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Mexico City: Difference between revisions

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'''OVERVIEW'''  
'''OVERVIEW'''  


In Mexico, you can access many forms of contraception (birth control), including condoms, pills, injectables, shots and IUDs. Emergency contraception (the morning after pill) is available at pharmacies without a prescription, and there are no age restrictions. As the only city in Mexico with legal abortion, Mexico City is a unique and necessary place for women's health care.
Generally speaking, Mexico City has the most progressive health care policies and resources in the country of Mexico. However, there are still social and economic barriers for many people, depending on their lives and circumstances. You can access many forms of contraception (birth control), including condoms, pills, injectables, shots and IUDs. Emergency contraception (the morning after pill) is available at pharmacies without a prescription, and there are no age restrictions. Regarding abortion, Mexico City was the first place in Mexico to legalize abortion. Additionally, Mexico City was the only place to permit abortion in the country for many years, until the state of Oaxaca decriminalized abortion in 2019.<ref name="oaxaca_abortion">[https://www.theguardian.com/world/2019/sep/26/we-have-made-history-mexicos-oaxaca-state-decriminalises-abortion 'We have made history': Mexico's Oaxaca state decriminalises abortion]</ref>


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


You can obtain birth control over the counter (no prescription) needed in Mexico. However, oral contraceptives are not the most popular form of contraception in Mexico. It is estimated that 70%-78% of women of fertility age in Mexico use some form of modern contraception with sterilization being the most common, followed by IUD and then oral contraceptives. In rural areas, it is estimated that 44% of Mexican women use some form of modern birth control.  
You can obtain many forms of birth control, such as pills and condoms, over the counter (no prescription needed) in Mexico. For other forms of contraception, such as IUDs, you will need to visit a health care provider.
 
In 2015, it was estimated that about 73% of women in Mexico (who were married/in unions and between ages 15 to 49) used any form of birth control, including traditional methods, and about 11% of women had unmet family planning needs. The most common forms of contraception were female sterilization (about 36% of women) and IUDs (about 12% of women). This was followed by male condoms (about 7%) and contraceptive injectables (about 5%). Some women used traditional methods, such as the rhythm method (about 2%) and withdrawal (about 2%) as their primary form of contraception. There were relatively low rates of usage for male sterilization (about 2%) and practically no users of contraceptive implants (0.0%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>


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


* For a list of contraceptive options available in Mexico, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=MX here].
* In Mexico, you can find '''condoms''' ("condónes” in Spanish ) in most pharmacies. They are also available from social marketing programs, such as [https://www.dkt.com.mx/index.php DKT International].
* '''Condoms''' can also be found in most pharmacies.
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), they can be found in most pharmacies. In Mexico, people say that there is a "farmacia" on almost every corner. Some recommended pharmacies include Benavides (though it is a bit expensive) or Jessica's (which is less expensive). Some pills you can expect to see are Belara, Cerazette, Cilest, Diana, Exluton, Femexin, Ginelea MD, Gynovin, Gynovin 20, Gynovin CD, Marveon, Mercilon, Microgynon CD, Microlut, Minesse, Minulet, Noraace, Nordette, Nordiol, Yasmin, etc.
* If you want '''birth control pills''', they can be found in most pharmacies. In Mexico, people say that there is a "farmacia" on almost every corner. Some recommended pharmacies include Benavides (though it is a bit expensive) or Jessica's (which is less expensive). Some pills you can expect to see are Belara, Cerazette, Cilest, Diana, Exluton, Femexin, Ginelea MD, Gynovin, Gynovin 20, Gynovin CD, Marveon, Mercilon, Microgynon CD, Microlut, Minesse, Minulet, Noraace, Nordette, Nordiol, Yasmin, etc.
* If you want the '''contraceptive injectable''' ("anticonceptivo inyectable” in Spanish), you can find many brands in Mexico, including Anafertin, Cyclofem, Cyclofemina, Depo-Provera, Lutal 30, Lutalmin, Megestron, Megigyna, Noretisterona-Estradiol, Noristerat, Patector, Patector NF, Perlutal and Yectames.
* If you want the '''contraceptive injectable''', you can find many brands in Mexico, including Anafertin, Cyclofem, Cyclofemina, Depo-Provera, Lutal 30, Lutalmin, Megestron, Megigyna, Noretisterona-Estradiol, Noristerat, Patector, Patector NF, Perlutal and Yectames.
* If you want a '''contraceptive implant''' ("implante anticonceptivo” in Spanish), you can find Implanon, Jadelle and Norplant in Mexico
* If you want a '''contraceptive implant''', you can find Implanon, Jadelle and Norplant in Mexico
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena or the copper IUD in Mexico.
* If you want an '''IUD''', you can find Mirena in Mexico.
* Luna Maya Casa de Partos - Birth Center run by midwives, we speak Spanish, English, French, Portuguese and German and work with women and their families to care for their sexual and reproductive health! - 55 65 20 62 56 www.lunamaya.org


