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'''OVERVIEW'''
'''OVERVIEW'''


In Jordan, sexual and reproductive health care is a rather complex topic. On the one hand, frank discussions of sexuality (particularly the sexuality of unmarried women) is still a taboo topic for many people, and health care providers typically assume that sexually-active women are married. As a result, Jordanian women may feel uncomfortable accessing certain services, especially if they're single. On the other hand, there's a wide range of options and experiences in Jordan overall, and particularly in cities like Amman. You can purchase contraceptive pills (birth control pills) without a prescription at pharmacies. While you may find other contraceptive methods, such as IUDs, available, you may be asked about your marriage status at certain hospitals or clinics before receiving treatment. We recommend you refer to the "Contraception" section for more details on this practice, as well as how some single women have chosen to handle it. While dedicated emergency contraception is not legally registered in Jordan, you can use regular birth control as replacement ECPs. We explain how this can be done in the "Emergency Contraception" section. While you can receive STI tests in Jordan, it's important to remember that, if you're a foreigner and test positive for HIV, you may be deported from Jordan. Regarding menstrual product, you can primarily find pads and some tampon brands in cities like Amman. It's very difficult to find menstrual cups within Jordanian markets, but you can order them online and have them shipped to Jordan. Furthermore, we have compiled a list of recommended gynecologists in the "Gynecological Exams" section. Regarding pregnancy, the Labour Law allows for 10 weeks of maternity leave, and we recommend you check out the "Gynecological Exams" section for recommended ob/gyns. Finally, abortion is only permitted in Jordan for very specific cases. If you or someone you know wants to obtain an abortion, it's recommended to seek out abortion services outside of Jordan rather than in the country. You can refer to the "Abortion" section for more details.
In Jordan, sexual and reproductive health care is a rather complex topic. On the one hand, frank discussion of sexuality (particularly the sexuality of unmarried women) is still taboo for many people, and health care providers typically assume that sexually-active women are married. As a result, Jordanian women may feel uncomfortable accessing certain services, especially if they're single. On the other hand, there's a wide range of options and experiences in Jordan overall, and particularly in cities like Amman. You can purchase contraceptive pills (birth control pills) without a prescription at pharmacies. While you may find other contraceptive methods, such as IUDs, available, you may be asked about your marriage status at certain hospitals or clinics before receiving treatment. We recommend you refer to the "Contraception" section for more details on this practice, as well as how some single women have chosen to handle it. While dedicated emergency contraception is not legally registered in Jordan, you can use regular birth control as replacement ECPs. We explain how this can be done in the "Emergency Contraception" section. While you can receive STI tests in Jordan, it's important to remember that, if you're a foreigner and test positive for HIV, you may be deported from Jordan. Regarding menstrual product, you can primarily find pads and some tampon brands in cities like Amman. It's very difficult to find menstrual cups within Jordanian markets, but you can order them online and have them shipped to Jordan. Furthermore, we have compiled a list of recommended gynecologists in the "Gynecological Exams" section. Regarding pregnancy, the Labour Law allows for 10 weeks of maternity leave, and we recommend you check out the "Gynecological Exams" section for recommended ob/gyns. Finally, abortion is only permitted in Jordan for very specific cases. If you or someone you know wants to obtain an abortion, it's recommended to seek out abortion services outside of Jordan rather than in the country. You can refer to the "Abortion" section for more details.


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


In Jordan, you can purchase birth control pills without a prescription.<ref>[Conversation with Jordanian local women]</ref> By law, you may technically need a prescription to purchase birth control pills,<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth]</ref> however it appears that this isn't commonly requested by many pharmacists.  
In Jordan, you can purchase birth control pills without a prescription.<ref>[Conversation with Jordanian local women]</ref> By law, you may technically need a prescription to purchase birth control pills,<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> but a prescription isn't commonly requested by pharmacists.  


