AWHN) is a health promotion advocacy organisation that provides a national voice on women’s health." | ||
* | * [https://www.waac.org.au/ Women's Abortion Action Campaign (WAAC)]: "Women’s Abortion Action Campaign (WAAC), formed in 1972 by the Women’s Liberation Movement, began as a national campaign in Adelaide, Brisbane, Melbourne, Canberra and Sydney... WAAC also works actively with abortion rights groups throughout Australia and internationally." Email: contact_waac@yahoo.com.au | ||
* Education | * [https://www.afmw.org.au/ Australian Federation of Medical Women]: "The voice of Australian medical women advocating for, and supporting, the health and welfare of our local, national and international communities." | ||
* | * [http://www.arha.org.au/ Australian Reproductive Health Assocation]: "ARHA gives precedence to supplying fundamental reproductive health services to pregnant girls, young people, and difficult-to-reach populations, including those. Linking reproductive health services to AIDS and HIV prevention, care and treatment is increasingly being viewed as an essential strategy to enlarging accessibility to both forms of care." Phone: +61 2 9411 1466. Email: stewart@arha.org.au | ||
* | * [http://www.reproductivechoiceaustralia.org.au/ Reproductive Choice Australia]: "Reproductive Choice Australia is a coalition of organisations and individuals who are interested in ensuring that women’s reproductive rights are protected and enhanced in Australia." | ||
* [http://www.womenaustralia.info/index.html The Australian Women's Register]: "The Australian Women's Register is a rich and growing source of information about Australian women and their organisations. It contains 6826 entries with references to 4189 archival resources, 8461 published resources and 1248 digital resources." | |||
* | * [https://www.equalityrightsalliance.org.au/ Equality Rights Alliance]: "Equality Rights Alliance is Australia’s largest network advocating for women’s equality, women’s leadership and recognition of women’s diversity. We bring together 61 organisations with an interest in advancing women’s equality." Phone: 02 6175 9988. Email: era.admin@ywca.org.au | ||
* | * [https://www.ceh.org.au/multicultural-sexual-health-network/ Multicultural Sexual Health Network]: "MSHN brings together people working across sectors to share information, enhance service coordination and explore ways to improve sexual health for people from refugee and migrant backgrounds." | ||
* | * [https://iaha.com.au/ Indigenous Allied Health Alliance]: "Aboriginal and Torres Strait Islander health professionals play a vital role in addressing the health and wellbeing of Australia’s First Peoples." Email: admin@iaha.com.au | ||
* | * [http://sexworker.org.au/ RhED]: "Resourcing health & Education (RhED) is a service for the sex industry in Victoria." | ||
* | * [http://www.scarletalliance.org.au/ Scarlet Alliance]: "Scarlet Alliance, Australian Sex Workers Association is the national peak sex worker organisation in Australia." | ||
* | * [https://awgsa.org.au/ The Australian Women’s and Gender Studies Association (AWGSA)]: "The Australian Women’s and Gender Studies Association (AWGSA) is the peak body representing researchers, academics and students of Women’s Studies and Gender Studies in Australia." | ||
* [http://www.auswhn.org.au/ The Australian Women’s History Network]: "The Australian Women’s History Network promotes research and writing in all fields of women’s history. It brings together scholars, students and others working in women’s history to exchange ideas, information, support and resources." | |||
* [http://www.shfpact.org.au/ Sexual Health and Family Planning ACT]: "SHFPACT's purpose is improved sexual and reproductive health for the Canberra community, within a framework of human rights, social justice and prudent financial management for long-term sustainability." Reception : 02 6247 3077. Email: shfpact@shfpact.org.au | |||
* [http://www.sydneyfeminists.org/ Sydney Feminists]: "We are a group of passionate women and men working towards social change through education. We use workshops, documentary films and social media to educate the public about the numerous ways women are still discriminated against in Western society and around the world." | |||
* [https://lgbtihealth.org.au/ The National LGBTI Health Alliance]: "The National LGBTI Health Alliance is the national peak health organisation in Australia for organisations and individuals that provide health-related programs, services and research focused on lesbian, gay, bisexual, transgender, and intersex people (LGBTI) and other sexuality, gender, and bodily diverse people and communities." | |||
