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Prague: Difference between revisions
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|Country=Czech Republic | |Country=Czech Republic | ||
|City=Prague | |City=Prague | ||
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'''OVERVIEW''' | '''OVERVIEW''' | ||
As the capital city of the Czech Republic, you'll find many health care options in Prague. There are many birth control options, such as pills, shot, implants and IUDs, but you will need a prescription before obtaining them. Condoms are easy to find and no prescription is required. Emergency contraception (the morning after pill) can be purchased without a prescription, and ellaOne (the most effective EC on the market) is also available. While there are many places to get an STD/STI test, and there are also no residency travel restrictions tied to STI status, there currently seems to be no PrEP available in the Czech Republic. You can get the HPV vaccine and most other vaccines or medications. Regarding women's clinics and gynecologists, we have included a list of places to check out below (in the "Gynecological Exams" section). There is a 28-week maternity leave policy for women and the government seems to be expanding its paternity leave policy as well. Abortion is fully legal in the first 12 weeks of pregnancy and, based on medical conditions or the condition of the fetus, it can sometimes be performed later as well. If you don't have legal residency or citizenship in the Czech Republic, you may have difficulty obtaining an abortion (this is information that we're still investigating). | |||
==Contraception (Birth Control)== | ==Contraception (Birth Control)== | ||
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* If you want '''condoms''', they can be purchased in pharmacies, stores and vending machines in bars/pubs. | * If you want '''condoms''', they can be purchased in pharmacies, stores and vending machines in bars/pubs. | ||
* If you want '''birth control pills''', they can be purchased in pharmacies once you have a prescription. If you don't have a prescription, it can be written at many health clinics. One option is [http://www.pwhc.cz/ Prague Women's Health Center], though they are a bit expensive (they charged 500kc for the writing of a prescription, not including the appointment or any other services, in 2013. | * If you want '''birth control pills''', they can be purchased in pharmacies once you have a prescription. If you don't have a prescription, it can be written at many health clinics. One option is [http://www.pwhc.cz/ Prague Women's Health Center], though they are a bit expensive (they charged 500kc for the writing of a prescription, not including the appointment or any other services, in 2013). | ||
* If you want an '''IUD''', you can get it many health clinics, such as [http://www.pwhc.cz/ Prague Women's Health Center] , [http://www.gynkrup.cz/ Gyn Krup] and [http://gyn.medicaflora.cz/ Medica Flora]. At Medica Flora, it's 500-5000 CZK for IUDs (contact them to confirm) and 500 CZK for IUD removal. At Gyn Krup, it's 5500 CZK for IUD insertion & Mirena device, and it's | * If you want an '''IUD''' or '''IUS''', you can get it many health clinics, such as [http://www.pwhc.cz/ Prague Women's Health Center], [http://www.cmcpraha.cz/en-US Canadian Medical Center], [http://www.gynkrup.cz/ Gyn Krup] and [http://gyn.medicaflora.cz/ Medica Flora]. At Canadian Medical Center, they have Mirena (6500,-CZK), Jaydess (4588,-CZK) and Gyneplus 380 Copper Normal (870,-CZK); price for the insertion: examination 2500,-CZK, ultrasound 1000,-CZK, insertion 1200,-CZK. At Medica Flora, it's 500-5000 CZK for IUDs (contact them to confirm) and 500 CZK for IUD removal. At Gyn Krup, it's 5500 CZK for IUD insertion & Mirena device, and it's 1000 CZK for IUD removal (as of February 2017). We're pretty sure IUDs are not covered by Czech health insurance. | ||
* If you want a '''contraceptive shot''', like Depo-Provera, you should be able to get it at many health clinics, such as [http://www.pwhc.cz/ Prague Women's Health Center]. | * If you want a '''contraceptive shot''', like Depo-Provera, you should be able to get it at many health clinics, such as [http://www.pwhc.cz/ Prague Women's Health Center]. They're not carried at Canadian Medical Center. | ||
* If you want a '''contraceptive implangt''', like Depo-Provera, you should be able to get it at many health clinics. They're not carried at Canadian Medical Center. | |||
===Costs=== | |||
For a copper IUD, you can expect to pay around 2000 CZK. For a hormonal IUS, like Mirena, you can expect to pay around 5000 CZK. | |||
