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Melbourne: Difference between revisions

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{{setLocation
{{setLocation
|Country=Australia
|Country=Australia
|State=Victoria
|State=Victoria (state)
|City=Melbourne
|City=Melbourne
}}
}}


[[File:Melbourne-966467 960 720.jpg|300px | thumb|right|alt=Image provided by Creative Commons.|]]
<translate>


<!--T:1-->
{| class="wikitable" style="width:200px; border:1px solid black;float:right"
|-
|colspan="8" style="text-align:center"|[[File:Melbourne-966467 960 720.jpg|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'''
| fully legal for up to 24 weeks of pregnancy
|-
| '''LGBTQ Laws'''
| homosexuality legal
|-
| '''Related Pages'''
| [[Australia]], [[Sydney]]
|-
|}


<!--T:2-->
'''OVERVIEW'''
'''OVERVIEW'''


<!--T:3-->
In Melbourne, 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, Melbourne is under Victoria state law, which is one of the most open in the world. 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.  
In Melbourne, 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, Melbourne is under Victoria state law, which is one of the most open in the world. 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.  


==Contraception==
==Contraception (Birth Control)== <!--T:4-->


===Laws & Social Stigmas===
<!--T:5-->
'''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.contraception.org.au/methods/ here].


In Australia, you will need a prescription from a physician to obtain birth control. However, these consultations are pretty straight-forward and do not typically require pelvic exams. There is an incredibly wide range of contraceptives offered, from hormonal pills to injectables and IUDs, and practically every known contraceptive is available in Australia. It is estimated that 67%-70% of Australian marriage 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.
===Laws & Social Stigmas=== <!--T:6-->


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/
<!--T:7-->
[[File:Levlen australia.jpg|300px | thumb|left|frame|'''Levlen ED birth control pills purchased in Australia''']]


===What to Get & Where to Get It===
<!--T:8-->
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 oral contraception 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 pretty straight-forward and don't usually require pelvic exams. There is an incredibly wide range of contraceptives available, 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.


While you may consult with many physicians for a birth control prescription, here are some recommendations:
<!--T:9-->
 
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/
* [https://www.thewomens.org.au/ The Royal Women's Hospital]: "The Women’s is Australia’s first and largest specialist hospital dedicated to improving the health of all women and newborns." Address: 20 Flemington Rd, Parkville, Victoria. Main Reception Phone: (03) 8345 2000.
* [http://www.fpv.org.au/ Family Planning Victoria]: Address: 901 Whitehorse Rd, Box Hill VIC 3128, Australia. Hours: Open today · 9AM–5PM. Phone: +61 3 9257 0100
* Fertility Control Clinic: Expensive if you're uninsured but quality care. Address: 118 Wellington Parade, East Melbourne VIC 3002, Australia. Phone: +61 3 9419 2922. Hours: Open today · 7:30AM–5PM
* [http://www.mshc.org.au/ Melbourne Sexual Health Centre]: "Specializes in the testing, treatment and management of sexually transmissible infections. Also offers Pap smears, contraception, and related services." Address: 580 Swanston St, Carlton VIC 3053, Australia. Hours: Open 12:30–5PM. Phone: +61 3 9341 6200
* St. Kilda Super Clinic: Address: 1/158 Acland St, St Kilda VIC 3182, Australia. Phone: +61 3 9525 5766
 
You can also get a birth control prescription and order contraceptives online at:
 
* [https://doctus.com.au/ Doctos] - a legitimate company that offers Depo-Provera, Nuvaring and oral contraceptives such as Levlen, Estelle 35, Yasmin, Yaz, Microgynon, etc.
* [http://www.chemistwarehouse.com.au/Shop-Online/PS-1788/Oral-Contraceptives The Chemist Warehouse]: We don't know much about this company but they sell oral contraceptives (Levlen, Trifeme, Microlut, Monofeme, Nordette, Microgynon) and IUDs (Mirena). They claim to be "Australia's #1 Online Pharmacy" and have free shipping for orders over $99.


As for condoms, they're easy to purchase at supermarkets, chemists/pharmacies, convenience stores and petrol stations. If you're looking for free condoms, check out Frontyard Youth Service, which is at 19 King Street (near Flinders Lane). Phone: 03 9611 2411 or Freecall: 1800 800 531. 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?"
===What to Get & Where to Get It=== <!--T:10-->


===Costs===
<!--T:11-->
[[File:Femme ed australia.jpg|200px | thumb|right|frame|'''Femme-Tab ED birth control pills purchased in Australia''']]


