Rome

Italy / Rome

INTRODUCTION

In Rome, you will find many health care resources. You need a prescription to obtain birth control pills, but you can find condoms with no prescription required. Emergency contraception (the morning after pill) is available for purchase without a prescription (since 2015), which is a positive update after years of required prescriptions. You can get an STD/STI test at one of the many clinics in the city, and there are some nationwide support networks. Maternity leave of five months is required for all pregnant women who are employed. Abortion is legal during the first 90 days of gestation, and it's free for Italian citizens. Foreigners will need to pay for an abortion procedure. There are many health care professionals who do not provide abortions due to their moral or religious beliefs so, if you need an abortion, it is imperative to secure a physician who is willing to perform the procedure.

Contraception (Birth control)

Birth control purchased in Florence, Italy for 13 euro

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 Italy, you need a prescription for hormonal birth control, like birth control pills or shots. You don't need a prescription for condoms. According to a 2015 study, 65.3% of Italian women (of reproductive age) used a contraceptive method, and 48.9% of Italian women used a modern method. It was estimated that 11.4% had unmet family planning needs

What to get and where to find it

Lusinelle birth control purchased in Italy for 13 euro

• To see a comprehensive list of contraception options in Italy, click here.
• Once you have a prescription for birth control pills, you can them at local pharmacies ("farmacia" in Italian). There are over 20 brands registered in Italy. Some brands you can expect to see are Novogyn 21, Microgynon, Ovranet, Loette and Miranova. To see a full list, click click here.
• Nuvaring (the contraceptive ring) is available in Italy. In 2009, it cost around 13 euro. We'll need to update with a more recent rate.
• You can get condoms ("(preservativi") at grocery stores and pharmacies. There are also condom vending machines, which can often be found outside of pharmacies.
• If you want a contraceptive injectable/shot, you can get Depo-Provera in Italy.
• If you want an IUD, you can get Mirena in Italy.

Costs

Some birth control pill brands are around 13 euro per month.

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

En Italie, vous pouvez acheter deux pilules du lendemain sans ordonnance. LNG EC (comme Escapelle ou Norlevo 1.5mg) et UPA (comme ellaOne) sont maintenant disponibles au comptoir des pharmacies pour les femmes âgées d'au moins 18ans. Si vous voulez LNG EC, vous devrez l'obtenir chez un medecin (pas un pharmacien). Si vous voulez UPA EC, vous devez aller dans une pharmacie et spécifiquement demander au personnel de la pharmacie, car elle n'est pas en rayon. Aussi, si vous avez moins de 18ans, vous aurez besoin d'une ordonnance pour les acheter. En tous cas, vous devrez avoir une ordonnance pour toutes les marques d'EC.

Ceci est une grande avancée sur les lois Italiennes, sachant que toutes les EC nécéssitent une ordonnance. Cela a causé beaucoup de soucis aux femmes par le passé, vous pouvez lire des témoignages d'étudiantes étrangères tentant d'avoir accès aux contraceptions d'urgence hici here. Heureusement, depuis avril 2015, UPA EC est disponible en rayon, et dpeuis octobre 2015, LGN EC également.

Que prendre et où le trouver

• En Italie, vous pourrez vous procurer la pilule du lendemain ("pilola del giorno dopo" en Italien) en pharmacie. Pour de nombreuses marques, depuis 2015, vous n'aurez plus besoin d'une ordonnance. Vous trouverez ellaOne (une pilule anti progestérone, considerée la plus efficace mais aussi la plus chère). Il y a également des marques de progestine seules (moins chères mais habituellement inefficace après 3jours), comme Lonel, Norlevo 1.5mg, Unlevo 1500 et Levonelle. Pour toutes ces marques, il faudra prendre la pilule aussi vite que possible après le rapport à risque pour prevenir la grossesse. Pour plus de détails concernant le fait d'obtenir ces pilules avec ou sans ordonnance, réferez vous à la section plus bas 'lois et stigmatisation sociale'. • Si vous n'avez pas accès à la contraception d'urgence prévue à cet effet, vous pouvez utiliser une pilule contraceptive en substitut à un EC. Souvenez vous que dans une plaquette de 28 jours, seuls les 21 premiers comprimés peuvent être utilisés. Vous pouvez prendre Novogyn 21 (prenez 2pilules dans les 120heures après le rapport non protegé puis encore 2 comprimés 12h après). Vous pouvez aussi prendre Microgynon ou Ovranet (pour chacune de ces marques, prenez 4 comprimés dans les 120heures après le rapport non protegé puis encore 4 comprimés 12h après). Il y a aussi Loette et Miranova (pour chacune de ces marques, prenez 5 comprimés dans les 120heures après le rapport non protegé puis encore 5 comprimés 12h après).

