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Montreal: Difference between revisions

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Montreal (view source)

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[[File:Montreal.jpg|400px | thumb|right|]]
{| class="wikitable" style="width:200px; border:1px solid black;float:right"
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|colspan="8" style="text-align:center"|[[File:Montreal.jpg|300px | thumb|right|]]
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| '''Contraception: Over-the-Counter'''
| condoms
|-
| '''Contraception: Prescription/Clinic Required'''
| pills, IUD, shots
|-
| '''Emergency Contraception'''
| no prescription required; widely available in pharmacies
|-
| '''STIs'''
| no travel restrictions; HIV-positive foreigners not deported
|-
| '''Menstrual Products'''
| pads, tampons, cups
|-
| '''Abortion Law'''
| legally available on request (first 22 weeks)
|-
| '''LGBTQ Laws'''
| homosexuality legal; gender change legal
|-
| '''Related Pages'''
| [[Toronto]], [[Vancouver]], [[Canada]]
|-
|}
 


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In Montreal you will find an incredible range of health care options. Contraceptive methods, including condoms, pills, patches, shots, etc, are widely available. While contraceptives are not subsidized by the Canadian health care system for all people, you can find lower-cost pills and IUDs (including insertion) at public sexual health clinics. You can purchase emergency contraception ("the morning after pill") at pharmacies or obtain it at sexual health clinics. There are no formal age restrictions but pharmacists can refuse to dispense EC to people who do not seem "mature." There are many public sexual health clinics that offer STI tests. While some only cover HIV, other clinics can test for a range of STIs, especially if you make an appointment rather than dropping in. There is an HPV vaccination program in place. You can access Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP). Regarding abortions, they are legal and there are no formal restrictions. If you have a valid Quebec health insurance card (RAMQ), medical and surgical abortions are free.
In Montreal you will find an incredible range of health care options. Contraceptive methods, including condoms, pills, patches, shots, etc, are widely available. While contraceptives are not subsidized by the Canadian health care system for all people, you can find lower-cost pills and IUDs (including insertion) at public sexual health clinics. You can purchase emergency contraception ("the morning after pill") at pharmacies or obtain it at sexual health clinics. There are no formal age restrictions but pharmacists can refuse to dispense EC to people who do not seem "mature." There are many public sexual health clinics that offer STI tests. While some only cover HIV, other clinics can test for a range of STIs, especially if you make an appointment rather than dropping in. There is an HPV vaccination program in place. You can access Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP). Regarding abortions, they are legal and there are no formal restrictions. If you have a valid Quebec health insurance card (RAMQ), medical and surgical abortions are free. If you're not a Canadian citizen or permanent resident, you can expect to pay $300-$900 for the procedure, but there are some financial assistance resources available.


==Contraception (Birth Control)== <!--T:4-->
==Contraception (Birth Control)== <!--T:4-->
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* You can get '''birth control pills''' at pharmacies or health centers.
* You can get '''birth control pills''' at pharmacies or health centers.
* If you want an '''IUD''', you can get it at many health centers and clinics. For example, at [http://www.forcemedic.com/en/womens-health-clinic/ ForceMedic Women's Health Clinic], you can get the Mona Lisa IUD (insertion and device). You can get Mirena insertion at [http://www.clinique-femina.com/english/gynecologie.html Clinique médicale Fémina].
* If you want an '''IUD''', you can get it at many health centers and clinics. For example, at [http://www.forcemedic.com/en/womens-health-clinic/ ForceMedic Women's Health Clinic], you can get the Mona Lisa IUD (insertion and device). You can get Mirena insertion at [http://www.clinique-femina.com/english/gynecologie.html Clinique médicale Fémina].
* For contraceptive shots (Depo-Provera), you can get them at [http://www.clinique-femina.com/english/gynecologie.html Clinique médicale Fémina].
* For '''contraceptive shots''' (Depo-Provera), you can get them at [http://www.clinique-femina.com/english/gynecologie.html Clinique médicale Fémina].