Generally, you'll pay $3-6 for a month supply of birth control pills.
<!--T:12-->
* You can receive '''contraceptive counselling''' 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 contraception methods are available in Australia, and what their efficacy is.
* 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 Frontyard Youth Service, which is at 19 King Street (near Flinders Lane). Phone: 03 9611 2411 or Freecall: 1800 800 531. 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 '''oral contraception pills''', you will need to consult with a doctor for a prescription.  Alternatively, you can consult a women's clinic or an NGO, like [https://www.mariestopes.org.au/ Marie Stopes Australia], to consult with a healthcare professional and obtain your prescription. Once you have a prescription, you'll find a wide variety of oral contraception pills available in Australia with over 30 brands registered.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=AU IPFF Australia]</ref> Here are some places where you can get a consultation:
** [https://www.thewomens.org.au/ The Royal Women's Hospital]: "The Women’s is Australia’s first and largest specialist hospital dedicated to improving the health of all women and newborns." Address: 20 Flemington Rd, Parkville, Victoria. Main Reception Phone: (03) 8345 2000.
** [http://www.fpv.org.au/ Family Planning Victoria]: Address: 901 Whitehorse Rd, Box Hill VIC 3128, Australia. Hours: Open today · 9AM–5PM. Phone: +61 3 9257 0100
** [http://www.fcc.com.au/ Fertility Control Clinic]: Expensive if you're uninsured but quality care. Address: 118 Wellington Parade, East Melbourne VIC 3002, Australia. Phone: +61 3 9419 2922. Hours: Open today · 7:30AM–5PM
** [http://www.mshc.org.au/ Melbourne Sexual Health Centre]: "Specializes in the testing, treatment and management of sexually transmissible infections. Also offers Pap smears, contraception, and related services." Address: 580 Swanston St, Carlton VIC 3053, Australia. Hours: Open 12:30–5PM. Phone: +61 3 9341 6200
** St. Kilda Super Clinic: Address: 1/158 Acland St, St Kilda VIC 3182, Australia. Phone: +61 3 9525 5766
* You can also get a birth control prescription and order contraceptives online at:
** [https://doctus.com.au/ Doctos] - a legitimate company that offers Depo-Provera, Nuvaring and oral contraceptives such as Levlen, Estelle 35, Yasmin, Yaz, Microgynon, etc.
** [http://www.chemistwarehouse.com.au/Shop-Online/PS-1788/Oral-Contraceptives The Chemist Warehouse]: We don't know much about this company but they sell oral contraceptives (Levlen, Trifeme, Microlut, Monofeme, Nordette, Microgynon) and IUDs (Mirena). They claim to be "Australia's #1 Online Pharmacy" and have free shipping for orders over $99.
* As for '''IUDs''', you can get them at various clinics and health care facilities, such as [https://www.mariestopes.org.au/ Marie Stopes Australia].
** One female traveller 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."
** "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're going to be much more skilled at minimising pain and the risk of side effects."
* If you want a '''contraceptive implant''', you can find Implanon in Australia.<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 find 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.


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].
===Costs=== <!--T:13-->


'''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.
<!--T:14-->
* For '''oral contraception pills,''' you may pay $3-6 for a month supply if you’re eligible for a green Medicare card. Most oral contraceptives in Australia come in boxes of 4-month supply.
* 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 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 $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."
* '''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==
==Emergency Contraception (Morning After Pill)== <!--T:18-->


'''Important Notes:''' The earlier you take emergency contraception, the more effectively it works. After unprotected sex, take it as soon as possible. If you don't have access to EC, you can sometimes use regular oral contraceptives as EC. But there are three important things to remember: 1) Only some contraceptives work as EC (so confirm they work as EC first) 2) Different oral contraceptives require different dosages to work as EC (so get the proper instructions) and 3) You must only use the first 21 pills in 28-day packs.
<!--T:19-->
'''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 [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].


===Laws & Social Stigmas===
===Laws & Social Stigmas=== <!--T:20-->


Emergency contraception is legal and obtainable without a prescription. There are no age restrictions and anyone, no matter their sex, can buy them. EC brands like Plan B or Next Choice 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.  
<!--T:21-->
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.  


<!--T:22-->
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."<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/australia/ Australia: EC Status and Availability]</ref>
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."<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/australia/ Australia: EC Status and Availability]</ref>


<!--T:23-->
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"<ref>[http://www.ncbi.nlm.nih.gov/pubmed/21237342 Provision of the emergency contraceptive pill without prescription: attitudes and practices of pharmacists in Australia]</ref> and "22% of pharmacists felt it was reasonable for their religious faith to influence supply."<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref> 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."<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref>
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"<ref>[http://www.ncbi.nlm.nih.gov/pubmed/21237342 Provision of the emergency contraceptive pill without prescription: attitudes and practices of pharmacists in Australia]</ref> and "22% of pharmacists felt it was reasonable for their religious faith to influence supply."<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref> 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."<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It=== <!--T:24-->


'''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.
<!--T:25-->
'''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.