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry 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.
There are many emergency contraception pills available at Mexican pharmacies. For dedicated EC pills (take one pill within 120 hours), you can buy Ladiades 1.5, Postinor-2 Unidosis or Silogin 1.5mg. There are also other dedicated EC pills in which you take 2 in 120 hours, which include Alterna, Dreams, Glanique, Ladiades 0.75, Opportuna, PostDay, Postinor-2, Silogin 0.75mg and Vika. There are also many oral contraceptives available that women have used in place of birth control pills, such as Eugynon CD, Neogynon, Neogynon CD, Nordiol and Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). As an another alternative, there's Lorsax, Microgynon-30, Mithuri, Nordet, Nordette and Rigevidon (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). There's also Femexin (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
 
There are many emergency contraception pills available at Mexican pharmacies. For dedicated EC pills (take one pill within 120 hours), you can buy Ladiades 1.5, Postinor-2 Unidosis or Silogin 1.5mg. There are also other dedicated EC pills in which you take 2 in 120 hours, which include Alterna, Dreams, Glanique, Ladiades 0.75, Opportuna, PostDay, Postinor-2, Silogin 0.75mg and Vika. There are also many oral contraceptives available that women have used in place of birth control pills, such as Eugynon CD, Neogynon, Neogynon CD, Nordiol and Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). As an another alternative, there's Lorsax, Microgynon-30, Mithuri, Nordet, Nordette and Rigevidon (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). There's also Femexin (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
*Luna Maya Casa de Partos - Birth Center run by midwives, we speak Spanish, English, French, Portuguese and German and work with women and their families to care for their sexual and reproductive health! - 55 65 20 62 56 www.lunamaya.org


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


While pads are easier to find, you should be able to find tampons at most major supermarkets (with and without applicators). It's supposed to be more difficult to "Super Plus" tampons, but they may be available at Mega supermarkets. As for menstrual cups, you can purchase Lunette from [http://www.alternativasecologicas.mx/index.php Alternatives Ecologicas]. There are no local sellers of DivaCup, Mooncup or LadyCup in Mexico, so those brands should be purchased online.
While pads are easier to find, you should be able to find tampons at most major supermarkets (with and without applicators). It's supposed to be more difficult to "Super Plus" tampons, but they may be available at Mega supermarkets. As for menstrual cups, you can purchase [https://www.facebook.com/Angelcupmexico/ Angelcup], which is a Mexican menstrual cup company ("100% mexicana"). They sell the Crystal menstrual cup for 625 pesos and the Colors menstrual cup for 700 pesos (as of February 2017). You can also purchase Lunette from [http://www.alternativasecologicas.mx/index.php Alternatives Ecologicas]. There are no local sellers of DivaCup, Mooncup or LadyCup in Mexico, so those brands should be purchased online.


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* Dr. Horacio Suarez Del Puerto @ ABC Hospital: Recommended by a local. Speaks Spanish and English. Phone: (55) 5814 3340
* [https://www.medkohealth.com/en/doctors/carlos-valdespin Carlos Valdespin]: Recommended by a local ("The best Gyno/ OBGYN in Mexico City... He speaks perfect English and has beautiful offices.")
* [www.lunamaya.org Luna Maya Casa de Partos] - They may be able to provide STI tests. Birth Center run by midwives, we speak Spanish, English, French, Portugues and German! Phone: 55 65 20 62 56.