===Costs=== <!--T:11-->
===Costs=== <!--T:11-->
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In Canada, emergency contraception (also known as "the morning after pill") is available over the counter. They can be found in public sector hospitals and pharmacies.  
In Canada, the emergency contraceptive pill (the morning after pill) is available at a variety of places, including women's clinics, sexual health centres, hospitals, and pharmacies. However, the laws around its availability vary by province. In Ontario and most provinces, emergency contraceptive pills are available over-the-counter, except for Ulipristal-based pills, such as ellaOne, which requires a prescription.<ref>[https://www.healthlinkbc.ca/healthlinkbc-files/emergency-contraception Emergency Contraception (EC)]</ref> In Quebec, emergency contraceptive requires a prescription, and in in Saskatchewan, it is available behind the counter at pharmacies.<ref>[http://planb.ca/where-to-get-it.html Plan B - Where to Get It (Canada)]</ref>


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There are some age restrictions when purchasing EC. As reported by the International Consortium for Emergency Contraception, " In May 2008, the National Association of Pharmacy Regulatory Authorities (NAPRA) recommended full OTC access for the LNG regimen with no age restriction. This recommendation is being applied Under Common Law; however, pharmacists have the discretion to restrict sale of EC if a woman does not appear mature. All provinces follow Common Law with the exception of Quebec, which follows Civil Code, and Saskatchewan."<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/canada/ EC Status and Availability: Canada]</ref>
Generally speaking, age restrictions on emergency contraception vary by province. In many provinces, there are no age restrictions, so young people and teenagers are legally allowed to purchased emergency contraceptive pills without a prescription or parental consent. As reported by the International Consortium for Emergency Contraception, "In May 2008, the National Association of Pharmacy Regulatory Authorities (NAPRA) recommended full OTC access for the LNG regimen with no age restriction. This recommendation is being applied Under Common Law; however, pharmacists have the discretion to restrict sale of EC if a woman does not appear mature. All provinces follow Common Law with the exception of Quebec, which follows Civil Code, and Saskatchewan."<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/canada/ EC Status and Availability: Canada]</ref>


===What to Get & Where to Get It=== <!--T:18-->
===What to Get & Where to Get It=== <!--T:18-->


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* You can obtain most emergency contraceptive pills (morning after pills) without a prescription from a pharmacy, doctor, women's clinic, sexual assault centres, sexual health clinics, or hospital emergency rooms.
In Canada, if you want dedicated progestin-only EC, you can take NorLevo 0.75 mg (available over the counter) or Plan B (available over the counter). You should take 2 pills within 120 hours after unprotected sex. If you can't access dedicated EC, you can use some oral contraceptives as replacement EC -- but, remember: in 28-day packs, only the first 21 pills can be used. Some of the contraceptives you can use are Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), Minovral (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later) and Alesse (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>
In Canada, if you want dedicated progestin-only EC, you can take NorLevo 0.75 mg (available over the counter) or Plan B (available over the counter). You should take 2 pills within 120 hours after unprotected sex. If you can't access dedicated EC, you can use some oral contraceptives as replacement EC -- but, remember: in 28-day packs, only the first 21 pills can be used. Some of the contraceptives you can use are Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), Minovral (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later) and Alesse (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>


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* You can get the Hepatitis B vaccine at many sexual health clinics.
* There are two '''HPV vaccines''' available in Canada: Cervarix® (HPV2) and Gardasil®9 (HPV9).
* If you want Post-exposure prophylaxis (PEP), you should contact a hospital emergency department or their doctor for treatment. Generally, no appointment is required since patients should be counseled and treated ASAP.
* You can get the '''Hepatitis B vaccine''' at many sexual health clinics.
* Pre-Exposure Prophylaxis (PrEP) is available in Canada. In February 2016, Health Canada approved Truvada as prevention.<ref>[http://www.prepwatch.org/canada/ PrEPWatch: Canada]</ref> According to ACT Toronto, "Any doctor can prescribe PrEP. If you have a family doctor that you feel comfortable with, that is a good place to start. There is ongoing testing and medical care required with PrEP, so accessing PrEP through a doctor that you already have a connection with is ideal."<ref>[http://www.actoronto.org/PrEP/how PrEP - How do I get it?]</ref> CATIE has also compiled extensive resources on PrEP for Canadians, which you can check out [http://www.catie.ca/en/prep here].
* If you want '''Post-exposure prophylaxis (PEP)''', you should contact a hospital emergency department or their doctor for treatment. Generally, no appointment is required since patients should be counseled and treated ASAP.
* If you want '''Pre-Exposure Prophylaxis (PrEP)''', it is available in Canada. In February 2016, Health Canada approved Truvada as prevention, and generic versions of TDF/FTC are approved for prevention. There are an estimated 900-1,100 people on PrEP in Canada, as of 2018.<ref>[http://www.prepwatch.org/canada/ PrEPWatch: Canada]</ref> According to ACT Toronto, "Any doctor can prescribe PrEP. If you have a family doctor that you feel comfortable with, that is a good place to start. There is ongoing testing and medical care required with PrEP, so accessing PrEP through a doctor that you already have a connection with is ideal."<ref>[http://www.actoronto.org/PrEP/how PrEP - How do I get it?]</ref> CATIE has compiled extensive resources on PrEP for Canadians, which you can check out [http://www.catie.ca/en/prep here]. For updates on PrEP access in Canada, [https://www.prepwatch.org/canada/ PrEPWatch] is also a great resource.