<!--T:26-->
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).<ref>[http://ec.princeton.edu/ Princeton Emergency Contraception Website]</ref>
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).<ref>[http://ec.princeton.edu/ Princeton Emergency Contraception Website]</ref>


<!--T:27-->
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.)"<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref>
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.)"<ref>[https://theconversation.com/note-to-pharmacists-on-how-not-to-sell-the-morning-after-pill-10250 Note to pharmacists on how not to sell the morning-after pill]</ref>


===Costs===
===Costs=== <!--T:28-->
 
<!--T:29-->
* 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:30-->
 
<!--T:31-->
'''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:32-->


EC should cost between 20-50 AUSD.
<!--T:33-->
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>


==Medications & Vaccines==
===Testing Facilities=== <!--T:36-->


===Laws & Social Stigmas===
====Home Testing====
* 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
* 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.


===What to Get & Where to Get It===
====Clinics==== <!--T:37-->
* You can get STI/STD tests from most doctors, family planning clinics or sexual healths clinics. However, here's a list of some places to consider:
* [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.mshc.org.au/ Melbourne Sexual Health Centre]: You can probably get a free STI  test here and, if you're a minor, you can get tested here without parental involvement or referrals. Opening Mon - Thur: 8.30am - 5.00pm, Fri: 12.30pm - 5.00pm. Or by Appointment Only Thur Evening Clinic: 5.00 -7.00pm� Ph: 03 9341 6200. Address: 580 Swanston Street, Carlton, 3053 Vic.
** Tip: "MSHC is about 5-10 minutes walk from Melbourne Central Station, the staff are very supportive and from my personal experience, you don't feel like you have to hide anything from them. You can walk in without an appointment and at the very least, you'll be able to see a nurse or GP at the time you walk in and get a test done on the day, with the results communicated to you via text or phone call." - [https://www.reddit.com/r/melbourne/comments/56qtpi/where_can_i_16_yr_old_get_a_free_std_test_that/ Where can I (16 yr old) get a free STD test that won't require parents, Medicare, or a referral??? - Reddit]
* [http://www.testme.org.au/ TestMe]: "TESTme is a free service of Melbourne Sexual Health Centre (MSHC) for rural Victorians aged 25 years and younger, rural Victorian men who have sex with men and Aboriginal and Torres Strait Islander people. "
* [http://www.fcc.com.au/std-testing.php Fertility Control Clinic]: "Our Clinic is the first and longest running clinic of its kind in Australia. We offer many years of experience and expertise that enables us to provide women with the best possible service, attention and support."
* [http://www.yarramedical.com.au/services-list/sexual-health-checks/ Yarra Medical Richmond]: You can make an appointment online. 486 Victoria Street Richmond VIC 3121. 03 9428 6200.
* [https://www.smarthealth.me/ SmartHealth]: "Australia’s Intelligent STI/STD Check. Fast, Convenient and Discreet. No Doctor Required. Results by SMS within 48 Hours. Over 1,450 Pathology Collection Centres Throughout Australia."
* [https://stigmahealth.com/get-tested-now/ Stigma Health]: "Australian online STI/STD check. No Doctors visit required. Instant online pathology referral delivery, get tested at a Pathology Collection Centre of your choice Australia wide."


For yeast infections, you should be able to buy Canesten in Melbourne 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.
===Support=== <!--T:40-->


Regarding PrEP: "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>
<!--T:41-->
* [http://www.ahmf.com.au Australian Herpes Management Forum]
* [https://www.afao.org.au/ Australian Federation of AIDS Organisations]
* [http://napwha.org.au/ National Association of People Living with HIV Australia]
* [http://www.sti.guidelines.org.au/sexually-transmissible-infections/syphilis Australian Management Guidelines of Syphilis]
* [http://www.hepatitisaustralia.com/ Hepatitis Australia]: They have a national information hotline (1-800-437-222)
* [https://www.hepvic.org.au/ Hepatitis Victoria]


===Costs===
===Costs=== <!--T:42-->


==Menstruation==
==Medications & Vaccines== <!--T:43-->


===Laws & Social Stigmas===
[[File:Priceline Pharmacy Australia.jpg|300px | thumb|left|A pharmacy in Australia]]


===What to Get & Where to Get It===
===Laws & Social Stigmas=== <!--T:44-->


===Costs===
===What to Get & Where to Get It=== <!--T:45-->


==Gynecological Exams==
<!--T:46-->
* 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.
* Resource: [http://getpep.info/ PEP Hotline, Victoria]: 1800 889 887. "Phoneline is staffed 24 hours a day Friday to Monday, and 8:30am to midnight, Tuesday to Thursday. Other times there is a detailed recorded message with many options."


===Laws & Social Stigmas===
===Costs=== <!--T:48-->


===What to Get & Where to Get It===
==Menstruation== <!--T:95-->


===Costs===
<!--T:46-->
[[File:Divacup.jpg|300px | thumb|right|frame|'''DivaCup, one of the menstrual cups available in Australia''']]


==Sexually Transmitted Infections (STIs/STDs)==
<!--T:47-->
'''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 [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].