Note: "RU-486 (Mifegyne) est une pilule utilisée sous supervision médicale dans un hôpital qui interrompt une grosses sous 49jours après implantation d'oeufs fertilisés. Elle est légale en Italie, cependant certains gouvernements régionaux sont opposés à son usage et elle pourra ainsi ne pas être accessible dans certains endroits.[2]

Coûts

Si vous voulez une contraceptuion de type LNG (comme Escapalle et Norlevo), vous la trouverez aux alentours de 13,10€. POur des UPA EX (comme ellaOne), vous pourrez l'obtenir pour environ 26,90€.

Maladies sexuellement transmissibles (MST)

Note importante: Renseignez vous sur le PEP (Prophylaxis post exposition) et le PrEP (Prophylaxis pre exposition). Si vous pensez avoir été recemment exposé(e) au VIH (dans les 72heures), chercher PEP (post risque). Il s'agit d'un traitement d'un mois pour prévenir l'infection du VIH après le risque, qui est peut être disponible dans votre ville. Prenez les PEP aussi rapidemment que possible. Pour plus d'informations, cliquez here. Si vous risquez une contamination par le VIH dans le futur, chercher PrEP (pré risque). C'est une pilule quotidienne qui peut prevenir l'infection par VIH avant l'exposition au risque. Pour en savoir plus à propos des PrEP, cliquez here.

Laws & Social Stigmas

There are no travel or residency restrictions related to HIV or STI status in Italy. If you want to work in certain professions (like medicine), you may be required to take an HIV test, but you results will be confidential.

What to Get & Where to Get It

Testing Facilities

• "If you are a woman I'd recommend Sant'Anna which is a public women's health consultorio in Parioli. I've been there for various gynaecological issues and I'm pretty sure they'd test you for STDs."
• Struttura Complessa di Dermatologia Infettiva, Istituto Dermatologico San Gallicano (IRCCS), Rome, Italy
• Laboratorio di Patologia Clinica e Microbiologia, Istituto Dermatologico San Gallicano (IRCCS), Rome, Italy
• Laboratorio di Immunologia Cellulare, Laboratorio di Virologia, Istituto Nazionale di Malattie Infettive, L. Spallanzani (IRCCS), Rome, Italy
• Reparto di Epidemiologia, Dipartimento di Malattie Infettive, Parassitarie e Immunomediate (MIPI), Istituto Superiore di Sanit� , Rome, Italy

Support

• Università del Sacro Cuore di Roma: Offers HIV treatment. Address: Largo Agostino Gemelli, 8. 00168 Roma.
• Lega italiana per la lotta contro l'AIDS: Address: Corso Regina Margherita, 190/e, 10152 Torino. Phone: +39 011 431 0922. Fax: +39 011 521 7552. E-mail: lila@lila.it
• Associazione Nazionale per la lotta contro l'AIDS: Address: Via Barberini 3, 00187 Roma.
• AnlAids

Medications & Vaccines

What to Get & Where to Get It

• If you have a yeast infection, you can ask for a local version of Fluconazole at the pharmacy.
• Since 2007, Italy has had a national HPV immunization program, targeting 12 years olds.
• In Italy, there is no national PrEP policy or clinical trials. However, Lila and Plus are two activist groups working on PrEP in Italy.

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 Italy, you can find pads, tampons and menstrual cups. For pads, they can be found in most supermarkets and you'll have many brands to choose from. For tampons, there are less options. You'll typically find OB (without applicator) or Tampax (with applicator). The prices in the supermarkets are generally better than at pharmacies. For menstrual cups, you have a few options. If you want DivaCup, contact Michele and Barbara Fenati at La Madre Terra: Tel: 0039063611823. Fax: 00390645424411. If you want MoonCup, you can have it delivered from the UK to Italy -- check out the Italian MoonCup website for details. For LadyCup, check out Lady Teen and Popolini. For Lunette, check out Io Solo Donna. At Tuba Bazaar you can find menstrual cups and panties.