===Costs===
===Costs===
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===Laws & Social Stigmas===
===Laws & Social Stigmas===
Women are granted 12 weeks of maternity leave.<ref>[http://mdm.wageindicator.org/chart/maternity/484 Working Mothers in Mexico
]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
* [http://www.lunamaya.org Luna Maya Casa de Partos] - Birth Center run by midwives, we speak Spanish, English, French, Portuguese and German and work with women and their families to care for their sexual and reproductive health! - Phone: 55 65 20 62 56


===Costs===
===Costs===
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


Abortion law in Mexico City is the most liberal in all of Mexico. In Mexico City, you can get an abortion within the first 12 weeks of pregnancy (i.e. first trimester). However, in all other 31 states of Mexico, abortion is only permitted for rape victims. Some states also allow abortion in cases of genetic malformation of the baby, but exact laws vary.
Abortion law in Mexico City is the most liberal in all of Mexico. In Mexico City, you can get an abortion within the first 12 weeks of pregnancy (i.e. first trimester). However, in many states of Mexico, abortion is only permitted for rape victims. Some states also allow abortion in cases of genetic malformation of the baby, but exact laws vary.


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


You can get Misoprostol (the abortion pill), which is registered as Cytotec, Artrotec and Cyrux. They tend to be expensive but can be found in most pharmacies in Mexico City.
You can get Misoprostol (the abortion pill), which is registered as Cytotec, Artrotec and Cyrux. They tend to be expensive but can be found in most pharmacies in Mexico City and you don´t need a prescription! If they don´t want to sell it to you, go to another pharmacy. It is prescription free in the whole country and costs normally between 400 and 500 pesos a box (28 pills and you´ll need 12 if you use only misoprostol, or 4 if you use it in combination with Mifepristona which is MUCH more effective. But that pill is not available for people in general, only for health providers so if you go to any clinic where abortion is available, they will provide it for you).
 
====NGOs====
 
* [http://www.mariestopes.org.mx/ Marie Stopes Mexico]: This is a great international organization with locations around the world, providing clean and efficient facilities for abortions. You can visit the website to find a clinic near you in Mexico.  


====Public Clinics====
====Public Clinics====
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====Private Clinics====
====Private Clinics====


If you are interested in private abortion clinics, there are many options available in Mexico City. Please review this list website to find clinics based on area: http://www.clinicas-aborto.com.mx/mexico/
* If you are interested in private abortion clinics, there are many options available in Mexico City. Please review this list website to find clinics based on area: http://www.clinicas-aborto.com.mx/mexico/
 
* [https://www.profem.com.mx Clinica Profem]: This is the 1st clinic to offer the legal abortion service in Mexico City since 2007
* Marie Stopes Mexico - This is a great international organization with locations around the world, providing clean and efficient facilities for abortions (http://www.mariestopes.org.mx/)


===Costs===
===Costs===
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==List of Additional Resources==
==List of Additional Resources==
* [https://www.gob.mx/salud/en Secretaría de Salud (Secretary of Health)]: The government department in charge of all social health services in Mexico.
* [https://mexfam.org.mx/ MEXFAM - Fundación Mexicana para la Planeación Familiar]: "MEXFAM works in 25 of the 32 Mexican states. It runs 85 service points, including 19 permanent clinics, 63 mobile facilities and through partnerships with 3 associate clinics. MEXFAM covers the full gamut of sexual and reproductive health and rights (SRHR) needs and issues, including contraception, antenatal/post-natal care, maternal and child health, sexually transmitted infections (STIs) including HIV and AIDS, and information and education programmes. There is a particular bias towards serving those communities not reached by the government’s programme, including the economically disadvantaged, the rural poor, young people and men."
* [https://www.dkt.com.mx/index.php DKT International - Mexico]: "DKT Mexico offers an increasingly wide range of contraceptives and works with distributors that stock supermarkets, drugstores and wholesalers to ensure that people from rural areas have easy access to contraceptives. Its condom brand Prudence is the top-selling condom brand in Mexico." Address: Miguel Ángel de Quevedo #696, Col. Villa Coyoacán, CDMX , C.P. 04000. Teléfono: 5245 1211. Email: contacto@dkt.com.mx
* [http://www.equaldex.com/region/mexico Equaldex Mexico]: Click here to learn about LGBTQ rights and laws in Mexico. Note that homosexuality is legal in Mexico and it is legal to change gender (but surgery is required).


==References==
==References==

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