* [http://www.blackrainbow.org.au/ Black Rainbow]: "Black Rainbow is Australia’s first and only National Aboriginal and Torres Strait Islander Lesbian, Gay, Bisexual, Queer, Trans* and Intersex (LGBQTI) Suicide Prevention National Advocacy Platform and National Touchpoint. We support Aboriginal and Torres Strait Islander LGBQTI people who are homeless, leaving domestic violence relationships or the justice system. We are 100% Indigenous owned and operated." | |||
* [http://www.genderqueer.org.au/ Genderqueer Australia]: "Genderqueer Australia is social and peer support for who identifies gender-questioning or genderqueer. Get in contact at contact@genderqueer.org.au." | |||
==References== <!--T:80--> | ==References== <!--T:80--> | ||
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|title=Gynopedia | |title=Gynopedia | ||
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|keywords= australia, birth control, | |keywords= australia, 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 | ||
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Latest revision as of 15:27, 4 May 2020
Contraception: Over-the-Counter | condoms | ||||||
Contraception: Prescription Required’’’ | pills, IUDs, injectable, implant | ||||||
Emergency Contraception | no prescription required | ||||||
STIs | testing available; no travel restrictions | ||||||
Menstrual Products | pads, tampons, cups | ||||||
Abortion Law | laws depend on state; generally legal | ||||||
LGBTQ Laws | homosexuality legal | ||||||
Related Pages | Melbourne, Sydney |
OVERVIEW
In Australia, you can find an incredible amount of health care resources, many of which are progressive and LGBT-friendly. While you'll need a prescription for contraception, the prescription process is rather straight-forward, and you may even be able to get a prescription online. As for emergency contraception, it's fully legal for all ages and no prescription is required. There is access to both PrEP and PEP, and many health centers, both large and small, provide STI/STD testing. Regarding abortions, laws vary from state to state. For example, in Victoria, you can get an abortion for up to 24 weeks of pregnancy, and if two physicians recommend it, you can even get an abortion after that time. However, this is not the case in other states.
Contraception (Birth Control)
General Note: There are many types of contraceptives, including IUDs, oral contraceptives, shots, and condoms, etc. If you would like to view a full list, click here.
Laws & Social Stigmas
In Australia, you can purchase condoms without a prescription at pharmacies. However, you need a prescription to obtain most other forms of contraception, such as birth control pills, implants, injectables, and IUDs.[1] [2] To receive a prescription, you'll typically need to schedule a consultation with a General Practitioner (GP). The consultations are are pretty straight-forward and don't usually require pelvic exams. There is an incredibly wide range of contraceptives offered, though it should be noted that contraceptive patches are not available in Australia, as of February 2019. It is estimated that 67%-70% of Australian women of fertility age (who are married or in unions) use some form of contraception,[3] without about 24% of Australian women on oral contraceptives.
Note: Australian women who believe they may have been adversely affected by Yaz or Yasmin can register for a potential class action suite: http://tgb.com.au/enquire/class-action/
What to Get & Where to Get It
- You can receive contraceptive counseling at Marie Stopes Australia. These are appointments where patients discuss their health issues and concerns to help determine which contraceptive method is best for them. You can also check out the Contraception website, which lets you know what options are available in Australia.
- If you want condoms, they're easy to purchase at supermarkets, chemists/pharmacies, convenience stores and petrol stations. If you're looking for free condoms, check out the Ending HIV website, which shows free condom distributors across Australia. Some states also have programs that focus on free condom access for youth (such as the NSW Condom Credit Card (CCC) program). There's also Red Aware: "If you live in Australia, you can receive a free safe sex kit with condoms tin, and awesome safe sex ... Would you like to sign up to receive a free RedAware safe sex kit?"