==Emergency Contraception (Morning After Pill)== | ==Emergency Contraception (Morning After Pill)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In the Czech Republic, you can purchase emergency | In the Czech Republic, you can purchase emergency contraceptive pills (the morning after pill) without a prescription. | ||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* In the Czech Republic, you can purchase emergency contraception (the morning after pill) without a prescription at pharmacies. If you would like to purchase anti-progestin EC, there's ellaOne (take 1 pill within 120 hours after unprotected sex). Currently, ellaOne is considered the most effective EC on the market. Here's the a link to the [http://www.ellaone.cz/ Czech ellaOne website]. You can also find Escapelle (take 1 pill within 120 hours after unprotected sex) or Postinor-2 (take 2 pills within 120 hours after unprotected sex). | * In the Czech Republic, you can purchase emergency contraception (the morning after pill) without a prescription at pharmacies. If you would like to purchase anti-progestin EC, there's ellaOne (take 1 pill within 120 hours after unprotected sex). Currently, ellaOne is considered the most effective EC on the market. Here's the a link to the [http://www.ellaone.cz/ Czech ellaOne website]. You can also find Escapelle (take 1 pill within 120 hours after unprotected sex) or Postinor-2 (take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. To do this, you need o remember that, in 28-day packs, only the first 21 pills can be used. You can then find Microgynon or Minisiston. For either of these brands, you should take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later. | * If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. To do this, you need o remember that, in 28-day packs, only the first 21 pills can be used. You can then find Microgynon or Minisiston. For either of these brands, you should take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later.<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* You can also get an IUD as a way to prevent pregnancy after unprotected sex. Check out the "Contraception (Birth Control)" section for details. | * You can also get an IUD as a way to prevent pregnancy after unprotected sex. Check out the "Contraception (Birth Control)" section for details. | ||
===Costs=== | ===Costs=== | ||
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* [http://www.vfn.cz/pracoviste/kliniky-a-oddeleni/dermatovenerologicka-klinika/ DERMATOVENEROLOGICKÁ KLINIKA]: They provide free tests for people who have Czech health insurance. We're not sure what the prices are if you don't have health insurance. Tel: 224 961 111. | * [http://www.vfn.cz/pracoviste/kliniky-a-oddeleni/dermatovenerologicka-klinika/ DERMATOVENEROLOGICKÁ KLINIKA]: They provide free tests for people who have Czech health insurance. We're not sure what the prices are if you don't have health insurance. Tel: 224 961 111. | ||
* [http://www.gynkrup.cz/ Gyn Krup]: HIV test is CZK 850 and Chlamydia - taking rapid test CZK 750. Click [http://www.gynkrup.cz/data/cenik.pdf here] for full price list. | * [http://www.gynkrup.cz/ Gyn Krup]: HIV test is CZK 850 and Chlamydia - taking rapid test CZK 750. Click [http://www.gynkrup.cz/data/cenik.pdf here] for full price list. | ||
* [http://www.cmcpraha.cz/en-US Canadian Medical Center]: "The price for laboratory tests always depends on what exactly will be tested. STDs can cost even around 10-12thousands CZK. HIV test 950,-CZK, syphilis 1330,-CZK, gonorrhea 1850,-CZK, chlamydia (depends on the tested type) 1750,-CZK, laboratory fee 400,-CZK + examination." (Quoted prices are from February 2017) | |||
===Support=== | ===Support=== | ||
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* In the Czech Republic, there has been a nationwide HPV vaccination program in place since 2012.<ref>[https://docs.google.com/spreadsheets/d/12iZNtCRtAyt7R0HJQYl0xyRsrfCdS9JpCjTNOsGxsJs/edit Czech Republic | * In the Czech Republic, there has been a nationwide HPV vaccination program in place since 2012.<ref>[https://docs.google.com/spreadsheets/d/12iZNtCRtAyt7R0HJQYl0xyRsrfCdS9JpCjTNOsGxsJs/edit Czech Republic | ||
Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> | Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> You can also get the Gardasil vaccination at [http://www.cmcpraha.cz/en-US The Canadian Medical Center], where the injection application costs 300,-CZK, Gardasil shot 4481,-CZK per dose. | ||
* There is no national PrEP program in the Czech Republic. According to a 2016 report, "In the Czech Republic, HIV doctors are apparently unwilling to prescribe because they do not support the concept of PiEi. Some people noted that an EMA ruling in favour of Truvada® as PrEP may make an important difference for HIV physicians in this regard."<ref>[http://www.eatg.org/wp-content/uploads/2016/10/PrEP-access-in-Europe-PrEP-in-Europe-Initiative-PiEi.pdf PrEP Access in Europe]</ref> | * There is no national PrEP program in the Czech Republic. According to a 2016 report, "In the Czech Republic, HIV doctors are apparently unwilling to prescribe because they do not support the concept of PiEi. Some people noted that an EMA ruling in favour of Truvada® as PrEP may make an important difference for HIV physicians in this regard."<ref>[http://www.eatg.org/wp-content/uploads/2016/10/PrEP-access-in-Europe-PrEP-in-Europe-Initiative-PiEi.pdf PrEP Access in Europe]</ref> | ||