'''Important Note:''' 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 that may prevent HIV infection, and it may be available in your city (see below for details).
===Laws & Social Stigmas=== <!--T:48-->


'''Legal Issues Specific to Australia:''' 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>
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>


===Laws & Social Stigmas===
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>


===What to Get & Where to Get It===
'''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


[http://getpep.info/ PEP Hotline, Victoria]: 1800 889 887. "Phoneline is staffed 24 hours a day Friday to Monday, and 8:30am to midnight, Tuesday to Thursday. Other times there is a detailed recorded message with many options."
===What to Get & Where to Get It=== <!--T:49-->


====Testing Facilities====
<!--T:50-->
* 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.


You can get STI/STD tests from most doctors, family planning clinics or sexual healths clinics. However, here's a list of some places to consider:
===Costs=== <!--T:51-->


* [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
==Gynecological Exams== <!--T:56-->
 
===Laws & Social Stigmas=== <!--T:57-->
 
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:58-->
 
* 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.


* [http://www.mshc.org.au/ Melbourne Sexual Health Centre: Opening Mon - Thur: 8.30am - 5.00pm, Fri: 12.30pm - 5.00pm. Or by Appointment Only Thur Evening Clinic: 5.00 -7.00pm� Ph: 03 9341 6200. Address: 580 Swanston Street, Carlton, 3053 Vic.
===Costs=== <!--T:59-->
* [http://www.testme.org.au/ TestMe]: "TESTme is a free service of Melbourne Sexual Health Centre (MSHC) for rural Victorians aged 25 years and younger, rural Victorian men who have sex with men and Aboriginal and Torres Strait Islander people. "
* [http://www.fcc.com.au/std-testing.php Fertility Control Clinic]: "Our Clinic is the first and longest running clinic of its kind in Australia. We offer many years of experience and expertise that enables us to provide women with the best possible service, attention and support."
* [http://www.yarramedical.com.au/services-list/sexual-health-checks/ Yarra Medical Richmond]: You can make an appointment online. 486 Victoria Street Richmond VIC 3121. 03 9428 6200.
* [https://www.smarthealth.me/ SmartHealth]: "Australia’s Intelligent STI/STD Check. Fast, Convenient and Discreet. No Doctor Required. Results by SMS within 48 Hours. Over 1,450 Pathology Collection Centres Throughout Australia."


====Support====
==Pregnancy== <!--T:60-->


* [http://www.ahmf.com.au Australian Herpes Management Forum]
===Laws & Social Stigmas=== <!--T:61-->


===Costs===
===What to Get & Where to Get It=== <!--T:62-->


==Pregnancy==
* [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."


===Laws & Social Stigmas===
===Costs=== <!--T:63-->


===What to Get & Where to Get It===
==Abortion== <!--T:64-->


===Costs===
<!--T:65-->
'''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 more information about medical and surgical abortions, you can visit the [https://www.mariestopes.org.au/abortion/ Marie Stopes Australia abortion page].


==Abortion==
===Laws & Social Stigmas=== <!--T:66-->


===Laws & Social Stigmas===
<!--T:67-->
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.


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: 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>
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>


<!--T:68-->
Regarding MIsoprostol availabilty, Women on Waves reports that "Misoprostol is available as cytotec. We do not have any information how easy it is to get in a phamacy.  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>
Regarding MIsoprostol availabilty, Women on Waves reports that "Misoprostol is available as cytotec. We do not have any information how easy it is to get in a phamacy.  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>


Abortion facilities are also protected. It is illegal to protect within 150 meters of an abortion service.<ref>[http://childrenbychoice.org.au/factsandfigures/australianabortionlawandpractice Australian Abortion Law and Practice]</ref>
<!--T:69-->
 
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===


While you consult with your GP for abortion service referrals, here's a list of some places to consider:
===What to Get & Where to Get It=== <!--T:70-->


====Misoprostol Providers====
====Medical Abortion ("the abortion pill") Information==== <!--T:72-->


* Misoprostol (the abortion pill) is available Cytotec & Mifepristone. Women can get access to a medical abortion through a phone service telephone number: 1800 180 880.  
<!--T:73-->
* [http://www.mshealth.com.au/ MS Health]: Has the abortion pill. "MS Health is a not-for-profit pharmaceutical company established to deliver vital reproductive health products and medicines. We are proud  to be part of Marie Stopes International, delivering a global mission of children by choice, not chance."
* Misoprostol is available as Cytotec along with Mifepristone. Women can get access to a medical abortion through a phone service telephone number: 1800 180 880.  
* 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 the Family Planning organisation in the state or territory you are in to find your closest provider.