- If you're interested in birth control pills, you will need to consult with a physicians for a prescription. You can consult a women's clinic or an NGO, like Marie Stopes Australia, to obtain a prescription. Once you have a prescription, you'll find a wide variety of birth control pills available (over 30 brands registered) in Australia.[4]
- As for IUDs, you can get them at various clinics and health care facilities, such as Marie Stopes Australia.
- One female traveler wrote about the Mirena that they got in Australia: "It lasts up to 5 years, needs to be fitted by an OBGYN (some charge to put it in, some don't), costs about $40 to buy the IUD if you have a Medicare card and about $245 if you don't."
- Tip from Marie Stopes Australia Staff: "Many people are inclined to get their IUD with their GP, however we strongly recommend that they do with a proceduralist, like Marie Stopes Australia. Many GPs haven’t performed an insertion at all, or don’t perform them regularly and this makes the risk of perforation or other side effects much higher. A proceduralist, like Marie Stopes or Family Planning are people who specialise in doing the insertion and removal of contraception and might perform it up to 10 times a day, so they are going to be much more skilled at minimising pain and the risk of side effects."
- If you want a contraceptive implant, you can get them at various clinics and health care facilities, such as Marie Stopes Australia. One brand you may find is Implanon.[5]
- If you want a contraceptive shot/injectable, you can get them at various clinics and health care facilities, such as Marie Stopes Australia. Some brands you can expect to find are Depo-Provera and Depo-Ralovera in Australia.[6]
- The contraceptive patch is not available in Australia, as of February 2019.
Costs
- For birth control pills, you may pay $3-6 for a month supply, if you’re eligible for a Medicare card. It's common to pay for a 4-month supply upfront.
- For condoms, if you're a young person, you should look into the Condom Credit Card, which is "a friendly, confidential way for young people to get FREE condoms! Simply go to a Family Planning NSW clinic or a service that displays the CCCard posters and ask for your own CCCard. Then you can to receive free condoms every time you present your CCCard at a registered provider." For more information about the Condom Credit Card, visit the NSW website or the Aboriginal Medical Services website.
- For an IUD, costs will vary, depending on whether your health coverage. If you're not covered, you can expect to pay around $100 for the insertion procedure, plus the additional cost of the IUD device (which is around $200 without sedation and around $450 with sedation), at Marie Stopes Australia, as of November 2018.
- For a contraceptive implant, you can expect to pay around $100 for the insertion procedure, plus the additional cost of the implanted device (around $100), at Marie Stopes Australia, as of November 2018.
- For a contraceptive shot/injectable, you can expect to pay $90 for the injection and and $30 for necessary medications at Marie Stopes Australia, as of November 2018.
- One Australian wrote, "I am from Queensland (Gold Coast) and have Medicare so costs might be a bit different. Levlen cost $10-12 ish (for a box of 4 x 28 pills). The Implanon (without Medicare) was about $200 and with Medicare about $30 plus I had to go to a clinic to have a doctor put it in. Average cost of doctor's visit in Australia (without Medicare) is $60-80."
- Important Tip: If you qualify, you may want to get a Medicare Card and look into Bulk Billing, which is a payment option under Australia's Medicare system. When the health service provider (e.g. doctor) bills the government (via the patient's Medicare card), the provider is paid 85% of the scheduled fee for outpatient services and 75% of the scheduled fee for inpatient services by the government. This allows the service provider to receive a fixed proportion of the scheduled fee and avoid debt collection. And, as a patient, this means you may not be charged anything.
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. 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
Emergency contraceptive pills are legal and obtainable without a prescription. There are no age restrictions and anyone, no matter their sex, can buy them. EC pills can be found in public sector clinics, pharmacies and emergency rooms. The law requires that pharmacists supply EC for therapeutic reasons. This means that, if a pharmacists wants to confirm therapeutic need, he or she may ask questions about your medical history, medical issues and any medications that you're currently taking before issuing EC.