===Costs=== <!--T:39-->
===Costs=== <!--T:39-->
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===Laws & Social Stigmas=== <!--T:53-->
===Laws & Social Stigmas=== <!--T:53-->
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In Quebec, mothers are entitled to 18 weeks of maternity leave with no pay. This time of leave can start, at the earliest, in the 16th week before the expected delivery.<ref name="quebec-maternityleave">[http://www4.gouv.qc.ca/EN/Portail/Citoyens/Evenements/DevenirParent/Pages/cong_matrn.aspx Services Québec – Citoyens: Maternity Leave]</ref>
Fathers are entitled to five weeks of paternity leave, which  must be taken consecutively, and it can only begin after the birth of the child. This is also without pay.<ref name="quebec-paternityleave">[http://www4.gouv.qc.ca/EN/Portail/Citoyens/Evenements/DevenirParent/Pages/cong_patrn.aspx Services Québec – Citoyens: Paternity Leave]</ref>
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In addition to maternity and paternity leave, parents are entitled to parental leave. This entitles parents to 52 weeks of time off from work, and the parent will receive no pay.<ref name="quebec-parentalleave">[http://www4.gouv.qc.ca/EN/Portail/Citoyens/Evenements/DevenirParent/Pages/cong_parnt.aspx Services Québec – Citoyens: Parental Leave]</ref>
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If people qualify for maternity or paternity leave, they will receive benefits from Québec Parental Insurance Plan (QPIP) during their time of leave.<ref name="quebec-maternityleave" /> <ref name="quebec-paternityleave" />If people qualify for parental leave, they will receive benefits from  Québec Parental Insurance Plan (QPIP) during a portion of their leave.<ref name="quebec-parentalleave" />
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For more information on becoming in Quebec, check out [https://www.quebec.ca/en/services-quebec/parent/ this information page]from Gouvernement du Québec.


===What to Get & Where to Get It=== <!--T:54-->
===What to Get & Where to Get It=== <!--T:54-->
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* [https://www.womenontherise.ca/ Women on the Rise]: They support "isolated, low income and single mothers with children between 0-5 years old." Email: womenontherise@bellnet.ca
* [http://maisonelizabethhouse.com/home-eng/ Elizabeth House]: "Elizabeth House is a private rehabilitation centre that offers a continuum of intensive intervention and specialized support services to parents, particularly young mothers and mothers-to-be, experiencing serious difficulties adjusting to pregnancy or in their parenting role." Email: info@maisonelizabeth.ca


===Costs=== <!--T:55-->
===Costs=== <!--T:55-->
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* New parents may have benefits covered by Québec Parental Insurance Plan (QPIP) during maternity, paternity, or parental leave, if they qualify, but they will not be paid their salary from their employers during their leave.<ref name="quebec-maternityleave" /> <ref name="quebec-paternityleave" /> <ref name="quebec-parentalleave" />
* There is a Financial Assistance Program for pregnant minors. To qualify, you must be under 18 years old, at least 20 weeks pregnant, and you must not have financial assistance. In 2018, the benefits were either $205 per month (for women residing in resources run by a nonprofit) or $822 per month for other scenarios.<ref name="quebec-parentalleave">[http://www4.gouv.qc.ca/EN/Portail/Citoyens/Evenements/DevenirParent/Pages/progr_soutn_fincr_minr_encnt.aspx Pregnant Minors Financial Assistance Program]</ref> For more information, you can visit the [http://www4.gouv.qc.ca/EN/Portail/Citoyens/Evenements/DevenirParent/Pages/progr_soutn_fincr_minr_encnt.aspx government page] on the program.