====Clinics & Hospitals Offering Abortion Services====
====Clinics & Hospitals Offering Abortion Services==== <!--T:74-->


<!--T:75-->
* [http://www.fcc.com.au/ Fertility Control Clinic]: "The Fertility Control Clinic is Australia's first private abortion clinic established to provide women with access to high quality and safe termination of pregnancy and contraception. The clinic was established in 1972 and has been caring for women for over forty years. Today the Fertility Control Clinic is the leading private provider of pregnancy termination, family planning and reproductive health." Address: 118 Wellington Parade, East Melbourne, Victoria. Phone: (03) 9419 2922. Email: clinic@fcc.com.au
* [http://www.fcc.com.au/ Fertility Control Clinic]: "The Fertility Control Clinic is Australia's first private abortion clinic established to provide women with access to high quality and safe termination of pregnancy and contraception. The clinic was established in 1972 and has been caring for women for over forty years. Today the Fertility Control Clinic is the leading private provider of pregnancy termination, family planning and reproductive health." Address: 118 Wellington Parade, East Melbourne, Victoria. Phone: (03) 9419 2922. Email: clinic@fcc.com.au
* [https://www.drmarie.org.au/ Marie Stopes Facility] - Locations in East Melbourne & East St. Kilda. "Our services provide women with a supportive, compassionate and confidential environment in which to discuss and assess the available options. We assist you in deciding what the right procedure is for you, depending on your preference and the stage of the pregnancy. All patients (Medicare and non-Medicare) undergoing a termination of pregnancy procedure at a Dr Marie clinic are eligible for a free STI check for Chlamydia and any other STI deemed appropriate by assessment, or at your request." Note that Marie Stopes facilities in Australia are called Dr. Marie. Address 1: East Melbourne, Suite 4, Level 1, 182 Victoria Parade, East Melbourne VIC 3002, Call 1300 405 568. Address 2: East St. Kilda, 338 Dandenong Rd, Phone: +61 1300 003 707
* [https://www.mariestopes.org.au/ Marie Stopes Australia]: "At Marie Stopes we provide surgical abortion, medical abortion, vasectomy, contraception (and Tubal Ligation in Western Australia only) and counselling. Our prices can be found [https://www.mariestopes.org.au/bookings/prices/ here], but they do vary a little by state. All of our services also come with access to a 24/7 aftercare line in case of complications... We offer both medical and surgical terminations, including medical abortion via telephone (telehealth). We 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 required, except in Western Australia where it is a requirement to access abortion services." Call our national support centre on 1300 207 382 or enquire online. Callers outside Australia: +61 3 9658 7470. If you’ve had a procedure and have any concerns, please call our [https://www.mariestopes.org.au/support-services/24-hour-aftercare/ 24-hour aftercare service]. For a list of locations in Melbourne, click [https://www.mariestopes.org.au/bookings/locations/#melbourne here].
* [http://womensclinic.com.au/ Women's Clinic]: Offers medical or surgical abortions in East and West Melbourne. Abortion is $300 with Medicare Card. Call (03) 9769 4134 or go online to book an appointment.
* [http://womensclinic.com.au/ Women's Clinic]: Offers medical or surgical abortions in East and West Melbourne. Abortion is $300 with Medicare Card. Call (03) 9769 4134 or go online to book an appointment.
* [http://http://www.hpwh.com.au/ Hampton Park Women's Health Care]: Assists women in 5-13 weeks of pregnancy. "Hampton Park Women’s Health Care recognises how difficult and sensitive the issue of an unplanned pregnancy can be. Having worked in this field of health care for many years our female Doctor has established this clinic with one important goal in mind – to make your experience one in which you feel calm, informed, dignified and safe." Address: 4 Warana Drive, Hampton Park. Phone: 03 9799 2817. Email: office@hpwh.com.au
* [http://http://www.hpwh.com.au/ Hampton Park Women's Health Care]: Assists women in 5-13 weeks of pregnancy. "Hampton Park Women’s Health Care recognises how difficult and sensitive the issue of an unplanned pregnancy can be. Having worked in this field of health care for many years our female Doctor has established this clinic with one important goal in mind – to make your experience one in which you feel calm, informed, dignified and safe." Address: 4 Warana Drive, Hampton Park. Phone: 03 9799 2817. Email: office@hpwh.com.au
* [https://www.thewomens.org.au/patients-visitors/clinics-and-services/unplanned-pregnancy-services/abortion-service/ Royal Women's Hospital]: "The Women’s provides a very limited number of appointments for abortions. Priority access for abortions is given to women with a health care card. You will need to speak with a member of the Women’s Pregnancy Advisory Service to find out whether you can access any available appointments."
* [https://www.thewomens.org.au/patients-visitors/clinics-and-services/unplanned-pregnancy-services/abortion-service/ Royal Women's Hospital]: "The Women’s provides a very limited number of appointments for abortions. Priority access for abortions is given to women with a health care card. You will need to speak with a member of the Women’s Pregnancy Advisory Service to find out whether you can access any available appointments."
* [http://http://www.monashhealth.org/ Monash Health]: "Our specialties include paediatrics (caring for children), cardiology (caring for the heart), womens health, kidney and pancreas transplants and intensive care for sick and preterm babies in the first few weeks and months of life." Phone: 1300 3 iCARE (1300 342 273)
* [http://http://www.monashhealth.org/ Monash Health]: "Our specialties include paediatrics (caring for children), cardiology (caring for the heart), womens health, kidney and pancreas transplants and intensive care for sick and preterm babies in the first few weeks and months of life." Phone: 1300 3 iCARE (1300 342 273)
* 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===
===Costs=== <!--T:76-->