According to the International Consortium for Emergency Contraception, "While community pharmacists are not required by law to ask specific questions prior to supplying LNG-EC in Australia, questioning may occur in practice. The Pharmaceutical Society of Australia supports increased access for young women with no specific restrictions on third party supply and advanced supply. Access can be limited in rural areas if the only pharmacist in town has a conscientious objection to supplying the LNG-ECP and there is no alternative supplier nearby. There are no legal age restrictions for supplying ECPs, but many pharmacists may prefer to refer women under 16 years of age to a doctor rather than provide it themselves over the counter."[7]
There are strict guidelines in Australia, dictated by the Pharmaceutical Society of Australia, regarding how EC should be sold by local chemists. While most pharmacists/chemists follow these guidelines, studies showed that "pharmacists had stronger, more conservative attitudes than overseas pharmacists"[8] and "22% of pharmacists felt it was reasonable for their religious faith to influence supply."[9] Furthermore, many Australian women report that they don't receive adequate information from pharmacists. As reported by the Conversation in 2015, "...62% of the women we spoke to expressed concern about the lack of privacy. What’s more, many women were confused about this type of pill – some thought it caused an abortion (32%) and others that it would cause defects if they were to fall pregnant later (61%). Only 20% of pharmacists always informed women about how the emergency contraceptive pill worked, while the majority spoke about how long it would remain effective after unprotected sex. Many pharmacists agreed that the pill shouldn’t be supplied if unprotected sex had occurred longer than three days ago."[10]
What to Get & Where to Get It
Note: You can now buy ellaOne in Australia, which is an emergency contraceptive that is effective for up to five days after unprotected sex. Of course, take EC as soon as possible -- but, if it has been a few days since you had unprotected sex, try to find ellaOne. If you can't access 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.
For dedicated EC, progestin-only, there are Levonelle-1, Norlevo-1 and Postinor 1 (take 1 pill within 120 hours after unprotected sex). There are also Levonelle-2 and Postinor-2 (take 2 pills within 120 hours after unprotected sex). If you cannot access dedicated EC, you may use some oral contraceptives as EC. They are Microlut (take 50 pills within 120 hours after unprotected sex), Levlen ED, Microgynon 30 ED, Monofeme 28, Nordette 28 (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later), or Loette, Microgynon 20 ED or Microlevlen ED (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).[11]
As reported by the Conversation: "If a woman had unprotected sex outside of this timeframe, a pharmacist can still supply the emergency contraceptive pill. This supply is called 'off label' as it is outside of the TGA-licensed use. In such cases, pharmacists should inform women about the effectiveness of this emergency contraception beyond three days and document that they supplied it. (Or they could recommend the woman have an intrauterine device (IUD) placed instead. This IUD is the most effective form of emergency contraception and can be inserted up to five days after unprotected sex.)"[12]
Costs
- It should cost around 15-45 AUD to purchase the emergency contraceptive pill, as of 2018.[13]
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
If you are applying for permanent Australian visa, you will be required to take an HIV test. If you are found to be HIV+, this will not automatically disqualify you but it will be included in the criteria used to assess your application.[14]
Testing Facilities
- You can get STI/STD tests from most doctors, family planning clinics, or sexual healths clinics in Australia. Check out the city pages, such as Melbourne and Sydney pages, for specific recommendations.
- HIV self-administered test kits (home HIV test kits) are not sold in individual pharmacies although the kit was actually introduced in Australia in 2014 following the government lifting restrictions of self-testing, direct to consumer kits. But these kits have not yet been approved by the TgA (The Therapeutic Goods Administration which falls under the Department of Health in Australia). Hence, because they have not yet been regulated or approved by the TGA they are currently not legally allowed to be sold or exported. When it comes HIV testing in Australia, the choice is between Rapid HIV testing, which has TGA approval, but is limited to clinical situations and must be carried out by appropriately trained workers and laboratory based tests, which involve a medical blood draw and laboratory analysis of the sample.
- Check Your Risk - This is NOT a replacement for an STI/STD test. But it is a resource, based out of Australia, that helps you assess your risk
- There are companies, for example INSTI®, that provide rapid HIV screening testing kits online anywhere in Australia but, in the case of INSTI® the company is Canadian and based in Canada. Positive HIV screening results will require further testing by a laboratory/clinic which can actually diagnose the disease.