==Abortion== <!--T:56-->
==Abortion== <!--T:56-->
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* [http://www.clinique-femina.com/english/home.html Clinique médicale Fémina]: Provides surgical abortions. "Clinique médicale Fémina is a well known clinic offering abortion services during the first trimester of pregnancy since 1988." Only one visit needed for pregnancies under 12 weeks.
* [http://www.clinique-femina.com/english/home.html Clinique médicale Fémina]: Provides surgical abortions. "Clinique médicale Fémina is a well known clinic offering abortion services during the first trimester of pregnancy since 1988." Only one visit needed for pregnancies under 12 weeks.
* [http://www.morgentalermontreal.ca/index.php?page=services&lang=_en Morgentaler Clinic Montreal]: Provides surgical abortions. "Services are available by appointment only. Pregnancy terminations are performed up to 18 weeks of pregnancy. Only one visit to the clinic is required for the first trimester procedure, including counselling and ultrasound. Second trimester pregnancy terminations (between 13 and 18 weeks) require preparation and may require one or two pre-procedure visits."
* [http://www.morgentalermontreal.ca/index.php?page=services&lang=_en Morgentaler Clinic Montreal]: Provides surgical abortions. "Services are available by appointment only. Pregnancy terminations are performed up to 18 weeks of pregnancy. Only one visit to the clinic is required for the first trimester procedure, including counseling and ultrasound. Second trimester pregnancy terminations (between 13 and 18 weeks) require preparation and may require one or two pre-procedure visits."
* [http://www.csfmontreal.qc.ca Le Centre de santé des femmes de Montréal] : Provides surgical abortions. With a feminist approach, the Centre de santé des femmes de Montréal is offering abortion services in one visit, by appointment only.
* [http://www.csfmontreal.qc.ca Le Centre de santé des femmes de Montréal] : Provides surgical abortions. With a feminist approach, the Centre de santé des femmes de Montréal is offering abortion services in one visit, by appointment only.