<!--T:77-->
Abortion services range from $300 to $500. If you do not have a Medicare card, you may have to pay a higher rate.
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==
==Advocacy & Counseling== <!--T:78-->


===Laws & Social Stigmas===
===Laws & Social Stigmas=== <!--T:79-->


===What to Get & Where to Get It===
===What to Get & Where to Get It=== <!--T:80-->


<!--T:81-->
* If you're in immediate danger, dial 000
* 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.  
* 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
* [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===


==List of Additional Resources==
===Costs=== <!--T:82-->
 
==List of Additional Resources== <!--T:83-->
* [http://www.health.gov.au/ The Department of Health - Australia]
* 24 hour hotline that connects you with nurses & provides health advice for all Victorians: Call 1300 60 60 24
* 24 hour hotline that connects you with nurses & provides health advice for all Victorians: Call 1300 60 60 24
* Melbourne Sexual Health Centre Tel. (03) 9341 6200 or 1800 032 017 or TTY (for the hearing impaired) (03) 9347 8619
* [https://www.mshc.org.au/ Melbourne Sexual Health Centre]: Tel. (03) 9341 6200 or 1800 032 017 or TTY (for the hearing impaired) (03) 9347 8619
* [http://www.fpv.org.au/courses/sexuality-support-services-for-lgbti-youth-in-a-group-setting YAK]: "At our youth Action Centre, we run YAK, a social support group for same-sex attracted young people. Some group members identify as gay, lesbian, bisexual or queer and some are unsure of their sexual identity or don't want to label themselves."
* [http://www.fpv.org.au/courses/sexuality-support-services-for-lgbti-youth-in-a-group-setting YAK]: "At our youth Action Centre, we run YAK, a social support group for same-sex attracted young people. Some group members identify as gay, lesbian, bisexual or queer and some are unsure of their sexual identity or don't want to label themselves."
* Victorian AIDS Council/Gay Men's Health Centre Tel. (03) 9865 6700 or 1800 134 840
* Victorian AIDS Council/Gay Men's Health Centre Tel. (03) 9865 6700 or 1800 134 840
Line 188: Line 300:
* Family Planning Victoria Tel. (03) 9257 0100 or 1800 013 952
* Family Planning Victoria Tel. (03) 9257 0100 or 1800 013 952
* Action Centre (for young people 25 years and under) Tel. (03) 9660 4700 or 1800 013 952
* Action Centre (for young people 25 years and under) Tel. (03) 9660 4700 or 1800 013 952
* PEP Information Line Tel. 1800 889 887
* Ballarat Sexual Health Clinic Tel. (03) 5338 4500
* Ballarat Sexual Health Clinic Tel. (03) 5338 4500
* Bendigo Community Health Tel. (03) 5434 4330
* Bendigo Community Health Tel. (03) 5434 4330
Line 195: Line 306:
* Traralgon AIDS/STD Clinic Tel. (03) 5173 8111
* Traralgon AIDS/STD Clinic Tel. (03) 5173 8111
* Warrnambool Community Health Care – Sexual Health Tel. (03) 5563 1666
* Warrnambool Community Health Care – Sexual Health Tel. (03) 5563 1666
* [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.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://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.radicalwomen.org/melbourne.shtml Radical Women]: "Radical Women is an activist organization of people who self-define as female. We view feminism as essential to winning liberation for all people. We are socialists, believing that the oppression of women, queers, and people of color originated in the patriarchal private property system and will fall with its replacement by a collective, democratic socialist system." Email: radicalwomenus@gmail.com
* [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."
* [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."
* [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."


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Latest revision as of 18:25, 5 May 2020


Melbourne-966467 960 720.jpg
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 fully legal for up to 24 weeks of pregnancy
LGBTQ Laws homosexuality legal
Related Pages Australia, Sydney

OVERVIEW

In Melbourne, 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, Melbourne is under Victoria state law, which is one of the most open in the world. 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.