However, there are certainly social stigmas in Jordan surrounding contraception, especially for women who seek out medications at clinics or hospitals. Certainly, some women in Jordan (particularly expatriates) have reported that they have purchased contraception with minimal or absolutely zero issues, especially when they have purchased the contraception at pharmacies. However, it's important to understand that there's a noticeable bias against single women accessing contraception at certain hospitals and clinics. Doctors and hospitals in Jordan often act under the assumption that women who seek out contraception (or any sexual or reproductive health services) are married. So, if you choose to seek out contraception at a hospital (rather than a pharmacy), you may be asked questions like, "For how many years have you been married?" This can be interpreted as a form of social pressure that is meant to discourage single women from seeking out birth control. Some single women choose to say that they're divorced (even if they've never been married) to avoid the social pressure, stigmatization and shaming. If you want to avoid these types of questions, you can choose to seek out contraception at pharmacies, where you'll be less likely to encounter such questions. However, there is no guarantee that you can entirely avoid these questions, so one should be prepared to handle them in advance.
However, there are certainly social stigmas in Jordan surrounding contraception, especially for women who seek out medications at clinics or hospitals. Certainly, some women in Jordan (particularly expatriates) have reported that they have purchased contraception with minimal or absolutely zero issues, especially when they have purchased the contraception at pharmacies. Yet it's important to understand that there's a noticeable bias against single women accessing contraception at certain hospitals and clinics. Doctors and hospitals in Jordan often act under the assumption that women who seek out contraception (or any sexual or reproductive health services) are married. So, if you choose to seek out contraception at a hospital (rather than a pharmacy), you may be asked questions like, "For how many years have you been married?" This can be interpreted as a form of social pressure that is meant to discourage single women from seeking out birth control. Some single women choose to say that they're divorced (even if they've never been married) to avoid the social pressure, stigmatization and shaming. If you want to avoid these types of questions, you can choose to seek out contraception at pharmacies, where you'll be less likely to encounter such questions. However, there is no guarantee that you can entirely avoid these questions, so one should be prepared to handle them in advance.


According to a 2015 study, it was found that 61.8% of Jordanian women (who are in unions/married and of reproductive age) use some form of contraception, including traditional methods. Meanwhile, 12% of Jordanian women have unmet family planning needs. The most common methods of contraception were IUDs (22.3%), withdrawal, also known as the "pull-out method" (13.6%), birth control pills (8.4%), condoms (8.2%) and the rhythm method (3.3%). There were low usage rates for female sterilization (2.3%), contraceptive injectables (0.9%) and contraceptive implants (0.3%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
According to a 2015 study, it was found that 61.8% of Jordanian women (who are in unions/married and of reproductive age) use some form of contraception, including traditional methods. Meanwhile, 12% of Jordanian women have unmet family planning needs. The most common methods of contraception were IUDs (22.3%), withdrawal, also known as the "pull-out method" (13.6%), birth control pills (8.4%), condoms (8.2%) and the rhythm method (3.3%). There were low usage rates for female sterilization (2.3%), contraceptive injectables (0.9%) and contraceptive implants (0.3%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


