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Istanbul

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OVERVIEW

Image provided by Creative Commons.

As the largest city in Turkey, Istanbul has a wealth of health care resources available. But it can also be complex, often confusing, environment for women's health care. While birth control pills are available in many pharmacies ("eczanes" in Turkish) in the city center, and abortion is legal, it can be difficult to find reliable and responsive treatment. This is due to the conflicting messages surrounding women's sexual and reproductive freedom in the country.

On the one hand, Turkey is constitutionally secular and certain districts of the city, such as Beyoglu and Kadikoy, are famously progressive for Turkey. Furthermore, Istanbul is full of internationally accredited hospitals, making it a hotspot for medical tourism. On the other hand, it is typically considered taboo to discuss many aspects of sexuality, and unmarried women are often expected to remain virgins. This creates a discrepancy between the legal options and the social realities of the city. For this reason, it is especially important to do one's research in advance when looking for a gynecologist or STD test.

Contraception

Laws & Social Stigmas

In Turkey, you do not need a prescription to purchase birth control. While the President Erdogan made headlines by advising Muslim families to avoid birth control, it is estimated that 48% of Turkish women are using a modern contraceptive . According to a 1998 study, 63.9% of women practiced some form of birth control, with 4.4% on the pill, 19.8% with IUD and 24.4% practicing the pull-out method (http://www.infoplease.com/ipa/A0193123.html).

What to Get & Where to Get It

In Istanbul, birth control pills are available in many pharmacies ("eczanes" in Turkish). While there are less options than in the States, there are certainly a few options, including Yasmin, as well as generic brands. NuvaRing is also available in Istanbul. Most pharmacies do not carry the Nuvaring but the bigger ones (i.e. In shopping malls) have it - without prescription, max 30tl per pack (so for month) and no limitations as for how many packages you can buy.

Costs

Birth control pills should cost between 15-30 lira, depending on the brand.

Emergency Contraception

Laws & Social Stigmas

In Turkey, you do not need a prescription to purchase emergency contraception.

What to Get & Where to Get It

Most pharmacies should have emergency contraception. For progestin only, they typically sell NorLevo .75 mg (take 2 pills within 120 hours). As another option, some people take Lo/Ovral, Lo-Femenal pr Microgynon 21 according to the following instructions: 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later. Another option is Miranova according to the instructions: Take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later. Source: Princeton Emergency Contraceptive Website (http://ec.princeton.edu/).

Costs

Emergency contraception should cost 20 TL (this is based on one stat from Bursa, so we'll need to collect more info).

Medications

Laws & Social Stigmas

You can access most medications in Istanbul for reproductive health and STDs. But this is not the case for everything. The European Centre for Disease Prevention and Control (ECDC) has recommended that all European teenagers to receive the HPV vaccine, but Turkey has no program in place. Regarding HIV, not all antiretroviral drugs are available in Turkey. But the HIV drugs that are available can be found in pharmacies.

What to Get & Where to Get It

Pharmacy Recommendation - Karacabey Pharmacy near Dunya Goz Hastanesi Etiler

You can get medications for yeast infection at Turkish pharmacies. The word of "yeast infection" in Turkish is "mantar enfeksiyonu," which translates as "yeast." You typically need a prescription for a urinary tract infection ("idrar yolu enfeksiyonu" in Turkish) since it's an antibiotic. However, you can often get drugs like Monural without a prescription.

Costs

Menstruation

Laws & Social Stigmas

You can easily find pads and panty-liners in Istanbul. Meanwhile, tampons are available but they are much more difficult to find.

What to Get & Where to Get It

Pads and panty-liners are easy to find in Istanbul. However, tampons are much more difficult to find. They are sold in select pharmacies. It's been reported that in expat areas, like Cihangir or Moda, you may be more likely to find them in grocery stores or stores like Gratis as well. If you do find tampons, they're almost always OB (so no applicator).

Costs

Gynecological Exams

Laws & Social Stigmas

What to Get & Where to Get It

Some useful terminology: biopsy of the endometrium (= endometrium in Turkish) is called probe curetaj . Curettage = curetaj. Myoma= myom . Fibroid = fibrom . Cervix = serviks. Uterus = uterus. Cyst= kist. Polyp= polip. Breast = meme . Nipple = Mamelon.

Anonymous Review

Acibadem Maslak - I was very unhappy with a gynaecological check up at Acibadem Maslak hospital lately. It is all about the money rather than about the patient. I am not complaining about the medical care but about the total lack of information i got by the doctor. (Asked the same question 3 times : why my endometrium was abnormally thick but all she could say was she had to do a hysteroscopy and perform a biopsy of my endometrium first and send it to the lab) This scared me to the point i agreed for immediate surgery the next morning without asking around, since i thought it might be cancer. I guess i was unlucky to end up with a gynaecologist that was bad in communication. She didn't even tell me i was going to have general anesthesia( so i planned to drive to the hospital myself) When i woke up I was not given any info, except that they had found polyps and sent it to the lab. Afterwards another doctor translated the report: they had removed a benign myoma and did a curettage) I was not given any hygenic pads (nobody told me beforehand i would be bleeding either). I was complaining about pain and they said it was normal, gave me a prescription to buy pain killers at the pharmacy before going home (in my country they give you the necessary medication before going home as well as complete detailed information by the doctor. ) I just felt awful and scared because i didn't know what was wrong with me.

Dr. Munip Berberoglugil, Vital Fulya Plaza, Sisli - I warmly recommend gynaecologist Dr. Munip Berberoglugil at Vital Fulya Plaza in Sisli who cares a lot about his patients, studied in Brussels and speaks perfect French and English. He fixed me up after the surgery at Acibadem which had left me with abnormal bleeding and lots of questions (they did not even bother to make a second appointment after surgery for control, which is often free - like at Amerikan hastanesi for example).

Prof. Dr. Yucel Karaman - He is an authority, both in Istanbul as in Brussels, in the field of fertility problems and excellent gynaeclogist. He also speaks French and English.

Costs

STD Tests

Laws & Social Stigmas

What to Get & Where to Get It

To say "STD Test" in Turkish, simply say "STD Test" (is the same).

Costs

Pregnancy

Laws & Social Stigmas

What to Get & Where to Get It

Costs

Abortion

Laws & Social Stigmas

What to Get & Where to Get It

Costs

Advocacy & Counseling

Laws & Social Stigmas

What to Get & Where to Get It

Costs

List of Additional Resources