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

Levlen ED birth control pills purchased in Australia

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 oral contraception 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 pretty straight-forward and don't usually require pelvic exams. There is an incredibly wide range of contraceptives available, 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

Femme-Tab ED birth control pills purchased in Australia
  • You can receive contraceptive counselling 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 contraception methods are available in Australia, and what their efficacy is.
  • 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 Frontyard Youth Service, which is at 19 King Street (near Flinders Lane). Phone: 03 9611 2411 or Freecall: 1800 800 531. 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 oral contraception pills, you will need to consult with a doctor for a prescription. Alternatively, you can consult a women's clinic or an NGO, like Marie Stopes Australia, to consult with a healthcare professional and obtain your prescription. Once you have a prescription, you'll find a wide variety of oral contraception pills available in Australia with over 30 brands registered.[4] Here are some places where you can get a consultation:
    • The Royal Women's Hospital: "The Women’s is Australia’s first and largest specialist hospital dedicated to improving the health of all women and newborns." Address: 20 Flemington Rd, Parkville, Victoria. Main Reception Phone: (03) 8345 2000.
    • Family Planning Victoria: Address: 901 Whitehorse Rd, Box Hill VIC 3128, Australia. Hours: Open today · 9AM–5PM. Phone: +61 3 9257 0100
    • Fertility Control Clinic: Expensive if you're uninsured but quality care. Address: 118 Wellington Parade, East Melbourne VIC 3002, Australia. Phone: +61 3 9419 2922. Hours: Open today · 7:30AM–5PM
    • Melbourne Sexual Health Centre: "Specializes in the testing, treatment and management of sexually transmissible infections. Also offers Pap smears, contraception, and related services." Address: 580 Swanston St, Carlton VIC 3053, Australia. Hours: Open 12:30–5PM. Phone: +61 3 9341 6200
    • St. Kilda Super Clinic: Address: 1/158 Acland St, St Kilda VIC 3182, Australia. Phone: +61 3 9525 5766
  • You can also get a birth control prescription and order contraceptives online at:
    • Doctos - a legitimate company that offers Depo-Provera, Nuvaring and oral contraceptives such as Levlen, Estelle 35, Yasmin, Yaz, Microgynon, etc.
    • The Chemist Warehouse: We don't know much about this company but they sell oral contraceptives (Levlen, Trifeme, Microlut, Monofeme, Nordette, Microgynon) and IUDs (Mirena). They claim to be "Australia's #1 Online Pharmacy" and have free shipping for orders over $99.
  • As for IUDs, you can get them at various clinics and health care facilities, such as Marie Stopes Australia.
    • One female traveller 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."
    • "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're going to be much more skilled at minimising pain and the risk of side effects."
  • If you want a contraceptive implant, you can find Implanon in Australia.[5]
  • If you want a contraceptive shot/injectable, you can find Depo-Provera and Depo-Ralovera in Australia.[6]
  • The contraceptive patch is not available in Australia, as of February 2019.

Costs

  • For oral contraception pills, you may pay $3-6 for a month supply if you’re eligible for a green Medicare card. Most oral contraceptives in Australia come in boxes of 4-month supply.
  • 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 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 $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

Home Testing

  • 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.

Clinics

  • You can get STI/STD tests from most doctors, family planning clinics or sexual healths clinics. However, here's a list of some places to consider:
  • 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
  • Melbourne Sexual Health Centre: You can probably get a free STI test here and, if you're a minor, you can get tested here without parental involvement or referrals. Opening Mon - Thur: 8.30am - 5.00pm, Fri: 12.30pm - 5.00pm. Or by Appointment Only Thur Evening Clinic: 5.00 -7.00pm� Ph: 03 9341 6200. Address: 580 Swanston Street, Carlton, 3053 Vic.
  • TestMe: "TESTme is a free service of Melbourne Sexual Health Centre (MSHC) for rural Victorians aged 25 years and younger, rural Victorian men who have sex with men and Aboriginal and Torres Strait Islander people. "
  • Fertility Control Clinic: "Our Clinic is the first and longest running clinic of its kind in Australia. We offer many years of experience and expertise that enables us to provide women with the best possible service, attention and support."
  • Yarra Medical Richmond: You can make an appointment online. 486 Victoria Street Richmond VIC 3121. 03 9428 6200.
  • SmartHealth: "Australia’s Intelligent STI/STD Check. Fast, Convenient and Discreet. No Doctor Required. Results by SMS within 48 Hours. Over 1,450 Pathology Collection Centres Throughout Australia."
  • Stigma Health: "Australian online STI/STD check. No Doctors visit required. Instant online pathology referral delivery, get tested at a Pathology Collection Centre of your choice Australia wide."

Support

Costs

Medications & Vaccines

A pharmacy in Australia

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.
  • Resource: PEP Hotline, Victoria: 1800 889 887. "Phoneline is staffed 24 hours a day Friday to Monday, and 8:30am to midnight, Tuesday to Thursday. Other times there is a detailed recorded message with many options."

