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===Quoi et où=== | ===Quoi et où=== | ||
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* Vous pouvez acheter des préservatifs en ligne sur [http://www.topcondomscanada.com/ Top Condoms Canada], [http://idealcondoms.ca/ IdealCondoms.ca] et [https://www.undercovercondoms.com/ Undercover Condoms]. | * Vous pouvez acheter des préservatifs en ligne sur [http://www.topcondomscanada.com/ Top Condoms Canada], [http://idealcondoms.ca/ IdealCondoms.ca] et [https://www.undercovercondoms.com/ Undercover Condoms]. | ||
* Pour obtenir des moyens de contraception à petits prix (préservatifs, pilules, DIU, etc.), vous pouvez vous rendre dans une clinique de santé sexuelle publique. Toronto compte 14 cliniques de santé sexuelle publiques, notamment Jane Street Clinic, Black Creek Community Health Centre, Scarborough Sexual Health Clinic, etc. Selon les cliniques, les consultations se font avec ou sans rendez-vous. Cliquez ici pour obtenir [http://www1.toronto.ca/wps/portal/contentonly?vgnextoid=30865e67bbee0410VgnVCM10000071d60f89RCRD les coordonnées] de ces cliniques. | * Pour obtenir des moyens de contraception à petits prix (préservatifs, pilules, DIU, etc.), vous pouvez vous rendre dans une clinique de santé sexuelle publique. Toronto compte 14 cliniques de santé sexuelle publiques, notamment Jane Street Clinic, Black Creek Community Health Centre, Scarborough Sexual Health Clinic, etc. Selon les cliniques, les consultations se font avec ou sans rendez-vous. Cliquez ici pour obtenir [http://www1.toronto.ca/wps/portal/contentonly?vgnextoid=30865e67bbee0410VgnVCM10000071d60f89RCRD les coordonnées] de ces cliniques. | ||
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Vous discutez avec une infirmière qui vous explique toutes les options disponibles, les effets secondaires, les taux de grossesse, etc. Le service est dirigé par le Planning familial donc il n'y a aucune sollicitation commerciale, aucune pression de la part des médecins, ni aucun discours pro-abstinence, etc. (il y a une atmosphère positive face à la sexualité.). | Vous discutez avec une infirmière qui vous explique toutes les options disponibles, les effets secondaires, les taux de grossesse, etc. Le service est dirigé par le Planning familial donc il n'y a aucune sollicitation commerciale, aucune pression de la part des médecins, ni aucun discours pro-abstinence, etc. (il y a une atmosphère positive face à la sexualité.). | ||
Les infirmières vous mettent vraiment à l'aise, elles sont sincères et se mettent à votre place. »<ref>[https://www.reddit.com/r/toronto/comments/362rqd/best_place_to_get_an_iud_in_toronto/?st=ix49re6c&sh=15fa2b7f Best place to get an IUD in Toronto?]</ref> Vous pouvez également aller au Planning familial de Toronto (Planned Parenthood Toronto). Vous achetez le DIU en pharmacie, puis le Planning familial s'occupe de la pose. Voici leurs tarifs : Mirena : 380 $. Jaydess : 306 $. Mona Lisa : 54-63 $. | Les infirmières vous mettent vraiment à l'aise, elles sont sincères et se mettent à votre place. »<ref>[https://www.reddit.com/r/toronto/comments/362rqd/best_place_to_get_an_iud_in_toronto/?st=ix49re6c&sh=15fa2b7f Best place to get an IUD in Toronto?]</ref> Vous pouvez également aller au Planning familial de Toronto (Planned Parenthood Toronto). Vous achetez le DIU en pharmacie, puis le Planning familial s'occupe de la pose. Voici leurs tarifs : Mirena : 380 $. Jaydess : 306 $. Mona Lisa : 54-63 $. | ||
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===Coûts=== | ===Coûts=== | ||
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==Contraception d'urgence (pilule du lendemain)== | ==Contraception d'urgence (pilule du lendemain)== | ||
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Remarques importantes : la contraception d'urgence permet de prévenir une grossesse pendant trois jours (72 heures), parfois cinq jours (120 heures), après un rapport sexuel non protégé. Prenez-la le plus tôt possible après le rapport. Si vous n'avez pas accès à une contraception d'urgence, vous pouvez la remplacer par une contraception orale, en sachant que : 1) seules certaines contraceptions orales peuvent faire office de contraception d'urgence ; 2) les dosages et les heures de prise diffèrent selon les contraceptions utilisées en urgence ; 3) utilisez uniquement les 21 premières pilules de votre plaquette de 28 ; 4) une contraception orale peut s'avérer moins efficace qu'une contraception d'urgence. | |||