* In Jordan, you can find '''birth control pills''' in pharmacies. While you may technically need a prescription, this isn't always enforced, so you can often walk into a pharmacy and directly buy birth control pills from the pharmacist. Some of the brands you may find in pharmacies are Angeliq, Belara, Cerazette, Climen, Diane, Gracial, Kliogest, Femoston, Microgynon, Microgynon-30, Neogynon, Nordiol, Ologyn, Ovral, Lo-Femenal, Nordette, Norethindrone, Norethisterone, Trisequens, Rigevidon and Yasmin. For more information on birth control brands available in Jordan, click [http://www.just.edu.jo/DIC/Manuals/Oral%20Contraceptives.pdf here].
* In Jordan, you can find '''birth control pills''' in pharmacies. While you may technically need a prescription, this isn't always enforced, so you can often walk into a pharmacy and directly buy birth control pills from the pharmacist. Some of the brands you may find in pharmacies are Angeliq, Cerazette, Climen, Diane, Gracial, Kliogest, Femoston, Microgynon, Microgynon-30, Neogynon, Nordiol, Ologyn, Ovral, Lo-Femenal, Nordette, Norethindrone, Norethisterone, Trisequens, Rigevidon and Yasmin. For more information on birth control brands available in Jordan, click [http://www.just.edu.jo/DIC/Manuals/Oral%20Contraceptives.pdf here].
* If you need to get the check-up that's (technically) legally required for a birth control prescription, you can get it at [http://jafpp.org/en/node/235 The Jordanian Association for Family Planning and Protection] for 3 dinar.
* Upate on Belara (birth control pill brand): Belara is no longer available in Jordan. It still exists in records but it can't be ordered and imported (September 2017)<ref>[Conversation with local hospital in Amman]</ref>
* If you need to get the check-up that's (technically) legally required for a birth control prescription, you can get it a 'general health check-up' at [http://jafpp.org/en/node/235 The Jordanian Association for Family Planning and Protection] for 3 dinar or a 'gynecology exam' for 4 dinar, as of August 2018.
*  You can find '''IUDs''' in Jordan. For example, you can get the insertion procedure at [http://www.istisharihospital.com/ Istishari Hospital] for 120 JOD (as of July 2017). However, you should be aware that certain hospitals and clinics only provide IUDs to married women.
*  You can find '''IUDs''' in Jordan. For example, you can get the insertion procedure at [http://www.istisharihospital.com/ Istishari Hospital] for 120 JOD (as of July 2017). However, you should be aware that certain hospitals and clinics only provide IUDs to married women.
* You can find the '''contraceptive ring (Nuvaring)''' in Jordan, such as at [http://www.istisharihospital.com/ Istishari Hospital] for 75 JOD (as of July 2017).
* You can find the '''contraceptive ring (Nuvaring)''' in Jordan, such as at [http://www.istisharihospital.com/ Istishari Hospital] for 75 JOD (as of July 2017).
* You can order many forms of contraceptives at [http://www.farah-hospital.org/ Farah Maternity Hospital]. However, you should be aware that the doctors may ask for your marriage status (i.e. "For how many years have you been married?") before giving you medications or a prescription. If you are single but want to keep this information private, you may choose to say that you're divorced. Mailing Address: PO Box: 5323, Amman 11183, Jordan. Phone: +962 6 460 3777. Click [http://www.farah-hospital.org/contact.php here] to access their online contact form.
* You can order many forms of contraceptives at [http://www.farah-hospital.org/ Farah Maternity Hospital]. However, you should be aware that the doctors may ask for your marriage status (i.e. "For how many years have you been married?") before giving you medications or a prescription. If you are single but want to keep this information private, you may choose to say that you're divorced. For more details - Farah Hospital Mailing Address: PO Box: 5323, Amman 11183, Jordan. Phone: +962 6 460 3777. Click [http://www.farah-hospital.org/contact.php here] to access their online contact form.
* While we need to do more research on the best pharmacies in Amman, we've found Pharmacy One to be especially helpful and responsive when we've contacted them for questions. They have more than 74 branches across Jordan. Phone: +962 6 590 9400. Facebook (they answer messages you send on FB): https://www.facebook.com/Pharmacy1/ Email: info@pharmacy-1.com
* While we need to do more research on the best pharmacies in Amman, we've found Pharmacy One to be especially helpful and responsive when we've contacted them for questions. They have more than 74 branches across Jordan. Phone: +962 6 590 9400. Facebook (they answer messages you send on FB): https://www.facebook.com/Pharmacy1/ Email: info@pharmacy-1.com


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* You may have difficulty finding dedicated emergency contraception that's legally registered in Jordan. However, if you do have issues, you can take oral contraceptives (regular birth control pills) as replacement emergency contraception. They can also work as emergency contraception. To do this, you can do the following:
* You may have difficulty finding dedicated emergency contraception that's legally registered in Jordan. However, if you do have issues, you can take oral contraceptives (regular birth control pills) as replacement emergency contraception. They can also work as emergency contraception. To do this, you can do the following:
** For these pills, take 40 pills within 120 hours after unprotected sex: Ovrette
** For these pills, take 40 pills within 120 hours after unprotected sex: Ovrette
** For these pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later (only the first 21 pills can be used in pack): Neogynon, Nordiol, Ologyn, Ovral<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>RU
** For these pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later (only the first 21 pills can be used in pack): Neogynon, Nordiol, Ologyn, Ovral<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>
** For these pills, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later (only the first 21 pills can be used in pack): Lo-Femenal, Microgynon-30, Nordette, Rigevidon<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>
** For these pills, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later (only the first 21 pills can be used in pack): Lo-Femenal, Microgynon-30, Nordette, Rigevidon<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>
* You can also use an IUD as a form of emergency contraception. However, it may be difficult to obtain one on a short notice or if you're unmarried (check the above "Contraception" section for more details).
* You can also use an IUD as a form of emergency contraception. However, it may be difficult to obtain one on a short notice or if you're unmarried (check the above "Contraception" section for more details).
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
'''Note:''' You can find doctors and book appointments with the [https://jordan.vezeeta.com/en Vezeeta] app, which allows you to search by doctor specialty, area, insurance provider and name of doctor. You can also see patient ratings of doctors before you book on the app. In Jordan, the app currently only covers health care providers in Amman, but it also operates in other countries (Egypt).
Below, you'll find are some gynecologists that have been recommended by Amman locals. However, this list is incomplete and it's not meant to replace your own independent research to determine the right gynecologist for you. You can think of this list as a general resource or "jumping-off" point in your research. Here's the list:


* [http://www.istisharihospital.com/specialties-services/find-a-doctor/women-s-health/abdel-rahman-al-bashir-m-d.html Dr Al Bashir at Istishari Hospital]: This ob/gyn comes highly recommended by an Amman local. Speaks Arabic and English. Clinical interests include OBGYN, IVF and Embryo Transfer, Ovulation Induction, OOCYTE Retrieval, Fetal Medicine and Intrauterine Blood Transfusion. You can expect to pay around 50 JOD for a gynecological exam (as of July 2017). Outpatient contact information: 44 Al Kindi St. Amman, Jordan. Phone: +96265001024, or +962796361177. Fax: +96265698833. Email: clinics@istisharihospital.com
* [http://www.istisharihospital.com/specialties-services/find-a-doctor/women-s-health/abdel-rahman-al-bashir-m-d.html Dr Al Bashir at Istishari Hospital]: This ob/gyn comes highly recommended by an Amman local. Speaks Arabic and English. Clinical interests include OBGYN, IVF and Embryo Transfer, Ovulation Induction, OOCYTE Retrieval, Fetal Medicine and Intrauterine Blood Transfusion. You can expect to pay around 50 JOD for a gynecological exam (as of July 2017). Outpatient contact information: 44 Al Kindi St. Amman, Jordan. Phone: +96265001024, or +962796361177. Fax: +96265698833. Email: clinics@istisharihospital.com
* Nagham Abu-Shakra on Khaldi Street: This ob/gyn comes highly recommended by an Amman local, who says, "She's great! Perfect English, too."
* [https://jo.linkedin.com/in/dr-nagham-abu-shakra-md-67615225 Nagham Abu-Shakra] on Khaldi Street: This ob/gyn comes highly recommended by an Amman local, who says, "She's great! Perfect English, too."
* Dr Ismaiel Abu Mahfouz Clinic: This gynecologist comes highly recommended by an Amman local who says, "I went to Dr Ismaiel Abu Mahfouz Clinic and very happy with his service. I had a IUD implanted a few months ago, D&C AND Biopsy done at Abdulhadi Hospital and had top class treatment. Staff was great. I guess having a great health insurance helps. I'm at ease putting my life in this doctor's hands." Address: 46. Jordan Healthcare Center. Ibn Khaldoun St، Jabal Amman، Amman. Phone: (06) 464 9901.
* [http://www.whatclinic.com/obstetrics-gynaecology/jordan/amman/dr-ismaiel-abu-mahfouz-clinic Dr Ismaiel Abu Mahfouz Clinic]: This gynecologist comes highly recommended by an Amman local who says, "I went to Dr Ismaiel Abu Mahfouz Clinic and very happy with his service. I had a IUD implanted a few months ago, D&C AND Biopsy done at Abdulhadi Hospital and had top class treatment. Staff was great. I guess having a great health insurance helps. I'm at ease putting my life in this doctor's hands." Address: 46. Jordan Healthcare Center. Ibn Khaldoun St، Jabal Amman، Amman. Phone: (06) 464 9901.
* [http://drlanasclinic.com/ Dr. Lana's Clinic]: This clinic provides gynecological exams with routine pap smear. A consultation and Pap smear is 65, the lab is 25 JDs (as of July 2017). Gynecological issues are addressed, such as irregular menstrual cycles, infertility issues, gynecological infections, etc. Address: 50 Sultan Al-Adwan St. Um Al Summaq, Amman. Tel : +962 6 5525451. Fax : +962 6 5525415. Mob : +962 79 8708783. E-mail : dr@drlanasclinic.com
* [http://drlanasclinic.com/ Dr. Lana's Clinic]: This clinic provides gynecological exams with routine pap smear. A consultation and Pap smear is 65, the lab is 25 JDs (as of July 2017). Gynecological issues are addressed, such as irregular menstrual cycles, infertility issues, gynecological infections, etc. Address: 50 Sultan Al-Adwan St. Um Al Summaq, Amman. Tel : +962 6 5525451. Fax : +962 6 5525415. Mob : +962 79 8708783. E-mail : dr@drlanasclinic.com
* [http://jafpp.org/?q=en The Jordanian Association for Family Planning and Protection]: They provide gynecological exams for 4.000 Dinar and pap tests for 5.000 Dinar (inclusive). There's a 0.500 Dinar registration fee. On the website, the mission statement is the following: "JAFPP is a voluntary non-profit Organization that provides high quality reproductive and sexual health services and programs for women and families, based on its belief that access to such services is a basic human right." Tel:  + 962 6 5160999. Fax: + 962 5161020 6. E-mail: info@jafpp.org.
* [http://jafpp.org/?q=en The Jordanian Association for Family Planning and Protection]: They provide gynecological exams for 4.000 Dinar and pap tests for 5.000 Dinar (inclusive). There's a 0.500 Dinar registration fee. On the website, the mission statement is the following: "JAFPP is a voluntary non-profit Organization that provides high quality reproductive and sexual health services and programs for women and families, based on its belief that access to such services is a basic human right." Tel:  + 962 6 5160999. Fax: + 962 5161020 6. E-mail: info@jafpp.org.
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===What To Get & Where To Get It===
===What To Get & Where To Get It===