Costs

Menstruation

DivaCup, one of the menstrual cups available in Australia

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:

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

  • 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

  • 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 pill 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]

Regarding MIsoprostol availabilty, Women on Waves reports that "Misoprostol is available as cytotec. We do not have any information how easy it is to get in a phamacy. 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)."[20]

In some states, abortion facilities are protected. In these cases, it is illegal to protest within 150 meters of an abortion service.[21] However, this does not apply to all states.

What to Get & Where to Get It

Medical Abortion ("the abortion pill") Information

  • Misoprostol is available as Cytotec along with Mifepristone. Women can get access to a medical abortion through a phone service telephone number: 1800 180 880.
  • 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 the Family Planning organisation in the state or territory you are in to find your closest provider.

Clinics & Hospitals Offering Abortion Services

  • Fertility Control Clinic: "The Fertility Control Clinic is Australia's first private abortion clinic established to provide women with access to high quality and safe termination of pregnancy and contraception. The clinic was established in 1972 and has been caring for women for over forty years. Today the Fertility Control Clinic is the leading private provider of pregnancy termination, family planning and reproductive health." Address: 118 Wellington Parade, East Melbourne, Victoria. Phone: (03) 9419 2922. Email: clinic@fcc.com.au
  • Marie Stopes Australia: "At Marie Stopes we provide surgical abortion, medical abortion, vasectomy, contraception (and Tubal Ligation in Western Australia only) and counselling. Our prices can be found here, but they do vary a little by state. All of our services also come with access to a 24/7 aftercare line in case of complications... We offer both medical and surgical terminations, including medical abortion via telephone (telehealth). We 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 required, except in Western Australia where it is a requirement to access abortion services." Call our national support centre on 1300 207 382 or enquire online. Callers outside Australia: +61 3 9658 7470. If you’ve had a procedure and have any concerns, please call our 24-hour aftercare service. For a list of locations in Melbourne, click here.
  • Women's Clinic: Offers medical or surgical abortions in East and West Melbourne. Abortion is $300 with Medicare Card. Call (03) 9769 4134 or go online to book an appointment.
  • Hampton Park Women's Health Care: Assists women in 5-13 weeks of pregnancy. "Hampton Park Women’s Health Care recognises how difficult and sensitive the issue of an unplanned pregnancy can be. Having worked in this field of health care for many years our female Doctor has established this clinic with one important goal in mind – to make your experience one in which you feel calm, informed, dignified and safe." Address: 4 Warana Drive, Hampton Park. Phone: 03 9799 2817. Email: office@hpwh.com.au
  • Royal Women's Hospital: "The Women’s provides a very limited number of appointments for abortions. Priority access for abortions is given to women with a health care card. You will need to speak with a member of the Women’s Pregnancy Advisory Service to find out whether you can access any available appointments."
  • Monash Health: "Our specialties include paediatrics (caring for children), cardiology (caring for the heart), womens health, kidney and pancreas transplants and intensive care for sick and preterm babies in the first few weeks and months of life." Phone: 1300 3 iCARE (1300 342 273)
  • 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

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
  • 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
  • 24 hour hotline that connects you with nurses & provides health advice for all Victorians: Call 1300 60 60 24
  • Melbourne Sexual Health Centre: Tel. (03) 9341 6200 or 1800 032 017 or TTY (for the hearing impaired) (03) 9347 8619
  • YAK: "At our youth Action Centre, we run YAK, a social support group for same-sex attracted young people. Some group members identify as gay, lesbian, bisexual or queer and some are unsure of their sexual identity or don't want to label themselves."
  • Victorian AIDS Council/Gay Men's Health Centre Tel. (03) 9865 6700 or 1800 134 840
  • Education and Resource Centre, Alfred Health Tel. (03) 9076 6993
  • The Centre Clinic, St Kilda Tel. (03) 9525 5866
  • Family Planning Victoria Tel. (03) 9257 0100 or 1800 013 952
  • Action Centre (for young people 25 years and under) Tel. (03) 9660 4700 or 1800 013 952
  • Ballarat Sexual Health Clinic Tel. (03) 5338 4500
  • Bendigo Community Health Tel. (03) 5434 4330
  • Geelong Sexual Health Tel. (03) 5202 9333
  • Wodonga Clinic 35 Tel. (02) 6022 8888
  • Traralgon AIDS/STD Clinic Tel. (03) 5173 8111
  • Warrnambool Community Health Care – Sexual Health Tel. (03) 5563 1666
  • 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 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
  • 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."
  • Radical Women: "Radical Women is an activist organization of people who self-define as female. We view feminism as essential to winning liberation for all people. We are socialists, believing that the oppression of women, queers, and people of color originated in the patriarchal private property system and will fall with its replacement by a collective, democratic socialist system." Email: radicalwomenus@gmail.com
  • 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."
  • 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."
  • 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."

References