Support
- Australian Herpes Management Forum
- Australian Federation of AIDS Organisations
- National Association of People Living with HIV Australia
- Australian Management Guidelines of Syphilis
- Hepatitis Australia: They have a national information hotline (1-800-437-222)
- Hepatitis Victoria
- Laws and Info for HIV home kits
Costs
Medications & Vaccines
Laws & Social Stigmas
What to Get & Where to Get It
- For yeast infections, you should be able to buy Canesten in Australia pharmacies or online at Chemist Warehouse. Regarding the HPV vaccine, Australia is incredibly proactive and has vaccination programs in place for both girls and boys. For more info on Australia's HPV vaccination program, check out this link. For most STI/STD medications, you will need to first visit a physician for a prescription, which you can then usually fill at hospitals or pharmacies.
- Pre-Exposure Prophylaxis (PrEP) is available, but the drugs are extremely expensive and require a medical prescription. You can order the drug online as importation is permitted under the Personal Importation Scheme Rules set by the Therapeutic Goods Administration. Only a three month supply for personal use is permitted. According to PrEPWatch: "There are three ongoing demonstration projects in Australia—VicPrEP in MSM, transgender women, heterosexual serodiscordant couples and people who received N-PEP on more than two occasions; PRELUDE in men and women at high and ongoing risk of HIV; and EPIC-NSW enrolling high-risk, mostly gay and bisexual men in New South Wales. A fourth demonstration project, PrEPX, will start later this year. The Therapeutic Goods Administration has approved daily oral Truvada for HIV prevention."[15]
- You can be assessed for Post Exposure Prophylaxis (PEP) at sexual health clinics, doctors (including some general practitioners) who specialise in HIV/AIDS, and hospital accident and emergency departments (which are open 24 hours). There are sexual health (MSHC) centres, which are walk-in clinics providing testing and treatment for sexually transmissible infections. For people with a relevant visa, that have applied for permanent residency or are a visitor from a reciprocal health care agreement country, treatment is given for free, if they hold a Medicare card. You can call PEP Information Line (1800 889 887) for more information.
Costs
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.
Laws & Social Stigmas
In January 2019, the federal government officially abolished the GST (goods and services tax) from menstrual products sales. In the past, menstrual products were considered a "luxury," so a 10% tax was added to their sales.[16]
There have been some state initiatives to improve menstrual product access. For example, in the state of Victoria, the Victorian Women's Trust implemented paid period leave.[17]
Here are some Australian menstrual resources to check out:
- Jean Hailes Organisation - FAQ on the menstrual cycle
- Love Libra - They sell menstrual products and provide educational resources
- Love Libra Girl - This is a resource for teenage girls in Australia and New Zealand
What to Get & Where to Get It
- Pads and tampons (without applicators) are very easy to find. Aside from being sold in supermarkets, pharmacies and convenience stores, you can also find them in many bathrooms. You can find tampons with applicators (usually cardboard), like Tampax or Kotex, in major supermarkets and shopping malls. Some other major brands in the menstrual product space are U, Libra, and Stayfree. If you're looking for environmentally-friendly menstrual products, you can also check out TOM Organic or Cottons.
- Tip: You can get free tampon samples from U by Kotex.
- As for menstrual cups, there is one Australian distributor of DivaCup: Barton Brands, Represented By: Lightning Brokers: PO Box 1218, Springwood, Qld 4127, 1-300-884-456, info@biosports.com.au. As for MoonCup, there are no distributors in Australia, it seems, so it should be bought online. As for LadyCup, there are no distributors in Australia, so it's best to buy online or purchase online from an NZ distributor, like Tweedle or Mother's Instinct.
Costs
Gynecological Exams
Laws & Social Stigmas
In the past, the Australian health care system recommended a "pap smear" every two years. However, in the last few years, the system has been completely overhauled and a "cervical screen" is now recommended, which is done every five years (if your results are clear). The cervical screen is considered more effective at finding health risks.[18]
What to Get & Where to Get It
- For local recommendations of gynecologists and women's clinics, please visit the city pages, such as the Melbourne and Sydney pages.