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* You can find pads and tampons in grocery stores, corner stores and pharmacies. While many tampons sold in the Czech Republic don't have applicators (like OB tampons), you should also be able to find tampons with applicators. | * You can find pads and tampons in grocery stores, corner stores and pharmacies. While many tampons sold in the Czech Republic don't have applicators (like OB tampons), you should also be able to find tampons with applicators. | ||
* You can get menstrual cups from DM or from many pharmacies. Menstrual cups and sponges can also purchased online from [https://www.biooo.cz/vyhledavani/?search=menstrua%C4%8Dn Biooo], a Czech online retailer. Some brands, like LadyCup, have a [http://www.ladycup.cz/Kdekoupit.aspx Czech website]. There is also [https://www. | * You can get menstrual cups from DM or from many pharmacies. Menstrual cups and sponges can also be purchased online from [https://www.biooo.cz/vyhledavani/?search=menstrua%C4%8Dn Biooo], a Czech online retailer. Some brands, like LadyCup, have a [http://www.ladycup.cz/Kdekoupit.aspx Czech website]. There is also [https://www.yuukicup.com/en Yuuki], a menstrual cup made in the Czech Republic. MoonCup, which is made in the UK, can supposedly be found at Centrum laserove estetiky a.s. (Římská 16, Vinohrady, Praha 2). DivaCup, which if made in the USA, can be purchased from [http://www.mujkalisek.cz Mujkalise]k (Tel: +42 777 246 133, contact: Nikola Zavadova, info@mujkalisek.cz). There are also many online stores that cater to Czech customers that sell menstrual cups, such as [http://www.ladyteen.cz/ LadyTeen], [http://www.primisima.eu/ Primisima], [https://www.branakdetem.cz/ Brana K Detem], [http://shop.begreen.cz/ BeGreen], [http://www.kalisek.cz/jak-kalisek-pouzivat.php Kalisek] (sells Lunette, LadyGel and other products), [https://www.krasa.cz/ladycup/ Krasa.cz], [http://www.vitamina.cz/0,43,menstruacni-kalisek,-textilni-vlozky-.html Vitamina.cz], etc. | ||
===Costs=== | ===Costs=== | ||
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* [http://www.pwhc.cz Prague Women's Health Center]: Near Andel, /. Email jana.stejskalova@pwhc.cz They give prescriptions for 3-months at a time if you have 1 checkup per year. | * [http://www.pwhc.cz Prague Women's Health Center]: Near Andel, /. Email jana.stejskalova@pwhc.cz They give prescriptions for 3-months at a time if you have 1 checkup per year. | ||
* [http://www.cmcpraha.cz/en-US Canadian Medical Care]: "First examination by specialist costs 2500,-CZK, the fee for the examination doesn´t include the price for laboratory tests and medicines received at our clinic. Ultrasound 1000,-CZK, cytology 1400,-CZK" | |||
* [http://www.gynkrup.cz Gynkrup] | * [http://www.gynkrup.cz Gynkrup] | ||
* [http://www.medicaflora.cz/en/ Medicaflora.cz]: Gynecological exam for 500 CZK. tel. :+420 267 317 374. email: info@medicaflora.cz. | * [http://www.medicaflora.cz/en/ Medicaflora.cz]: Gynecological exam for 500 CZK. tel. :+420 267 317 374. email: info@medicaflora.cz. | ||
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===Gynecologists=== | ===Gynecologists=== | ||
* Dr. Bittmanova (in Vinohrady on Manesova - She's been recommended by a Prague local, who said she is "wonderful." She doesn't accept health insurance. For a gynecological exam with a pap smear, you can expect to pay around 1500 kc. Address: Mánesova 1525/64, 120 00 Praha 2-Vinohrady, Czechie. Phone: +420 222 724 592. | * Dr. Bittmanova (in Vinohrady on Manesova - She's been recommended by a Prague local, who said she is "wonderful." Other locals have had negative experiences with her, so she may a bit hit-or-miss. She doesn't accept health insurance. For a gynecological exam with a pap smear, you can expect to pay around 1500 kc. Address: Mánesova 1525/64, 120 00 Praha 2-Vinohrady, Czechie. Phone: +420 222 724 592. | ||
* Dr. Daniela Nelya Ficaj at the Canadian Medical Center tel.: 235360133 | * Dr. Daniela Nelya Ficaj at the Canadian Medical Center tel.: 235360133 | ||
* Zlatko Pastor, GONA s.r.o., soukromé sexuologické centrum, Národní třída 25, +420 724 031 582 | * Zlatko Pastor, GONA s.r.o., soukromé sexuologické centrum, Národní třída 25, +420 724 031 582 | ||
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The Czech population seems to generally be in favor of abortion legality. According to a 2007 poll, 72% of Czech people thought that abortion should be allowed "at the request of a woman." In 2013 Pew Research Survey, 19% of Czech respondents found abortion to be morally objectionable.<ref>[https://en.wikipedia.org/wiki/Abortion_in_the_Czech_Republic Abortion in the Czech Republic]</ref> | The Czech population seems to generally be in favor of abortion legality. According to a 2007 poll, 72% of Czech people thought that abortion should be allowed "at the request of a woman." In 2013 Pew Research Survey, 19% of Czech respondents found abortion to be morally objectionable.<ref>[https://en.wikipedia.org/wiki/Abortion_in_the_Czech_Republic Abortion in the Czech Republic]</ref> | ||