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[http://whatsnextforme.ca WhatsNextForMe.ca] is a Canadian website developed by a group of physicians and researchers based at Women’s College Hospital in Toronto. It provides information about what emergency contraception options are available in Canada, how they work and how to get them. General information on emergency contraceptives can also be found [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here]. | [http://whatsnextforme.ca WhatsNextForMe.ca] is a Canadian website developed by a group of physicians and researchers based at Women’s College Hospital in Toronto. It provides information about what emergency contraception options are available in Canada, how they work and how to get them. General information on emergency contraceptives can also be found [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here]. | ||
=== | ===Lois et stigmatisation sociale=== | ||
In Canada, emergency | 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> | ||
Generally speaking, age restrictions on emergency contraception vary by province. In Ontario and many other 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. However, 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> | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* 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> | ||
'''Note:''' | '''Note :''' [http://www.hra-pharma.com/PIL/BE/FR_BE.html ellaOne] est le CU actuellement sur le marché qui offre l'effet le plus durable. Il réduit les risques de grossesse jusqu'à 5 jours (120 heures) après une relation sexuelle non protégée. EllaOne est disponible au Canada et peut requérir l'obtention d'une ordonnance médicale. Adressez-vous à un pharmacien ou contactez une clinique de santé sexuelle pour en savoir plus. | ||
====Public Clinics that Sell EC==== | ====Public Clinics that Sell EC==== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* | * There are two '''HPV vaccines''' available in Canada: Cervarix® (HPV2) and Gardasil®9 (HPV9). Ontario has an 'HPV vaccination program for children: "Ontario now offers vaccination against cancer-causing Human Papillomavirus (HPV) free of charge to all boys and girls in Grade 7. The program is run through school-based clinics by local public health units."<ref>[http://www.health.gov.on.ca/en/ms/hpv/ Ontario's HPV Immunization Program]</ref> | ||
* You can get the '''Hepatitis B vaccine''' at many sexual health clinics. | |||
* 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 '''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. | ||
* 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 | * 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=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://www.ontariomidwives.ca/ Ontario Midwives]: "Midwives work all across Ontario in cities, towns and remote settings. You do not need a referral to book an appointment with a midwife – find the clinic nearest to you and give them a call." | * [http://www.ontariomidwives.ca/ Ontario Midwives]: "Midwives work all across Ontario in cities, towns and remote settings. You do not need a referral to book an appointment with a midwife – find the clinic nearest to you and give them a call." Midwives in Ontario are funded by the government, their services are provided free of charge to all residents - including those who don't have OHIP/uninsured. They provide comprehensive prenatal care, labour and birth care, and care for the first six weeks after birth for parents and babies. Midwives in Ontario attend births in hospital, at home, and in birth centres. | ||
===Costs=== | ===Costs=== | ||
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==List of Additional Resources== | ==List of Additional Resources== | ||
* [https://www.actioncanadashr.org/ Action Canada]: "Action Canada works within Canada and globally to promote health, wellbeing, and rights related to sexuality and reproduction. Building on the strong histories of our three predecessor organizations, we cover a broad spectrum that includes directly providing support, referrals, and information; working with other groups and organizations on a range of campaigns using a collaborative, movement-building approach; and policy advocacy related to sexual and reproductive rights (including abortion), gender, LGBTQ rights, comprehensive sexuality education, and more." | |||
* Telehealth Ontario — a free 24/7 service which uses nurse practitioners to answer your health concerns: 1-866-797-0000. 1-866-797-0007 (TTY). | * Telehealth Ontario — a free 24/7 service which uses nurse practitioners to answer your health concerns: 1-866-797-0000. 1-866-797-0007 (TTY). | ||