Gynecological Exams

What to Get & Where to Get It

If you're looking for an English-speaking gynecologist in Rome, check out Doctors in Italy, which is a health service offered by B.M.M.I. Below, we have also provided some recommended gynecologists and clinics:

• Casa di Cura Santa Famiglia: "The Santa famiglia via dei gracchi IS great!!! There is a convention so it's free." "It's free because it the same as the Hospital Fatebene fratelli, but I think that you can have a room for yourself paying for something." Address: Via dei Gracchi, 134, 00192 Roma, Italy. Phone: +39 06 328331.
• Fabia Mater Clinic: "Excellent structure is fabia mater clinic side street from via prenestina. Clean great place and personnel." Address: Via Olevano Romano, 25, 00171 Roma, Italy. Phone: +39 06 215921.
• Margherita Medical Center - Dr Nico Naumann: This is a recommended gynecologist in Rome (recommendation provided by an expat). Address: Viale Regina Margherita, 157, 00198 Roma, Italy. Phone: +39 06 8530 0397. Email: naumannrome@gmail.com.
• OK Roma: Recommended affordable option for gynecological exams and women's health care. "We offer health services in many areas of medical, psychological and social assistance. We are actively committed to the recognition of important civic rights. We fight all forms of discrimination and violence. We listen to young people and help them to gain awareness on sexuality and prevention." Email: comunicazioneroma@aied.it

Pregnancy

Laws & Social Stigmas

In Italy, all pregnant employees are entitled to maternity leave. If a woman is applying to a job, she is not legally required to tell the employer that she is pregnant. Under the law, pregnant workers are required to take five months' maternity leave, and the woman is entitled to 80% of her regular pay from social security. The employer is often required to make the difference so that the pregnant woman receives 100% of regular earnings. When the woman returns to work, she must receive the same position and responsibilities that she had before the pregnancy. In certain circumstances, maternity leave can be converted into paternity leave.

What to Get & Where to Get It

• For a pregnancy information website in Italy IVG, check out Gravidanza Online (in Italian)
• "If you want to know where the Roman women go to deliver children, I can say that traditionally, there are two places and equipes considered the best in town for giving birth. # 1) The hospital of FatebeneFratelli on the Isola Tiberina. They work jointly with # 2) Clinica Santa Famiglia, a small clinic in via dei Gracchi where you can be addressed if you want a little more privacy and ready to spend some money. Both are working for NHS and the best obstetrician and gynecologists work there. What kind of expat are you? if you are extraeuropean you may need an insurance. If you are from UK, you don't (yet)."

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.

Laws & Social Stigmas

In Italy, abortion is fully legal for the first 90 days of gestation, according to Law No. 194 (passed in 1978). The father does not need to give consent. However, if you're under 18, you will need parental consent (unless the abortion is due to a health emergency). During this 90-day period, all 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, risk of fetal impairment and economic or social reasons. While it is not formally available "upon request," the law is so open-ended that any woman can find a legal reason for an abortion that fits into the permitted criteria.

There are certain steps that must be taken in order to obtain an abortion. First, a woman must usually apply to an authorized health or welfare agency or a physician of her choice. If she goes to an agency, she will be receive a consultation, during which time she may be encouraged to not seek out termination. If she goes to a physician, the physician must inform of her rights and the availability of welfare facilities. Following the consultation, if the woman wishes to terminate her pregnancy, the physician must issue a certificate. This certificate confirms the pregnancy and the request for an abortion, and it must be signed by the woman and physician. If the pregnant woman is under 18, parental authorization is required (unless there are serious health risks -- in which case, parental preferences may be overruled). Following the issuing of the certificate, the woman must usually then undergo a one-week reflection period. This reflection period is legally required unless an urgent abortion is necessary. Once the reflection period is complete, the woman may go to an authorized medical facility and request an abortion. Note that abortions must be performed in public hospitals or authorized private facilities. There are no specialized abortion clinics in Italy.

After the first three months of gestation, abortion is only permitted to preserve the physical/mental health of the mother or if the fetus has a genetic deficiency. If abortions are performed that are outside the legal provisions, penalties may be levied.

Important Note: You must confirm a physician that will provide an abortion procedure for you. In Italy, medical care providers are not required to perform abortions. If medical personnel are opposed to abortion on moral or religious groups, they are legally allowed to declare their conscientious objection and they're exempt from performing or assisting in an abortion procedure. Seventy percent of Italian gynecologists (and 83% in some conservative regions) are conscientious objectors so do not perform abortions, as of 2016, and a nationwide survey found that 1,200 gynecologists out of well over 10,000 performed abortions. This means that some women spend considerable time trying to find and secure a gynecologist who is willing to perform the exam. It's critical that you secure a physician that does not hold moral objections and can perform the procedure. For more information about this issue in Italy, check out this article and this article.

Costs

If you have an Italian health card, abortion is free. If you're a foreigner, you will need to pay for the procedure. In case of emergency, like a miscarriage, abortion is free for foreigners, too.

Advocacy & Counseling

List of Additional Resources

• Check out this list of LGBT organizations in Rome