'''Important Note:''' If you're not a legal resident or citizen of the Czech Republic, it appears that you cannot obtain a legal abortion. We haven't 100% confirmed this, but we've read about accounts of non-resident women (who requested abortion services) being turned away from Czech clinics, and there seems to be evidence that a Soviet-era law (which implemented this restriction) is still in place. There may be some providers who secretly provide abortions to non-residents, but they may not be safe since they're not legally regulated. If you're not a resident or citizen, you may want to consider getting an abortion outside of the Czech Republic. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://gyn.medicaflora.cz/ Medica Flora]: Provides examinations before abortions (examination, ultrasound, application, ultrazvukopvé subsequent examination after exercise) CZK 1,000. | * [http://gyn.medicaflora.cz/ Medica Flora]: Provides examinations before abortions (examination, ultrasound, application, ultrazvukopvé subsequent examination after exercise) for CZK 1,000. | ||
* [http://www.meda-gynekologie.cz/en/gynecology/abortion-artificial-pregnancy-interruption Meda Gynekologie]: They typically do vacuum aspiration as well as procedures for later-stage pregnancies. If you're not a Czech resident/citizen, they may not treat you. "The artificial pregnancy interruption is not covered by health insurance companies. Its price amounts to CZK 3000,- provided the pregnancy is not older than 8 weeks inclusive, the pregnancy interruption after the finised 8th week costs CZK 3500." Address: Budínova 67/2, 180 00 Praha 8 -Libeň. Email: meda@meda-gynekologie.cz | |||
* According to one website, Nemocnice Na Homoloce (Obstetrics & Gynecology Clinic) and Premium Private Center (Obstetrics & Gynecology Department) include abortion as one of their specialties, but we cannot confirm this.<ref>[http://bookimed.com/clinics/country=czech-republic/illness=abortion/ Abortion in Czech Republic]</ref> | * According to one website, Nemocnice Na Homoloce (Obstetrics & Gynecology Clinic) and Premium Private Center (Obstetrics & Gynecology Department) include abortion as one of their specialties, but we cannot confirm this.<ref>[http://bookimed.com/clinics/country=czech-republic/illness=abortion/ Abortion in Czech Republic]</ref> | ||
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==List of Additional Resources== | ==List of Additional Resources== | ||
* [http://www.czlobby.cz/en/home Czech Women's Lobby]: "Czech Women’s Lobby (CWL) is a network of 30 non-profit organisations promoting women’s rights in the Czech Republic. It is also a member of the European Women’s Lobby, joining women’s and gender organisations in the European Union and cooperating with European institutions." Email: info@czlobby.cz. | |||
* [http://www.profem.cz/ ProFem]: "ProFem mission is to work on improving the situation of domestic violence and other forms of violence, especially against women, through lobbying, education, publications and direct support to people at risk of domestic violence or other forms of violence." | |||
* [https://www.praguepride.cz/en/ Prague Pride]: "Exhibitions, concerts, workshops, theater, film, lectures, discussions, parties, parties, parties..." | |||
* [https://www.iwa-prague.com/ International Women's Association of Prague]: "The International Women’s Association of Prague (IWAP) is an independent, non-political, non-profit organization run voluntarily by its members. Our members range in age from 23 to 93 with many being Czech citizens, but the majority of our members are from the expat community in Prague and approximately 35 different countries." Phone: +420 721 946 186. Email: office.iwap@gmail.com | |||
* [http://en.genderstudies.cz/ Gender Studies, o.p.s.]: "Gender Studies, o.p.s. is a non-governmental non-profit organisation founded in 1991. It is an information, education and consulting centre on gender equality and the position of men and women in the society." | |||
* [http://www.genderaveda.cz/en/ National Contact Centre for Gender & Science]: "Established in 2001, the National Contact Centre for Gender & Science (originally "for women and science") contributes to building gender equality in science and research." | |||
* [http://www.center4hrd.org/ Czech Center for Human Rights and Democratization]: "CCHRD is an independent academic institution analysing human rights from social science and international law perspective. CCHRD organizes conferences, issues a monthly bulletin and informs about human rights in the Czech Republic as well as in Europe." | |||
==References== | ==References== | ||
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