- You can get a cervical screen from your General Practitioner (GP) and, if you’re eligible for a Medicare card, they’re usually bulk billed.
Costs
Pregnancy
Laws & Social Stigmas
What to Get & Where to Get It
- Home Birth Australia: "HBA is the peak national body for Homebirth in Australia. We are consumers, midwives and related health professionals committed to ensuring the survival of homebirth as a birth option for Australian women." email: info@homebirthaustralia.org
- Maternity Choices Australia: "We aim to see all women, no matter their circumstances have access to a number of maternity care choices that are based on respectful, women-centred care and are modelled and delivering care that is formed on best evidence."
- The Australian Motherhood Initiative for Research and Community Involvement (AMIRCI) : The Australian Motherhood Initiative for Research and Community Involvement (AMIRCI) is a non-profit organisation devoted to promoting research into mothering, motherhood, motherwork, and related areas."
- PANDA - Perinatal Anxiety & Depression Australia: "PANDA - Perinatal Anxiety & Depression Australia supports women, men and families across Australia affected by anxiety and depression during pregnancy and in the first year of parenthood. PANDA operates Australia’s only National Helpline (Call 1300 726 306) for individuals and their families to recover from perinatal anxiety and depression, a serious illness that affects up to one in five expecting or new mums and one in ten expecting or new dads."
Costs
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 series of pills to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For more information about medical and surgical abortions, you can visit the Marie Stopes Australia abortion page.
Laws & Social Stigmas
In Australia, abortion laws are determined by state. We have provided some information (see below) -- and for additional information, you can review this summary, provided by Children by Choice.
In the state of Victoria, abortion is permitted for up to 24 weeks of pregnancy. After 24 weeks, it is legal if two physicians agree that it is appropriate. All standard reasons for an abortion are permitted, including to save the life of the woman, to preserve physical health, to preserve mental health, rape or incest, fetal impairment, economic or social reasons, and available on request. Furthermore, Mifepristone (the abortion pill) was registered in 2012. The abortion laws in Victoria have been in place since the Abortion Law Reform Act (2008). Before that time, the Victorian Crimes Act, abortions were only permitted if the pregnancy threatened the life of health of the woman.[19]
In Queensland, abortion laws changed in 2018, when the state’s parliament voted to legalize abortion upon request.[20]
In the state of New South Wales, abortion was decriminalized in September 2019.[21] Before that time, it was legally permitted in many scenarios, which were very general and broad, meaning that many people were still able find legal means of obtaining an abortion in New South Wales.[22] However, the passing of the decriminalization legislation unambiguously enabled people to obtain abortion services, fully and legally.
Regarding Misoprostol availabilty, Women on Waves reports that "Misoprostol is available as cytotec. We do not have any information on how easy it is to get in a pharmacy. In 2012, mifepristone and misoprostol were approved for use in termination of pregnancy by our Therapeutic Goods Administration (http://www.tga.gov.au/hp/information-medicines-mifepristone-gymiso.htm). They are only available through medical practitioners, and cannot be purchased over the counter in pharmacies without a prescription. In practice, access will be difficult for women who don’t live geographically near a clinic or practitioner who provides this service (a similar problem for surgical abortion in Australia)."[23]
In some states, abortion facilities are protected. In these cases, it is illegal to protest within 150 meters of an abortion service.[24] However, this does not apply to all states.
What to Get & Where to Get It
Medical Abortion ("the abortion pill") Information
Women can access medical abortion through a phone service telephone number: 1300 003 707.
- Please note that General Practitioners can provide medical terminations in primary care practices and community health centres, however often don't want to advertise this for fear of anti-choice picketers or other activities. Check with a Family Planning organisation in the state or territory you are in to find your closest provider.
Clinics & Hospitals Offering General Abortion Services
- Tip: Visit the city pages, such as the Melbourne or Sydney pages, for recommended clinics at a local level.