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* Sexual Health Information Line - Toll free: 1 (800) 668-2437; Local: (416) 392-2437. Hours of operation: Monday to Friday 10 am – 10:30 pm; Saturday and Sunday 11 am – 3pm
* Sexual Health Information Line - Toll free: 1 (800) 668-2437; Local: (416) 392-2437. Hours of operation: Monday to Friday 10 am – 10:30 pm; Saturday and Sunday 11 am – 3pm
* [https://www.fqpn.qc.ca FQPN - Fédération du Québec pour le planning des naissances]: "The mandate of the FQPN is to raise awareness, inform and encourage critical reflection on sexual and reproductive health and promote free choice in the face of motherhood from a social justice perspective." Tel.: 514-866-3721. Email: info@fqpn.qc.ca
* [http://shnq.ca/ Sexual Health Network of Quebec]: They provide programs and teacher training. "The Sexual Health Network of Quebec believes that knowledge is power. It envisions a society in which choices are made freely through educated and informed decision-making processes, and where individuality and diversity are celebrated." Email: Info@shnq.ca
* [https://en.centredesfemmesdemtl.org/ Women's Centre of Montreal]: "The mission of the Women's Centre of Montréal is to provide educational and vocational training, as well as information, counselling and referral services to help women help themselves."  Email: cfmwcm@centredesfemmesdemtl.org or spl@centredesfemmesdemtl.org
* [http://www.ydesfemmesmtl.org/en/ YWCA - Montreal]: They work on issues related to homelessness, sexual exploitation & human trafficking, social & gender equality, violence, mental health, and community action. Email: info@ydesfemmesmtl.org
* [http://www.ncwcanada.com/ National Council for Women of Canada]: "Throughout its history, the Council has been concerned with the welfare and improvement of the conditions of life for women, the family, and the community since its founding."
* [http://www.ncwcanada.com/ National Council for Women of Canada]: "Throughout its history, the Council has been concerned with the welfare and improvement of the conditions of life for women, the family, and the community since its founding."
* [https://genderadvocacy.org/ Center for Gender Advocacy]: "The activities of the Centre for Gender Advocacy fall into two broad categories. The first consists of services and resources offered free of charge to the Concordia and greater Montreal community in the form of Peer Support and Advocacy, safer sex resources and trans health resources such as the Binder Program. The second is composed of campaigns and programming."
* [http://www.ccglm.org/index.php?langue=en CCGLM]: "The Community centre for gay and lesbians of Montreal is a non-profit organization which was established on August 17, 1988. The CCGLM acts to improve the well-being of people in our communities by promoting cooperation and seeking the support of the community and social development by individuals and organizations."
* [http://www.ccglm.org/index.php?langue=en CCGLM]: "The Community centre for gay and lesbians of Montreal is a non-profit organization which was established on August 17, 1988. The CCGLM acts to improve the well-being of people in our communities by promoting cooperation and seeking the support of the community and social development by individuals and organizations."
* [http://sieccan.org/wp/ The Sex Information and Education Council of Canada (SIECCAN)]: "The Sex Information and Education Council of Canada (SIECCAN) is a national registered charitable organization founded in 1964 to foster professional education and public knowledge about sexuality and sexual health. SIECCAN works with health professionals, educators, and community organizations to ensure that all Canadians have access to high quality sexual health information, education and related health and social services."
* [http://sieccan.org/wp/ The Sex Information and Education Council of Canada (SIECCAN)]: "The Sex Information and Education Council of Canada (SIECCAN) is a national registered charitable organization founded in 1964 to foster professional education and public knowledge about sexuality and sexual health. SIECCAN works with health professionals, educators, and community organizations to ensure that all Canadians have access to high quality sexual health information, education and related health and social services."
* [http://www.scarleteen.com/ Scarlett Teen]: This website offers sex education to teenagers.  
* [http://www.scarleteen.com/ Scarlett Teen]: This website offers sex education to teenagers.  
* [http://teenhealthsource.com/ Teen Health Source]: This website offers sex education to teenagers.
* [http://teenhealthsource.com/ Teen Health Source]: This website offers sex education to teenagers.
* [http://www.mcgill.ca/igsf/ Institue for Gender, Sexuality and Feminist Studies at McGill]: 3487 Peel Street, 2nd floor, Montreal, Quebec H3A 1W7, Tel.: 514-398-3911, Fax: 514-398-3986. Email: info.igsf@mcgill.ca
* [http://www.mcgill.ca/igsf/ Institute for Gender, Sexuality and Feminist Studies at McGill]: 3487 Peel Street, 2nd floor, Montreal, Quebec H3A 1W7, Tel.: 514-398-3911, Fax: 514-398-3986. Email: info.igsf@mcgill.ca
* [http://http://www.fqpn.qc.ca/ Fédération du Québec pour le planning des naissances]: A reproductive and sexual rights organisation based in Montreal. Tel.: 514-866-3721. Email: info@fqpn.qc.ca
* [https://www.sexualhealthandrights.ca Action Canada for Sexual Health and Rights]: Provide information and list of resources for all provinces.
* [https://www.sexualhealthandrights.ca Action Canada for Sexual Health and Rights]: Provide information and list of resources for all provinces.
* [https://www.sawcc-ccfsa.ca/EN/ The South Asian Women's Community Centre]: "We believe in creating a community space for women and their families from all around the world, regardless of their origin, colour, status, age, religion, beliefs, ethnicity, gender expression or sexual orientation. We aim to create spaces to promote community-building, as well as offer a drop-in space for our services." Email: sawcc@bellnet.ca
* [https://librairieleuguelionne.com/en/ L’Euguélionne]: "L’Euguélionne (pronounced ler-gay-lee-onn – you can think of a gay lion, even though it’s not what it means) is a feminist bookstore and non-profit solidarity co-op in Montreal, also known as Tiohtià:ké, on unceded Mohawk and Algonquin territory. We offer a large selection of new and used books, zines and print art." Email: info@librairieleuguelionne . com


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