* Women's Health Clinic and Breast Center: "I want to personally recommend Dr Layal El-Asir. She runs a clinic attached to the Khalidi hospital and they have latest technology for mammogram and ultrasounds. Dr Layal specialises in onco plastic surgery for breast cancer but also provides elective surgery. I really can't recommend her highly enough. A highly skilled surgeon but also a very empathetic doctor who actually listens and provides brilliant pre and post care. She is fluent in Arabic and English and is one of those all round lovely people. She also has a clinic at the Jordan hospital and an FB page." - Amman local. Contact Details - Phone number is 06 464 4281 xtn 7225 and Dr Layal's mobile is 079 755 7568.
* [http://khmc.jo/en/centers-of-excellence/al-khalidi-womens-health-breast-center/ Al Khalidi Women’s Health & Breast Center]: "I want to personally recommend Dr Layal El-Asir. She runs a clinic attached to the Khalidi hospital and they have latest technology for mammogram and ultrasounds. Dr Layal specialises in onco plastic surgery for breast cancer but also provides elective surgery. I really can't recommend her highly enough. A highly skilled surgeon but also a very empathetic doctor who actually listens and provides brilliant pre and post care. She is fluent in Arabic and English and is one of those all round lovely people. She also has a clinic at the Jordan hospital and an FB page." - Amman local. Clinic Phone: 06 464 4281, extension 7225. Hospital Email Address: cqi@khmc.jo. Hospital Address:  39 Ibn Khaldoun st., 4th Circle, Jebal Amman, Amman, Jordan.
* [http://istiklalhospital.com/ Istiklal Hospital]: If you need an examination and potential treatment I would recommend [http://istiklalhospital.com/ Istiklal Hospital]. I saw a breast specialist there and underwent a breast ultrasound. The doctor was Dr Ali Jad Abdelwahab. He spoke fluent English and was very reassuring. He followed up after 3 months and repeated the ultrasound. I felt very comfortable with this doctor, there was always a female nurse present. I was provided with a report and a CD with the ultrasound images to take back to the UK with me. Each consultation and ultrasound was 30JD (paid in cash). While my appointments were made through my insurance company the price for the two appointments was below my excess. I was surprised at the cost and pleased with the treatment I received. Address: Istiklal Hospital, Al Istiklal St 55, Amman 11821, Jordan, istiklal.jo. Phone: +962 6 565 2600. Get in touch with: Dr Ali Jad Abdelwahab.


===Costs===
===Costs===
*2016 Prices at [http://istiklalhospital.com/ Istiklal Hospital]: 30JD for consultation and breast ultrasound. Address: Istiklal Hospital, Al Istiklal St 55, Amman 11821, Jordan. istiklal.jo. Phone: +962 6 565 2600. Contact: Dr Ali Jad Abdelwahab


==Pregnancy==
==Pregnancy==
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* Women's Department - Ministry Of Social Development And Labor: P.O. Box 8160, Amman, Jordan
* Women's Department - Ministry Of Social Development And Labor: P.O. Box 8160, Amman, Jordan
* Working Women's Club:c/o Office of HM the Queen, The Royal Palace, Amman, Jordan
* Working Women's Club:c/o Office of HM the Queen, The Royal Palace, Amman, Jordan
* Al Tamayuz Physiotherapy Center : evaluation and treatment of pelvic pain and incontinence. 87 Ibn Khaldoun Street (khaldi hospital street) 06 460 2022.


==References==
==References==

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