- Marie Stopes Australia: Marie Stopes provides surgical abortion, medical abortion, vasectomy, contraception (and Tubal Ligation in Western Australia only) and counselling. Prices can be found here, but they do vary a little by state. All of services come with access to a 24/7 aftercare line in case of complications or concerns. Marie Stopes offer both medical and surgical terminations, including medical abortion via telephone (telehealth). They also offer decision based counselling for patients who are unsure if an abortion is right for them, as well as post-abortion counselling for any patients who request it. No referral is required, (except in Western Australia where it is a requirement to access abortion services), patients can call them directly to arrange an appointment or discuss their options on 1300 207 382 or inquire online. Callers outside Australia: +61 3 9658 7470. If you’ve had a procedure and have any concerns, please call 24-hour aftercare service.
- Queensland based organisation, Children by Choice, maintains a list of larger providers on their website: Queensland services here; Other states and territories here
Costs
Abortion services range from $300 to $500. If you do not have a Medicare card, you may have to pay a higher rate.
Advocacy & Counseling
Laws & Social Stigmas
- For legal information, you can look into contacting the Feminist Legal Clinic
What to Get & Where to Get It
- If you're in immediate danger, dial 000
- 1800 RESPECT or 1800 737 732: The National Sexual Assault, Family & Domestic Violence Counselling Line is a free telephone and online confidential service for any Australian experiencing or who has experienced domestic or family violence and/or sexual assault. It is available 24 hours a day, 7 days a week.
- Women’s Domestic Violence Crisis Service: 1800 015 188 or 03 9322 3555
- 1800 RESPECT or 1800 737 732: The National Sexual Assault, Family & Domestic Violence Counselling Line is a free telephone and online confidential service for any Australian experiencing or who has experienced domestic or family violence and/or sexual assault. It is available 24 hours a day, 7 days a week.
- 13 11 14: "Lifeline has a national number who can help put you in contact with a crisis service in your State. Anyone across Australia experiencing a personal crisis or thinking about suicide can call 13 11 14."
- Suicide Call Back Service: Call 1300 659 467. For ages 15+. Provides immediate telephone counseling and support in a crisis. Available 24/7.
- Aboriginal Family Domestic Violence Hotline: 1800 019 123
- beyondblue: Call 1300 22 4636 or chat online. "3 million Australians are living with anxiety or depression. beyondblue provides information and support to help everyone in Australia achieve their best possible mental health, whatever their age and wherever they live."
Costs
List of Additional Resources
- The Department of Health - Australia
- Family Planning Alliance Australia: "Family Planning Alliance Australia is the nation's peak body in reproductive and sexual health. It promotes advances in public health through policy insight and advocacy and represents leading health and education agencies across Australia." Email: secretariat@familyplanningallianceaustralia.org.au
- Australian Women's Health Network: "The Australian Women’s Health Network (AWHN) is a health promotion advocacy organisation that provides a national voice on women’s health."
- Women's Abortion Action Campaign (WAAC): "Women’s Abortion Action Campaign (WAAC), formed in 1972 by the Women’s Liberation Movement, began as a national campaign in Adelaide, Brisbane, Melbourne, Canberra and Sydney... WAAC also works actively with abortion rights groups throughout Australia and internationally." Email: contact_waac@yahoo.com.au
- Australian Federation of Medical Women: "The voice of Australian medical women advocating for, and supporting, the health and welfare of our local, national and international communities."
- Australian Reproductive Health Assocation: "ARHA gives precedence to supplying fundamental reproductive health services to pregnant girls, young people, and difficult-to-reach populations, including those. Linking reproductive health services to AIDS and HIV prevention, care and treatment is increasingly being viewed as an essential strategy to enlarging accessibility to both forms of care." Phone: +61 2 9411 1466. Email: stewart@arha.org.au
- Reproductive Choice Australia: "Reproductive Choice Australia is a coalition of organisations and individuals who are interested in ensuring that women’s reproductive rights are protected and enhanced in Australia."
- The Australian Women's Register: "The Australian Women's Register is a rich and growing source of information about Australian women and their organisations. It contains 6826 entries with references to 4189 archival resources, 8461 published resources and 1248 digital resources."