* 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.toronto.ca/community-people/health-wellness-care/health-clinics/sexual-health-clinics/ List of Sexual Health Clinics in Toronto]: This list is provided by the city of Toronto. | |||
* [http://birthcontrolsexualhealth.ca/ Birth Control and Sexual Health Centre]: "The Birth Control and Sexual Health Centre has been serving the community since 1972 and provides sexual health services to women, men and transgendered clients... We provide free services in a caring and non-judgmental manner to a diverse community, recognizing the differences in gender, race, ethnicity, sexuality and ability of our clients. We do not require a health card. There is no age limit or geographic boundaries. We are pro-choice supporting all decisions regarding an unplanned pregnancy." Email: info@birthcontrolsexualhealth.ca | |||
* [http://www.ppt.on.ca/ Planned Parenthood Toronto]: They provide sexual and reproductive health care, including contraception, HIV and STI testing, pregnancy care, counseling and support, and programming for LGBTQ youth and young parents. Address: 36B Prince Arthur Avenue, Toronto, ON M5R 1A9; Phone: (416) 961-0113; Fax: (416) 961-2512; Email: ppt@ppt.on.ca | |||
* [http://immigranthealth.info/ IWHC Toronto]: "IWHC Toronto (formerly Immigrant Women’s Health Centre) is an independent sexual health clinic funded by the City of Toronto, through Toronto Public Health. For over 40 years, IWHC Toronto has been providing free, confidential, culturally sensitive and language-accessible sexual health-related clinical services, counselling and support services to women across the City of Toronto. As of 2016, IWHC Toronto also opened its doors to men. We serve our clients in 9 languages with all-female Centre and medical staff." phone: 416.323.9986; email: info@iwhctoronto.com | |||
* [http://www.bcchc.com/ Black Creek Community Health Centre]: They have a sexual health clinic offered weekly at 2 locations (Sheridan Mall Location on Tuesdays and Thursdays, from 3:00 pm - 6:00 pm; Yorkgate Mall on Mondays from 2:00 pm - 5:00 or 5:30 pm, depending on the day). Call us: 416-249-8000 /416-246-2388; Email us: info@bcchc.com | |||
* [http://hasslefreeclinic.org/ Hassle Free Clinic]: Sexual Health Clinic & Anonymous HIV Testing site in downtown Toronto. They primarily provide services for women and trans individuals. Address: 66 Gerrard St E Suite 200, Toronto, Ontario; Call +1 416-922-0566 | |||
* [https://hiv411.ca/organization/crossways-clinic/ Crossways Sexual Health Clinic]: They provide contraception, STI tests, etc. Address: 2340 Dundas Street West - Toronto, ON - M6P 4A9; Phone: +1 416-392-0999; Email: publichealth@toronto.ca | |||
* [https://www.torontocentralhealthline.ca/displayservice.aspx?id=151128 Jane Street Health Clinic]: Services include: birth control counseling, low-cost or free birth control, emergency birth control, pregnancy testing and counseling, rapid HIV testing, sexuality and relationship counseling, Pap smears, STI testing, etc. Address: 662 Jane St, Toronto, ON; Phone Numbers: 416-338-7272; Email: cjohnst4@toronto.ca | |||
* [https://www.centraleasthealthline.ca/displayservice.aspx?id=51535 Scarborough Sexual Health Clinic]: They provide free testing and treatment of sexual transmitted infections, along with birth control counseling, low or free cost birth control, emergency contraception, and other services. | |||
* [https://www.mountsinai.on.ca/care/womens-unit/family-planning-clinic Mount Sinai Hospital - Family Planning Clinic]: "This clinic focuses on contraceptive choices which your family doctor may not be able to address. In particular, we provide counseling for patients with complex medical and contraceptive needs, IUD insertion and offer tubal ligation surgery. Your first appointment will be a one-to-one consultation with a gynecologist and/or nurse to decide on a form of contraception that is right for you." Email: patientrelationsunit@mtsinai.on.ca | |||
* [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.the519.org/ The 519]: "The 519 is committed to the health, happiness and full participation of the LGBTQ community. A City of Toronto agency with an innovative model of Service, Space and Leadership, we strive to make a real difference in people’s lives, while working to promote inclusion, understanding and respect." | * [http://www.the519.org/ The 519]: "The 519 is committed to the health, happiness and full participation of the LGBTQ community. A City of Toronto agency with an innovative model of Service, Space and Leadership, we strive to make a real difference in people’s lives, while working to promote inclusion, understanding and respect." | ||