- Equality Rights Alliance: "Equality Rights Alliance is Australia’s largest network advocating for women’s equality, women’s leadership and recognition of women’s diversity. We bring together 61 organisations with an interest in advancing women’s equality." Phone: 02 6175 9988. Email: era.admin@ywca.org.au
- Multicultural Sexual Health Network: "MSHN brings together people working across sectors to share information, enhance service coordination and explore ways to improve sexual health for people from refugee and migrant backgrounds."
- Indigenous Allied Health Alliance: "Aboriginal and Torres Strait Islander health professionals play a vital role in addressing the health and wellbeing of Australia’s First Peoples." Email: admin@iaha.com.au
- RhED: "Resourcing health & Education (RhED) is a service for the sex industry in Victoria."
- Scarlet Alliance: "Scarlet Alliance, Australian Sex Workers Association is the national peak sex worker organisation in Australia."
- The Australian Women’s and Gender Studies Association (AWGSA): "The Australian Women’s and Gender Studies Association (AWGSA) is the peak body representing researchers, academics and students of Women’s Studies and Gender Studies in Australia."
- The Australian Women’s History Network: "The Australian Women’s History Network promotes research and writing in all fields of women’s history. It brings together scholars, students and others working in women’s history to exchange ideas, information, support and resources."
- Sexual Health and Family Planning ACT: "SHFPACT's purpose is improved sexual and reproductive health for the Canberra community, within a framework of human rights, social justice and prudent financial management for long-term sustainability." Reception : 02 6247 3077. Email: shfpact@shfpact.org.au
- Sydney Feminists: "We are a group of passionate women and men working towards social change through education. We use workshops, documentary films and social media to educate the public about the numerous ways women are still discriminated against in Western society and around the world."
- The National LGBTI Health Alliance: "The National LGBTI Health Alliance is the national peak health organisation in Australia for organisations and individuals that provide health-related programs, services and research focused on lesbian, gay, bisexual, transgender, and intersex people (LGBTI) and other sexuality, gender, and bodily diverse people and communities."
- Black Rainbow: "Black Rainbow is Australia’s first and only National Aboriginal and Torres Strait Islander Lesbian, Gay, Bisexual, Queer, Trans* and Intersex (LGBQTI) Suicide Prevention National Advocacy Platform and National Touchpoint. We support Aboriginal and Torres Strait Islander LGBQTI people who are homeless, leaving domestic violence relationships or the justice system. We are 100% Indigenous owned and operated."
- Genderqueer Australia: "Genderqueer Australia is social and peer support for who identifies gender-questioning or genderqueer. Get in contact at contact@genderqueer.org.au."
References
- ↑ Global Oral Contraception Availability
- ↑ Free the Pill: Where on Earth?
- ↑ Trends in Contraceptive Use Worldwide, 2015
- ↑ IPFF Australia
- ↑ IPFF Australia
- ↑ IPFF Australia
- ↑ Australia: EC Status and Availability
- ↑ Provision of the emergency contraceptive pill without prescription: attitudes and practices of pharmacists in Australia
- ↑ Note to pharmacists on how not to sell the morning-after pill
- ↑ Note to pharmacists on how not to sell the morning-after pill
- ↑ Princeton Emergency Contraception Website
- ↑ Note to pharmacists on how not to sell the morning-after pill
- ↑ Morning after pill cost
- ↑ [HIV Travel: Australia]
- ↑ PrEP Watch: Australia
- ↑ Tampon tax to go, with states and territories agreeing to remove GST from sanitary products
- ↑ Employer's paid period leave policy in Australia stirs world debate
- ↑ The Pap test has changed: More Accurate. Less Often.
- ↑ Abortion Law Reform Act 2008 (Victoria)
- ↑ Queensland parliament votes to legalise abortion
- ↑ CNN: Abortion decriminalized in Sydney after Australian lawmakers overturn 119-year-old law
- ↑ Is Abortion Legal in Australia?
- ↑ Australia: Organizations and clinics, Women on Waves
- ↑ Australian Abortion Law and Practice