Birth Control/Contraception

This section describes how you access birth control from HSHC (i.e., appointment details + cost). For more information on how these types of birth control work, their effectiveness, and a run down on their pros and cons, please visit the Sexual Health Info » Birth Control section of our website.

We offer a wide variety of birth control options at affordable prices. If you are not sure what kind of birth control you want, you can make an appointment with one of our doctors to chat about the best option for you!

Here is a list of what we offer:

The Pill, the Patch, the Ring

HOW DO I GET IT?
You can make an appointment with one of our nurses to talk about going on the Pill, the EVRA Patch, or the NuvaRing. They will review your health history and take your blood pressure. If all is well, and you choose to go on the Pill, They can give you a one-month supply to try it out. If after that month, you decide you’d like to continue this kind of birth control, you will then need to get a prescription from a doctor. If all is well and you choose to go on the Patch or use NuvaRing, you will need to make an appointment to see one of our doctors for the prescription.

You can make an appointment with one of our doctors for an assessment. If you are not yet sexually active, the doctor will likely give you the prescription and ask for you to come back in 6 months to 1 year for a Pap test. If you are already sexually active, the doctor will typically want to do a Pap test before giving you a prescription. If you’ve already had one done by another doctor within the past year, that should be sufficient. However, the doctor will need to see a copy of it, so please bring one to your appointment. It is always useful for our doctor to have a copy of your last Pap test results on file. If you prefer, you can skip the nurse visit, and start with the doctor’s appointment to get started on your birth control.

After you have a prescription for birth control on file, you can just drop in to pick up your birth control supplies every month. You do not need to call in advance or make an appointment. When you come to the office, simply tell the receptionist that you are here for “supplies”. They will take your name and you will wait in the waiting room. When a nurse is free, they will come and call your name and take you to the Supply Room to get your Pills. (Please note: we do not accept prescriptions from doctors outside of our Centre. You will always need to see one of our doctors for a prescription if you want to buy your birth control from us.)

If you are unable to make it to the office yourself, you may call ahead and tell the receptionist that someone else will be in to pick up your prescription. You will need to give your name, the name of the person picking up your birth control and the type of birth control you are on (if you are on the Pill, you need to specify the brand). If you do not call ahead, we will not give your prescription to somebody else, even if they are your parent or partner.

If you miss a pill; the EVRA patch falls off; the NuvaRing slips out; or if you experience symptoms that worry you, please call the clinic to schedule an appointment to come in and talk to one of our health care practitioners. If you miss a pill, you can also visit sexualityandu.ca to try out their S.O.S. (Stay On Schedule) online application.


Depo Provera

HOW DO I GET IT?
You need to have a prescription from a doctor. If you don’t have one, you can make an appointment to see one of our doctors. Another option is to visit your family doctor and then bring the prescription to us for your shot.

You will get your first shot when you are having your period.

After that, you need to make an appointment with one of our doctors every 11-13 weeks (3 months) to come in and receive an injection.


 

Non-Hormonal IUD

The IUD (Intra-Uterine Device) without hormones, is also referred to as the copper IUD or by its brand names (e.g. Flexi T®, Nova T®).

HOW DO I GET IT?
You can call our clinic and book an appointment to get a non-hormonal IUD. The doctor can help you choose between the Flexi-T (typically for women who have not had a baby) or the Nova-T (typically for person who have had a baby). We only have a few doctors at our clinic who are trained to insert non-hormonal IUDs, so sometimes it can take up to a month to schedule you in for this appointment. During your appointment, the doctor will also do swabs for STIs. You can either buy the IUD directly from us, or you can get a prescription from your family doctor or one of our doctors, pick it up at the pharmacy, and then bring it to your appointment with you. (Please note: Pharmacies typically do not stock IUDs, so please allow 5-7 business days for them to order one in.)

 

HOW MUCH DOES IT COST?
We currently carry only the Flexi-T and Liberte’s at our clinic. It costs $74 at our clinic. (Price is subject to change). If you have health insurance, it may be cheaper for you to buy the IUD at the pharmacy. However, you will need to check with your insurance provider to make sure it is covered. Most plans do not cover it because it is a “device”, rather than a “medication”.


Hormonal IUD/IUS

The IUD with hormones is also referred to as the IUS (Intra-Uterine System) or the Mirena®.

HOW DO I GET IT?
You can call our clinic and book an appointment to get a Mirena IUD. We only have a few doctors at our clinic who are trained to insert IUDs, so sometimes it can take up to a month to schedule you in for this appointment. During your appointment, the doctor will also do swabs for STIs. We do not carry the Mirena IUD at our clinic, so you will have to either make two appointments with us (one for the prescription and one for the insertion) or you can get the prescription from your family doctor, purchase the Mirena at the pharmacy, and bring it to your appointment with us. (Please note: Pharmacies typically do not stock IUDs, so please allow 5-7 business days for them to order one in.)

 

HOW MUCH DOES IT COST?
The price of the Mirena IUD varies from pharmacy to pharmacy, but it is approximately $350-$400. It is covered by most private health insurance providers.


Diaphragm

Latex diaphragms are no longer available in Canada. However, there are non-latex diaphragms (Milex Wide-Seal: Omniflex Style ®) available by special order.

HOW DO I GET IT?
Diaphragms come in different sizes so you will need to get fitted by a doctor first to see which size works best for you. You can make an appointment with one of our doctors for the fitting (Please note: some of our doctors do not do diaphragm fittings). The doctor will show you how to put it in and take it out. Then you can just buy them at the pharmacy without a prescription. As far as we know, only Lawton’s is able to order them in. It’s a little bit tricky because this diaphragm isn’t listed in their ordering catalogue. However, tell them that they can place a special order for it with CooperSurgical Inc. (Please note: We recommend that diaphragms only be used in combination with spermicidal jelly. Unfortunately, spermicidal jelly is no longer being produced in Canada, so it may be very difficult to find. However, there is a new product called ContraGel that may increase the effectiveness of the diaphragm. Please speak to one of our health care practitioners for more information).

HOW MUCH DOES IT COST?
The Omniflex diaphragms cost approximately $80.


 

Cervical Cap

A cervical cap, called the FemCap™, is available in Canada.

HOW DO I GET IT?
You can visit one of our doctors for a prescription for the FemCap. The FemCap can also be ordered through the Internet (
www.femcap.com ) (Please note: We recommend that the FemCap only be used in combination with spermicidal jelly. Unfortunately, spermicidal jelly is no longer being produced in Canada, so it may be very difficult to find. However, there is a product called ContraGel that may increase the effectiveness of the FemCap. Please speak to one of our health care practitioners for more information).


 

Condoms

HOW DO I GET THEM?
You can just stop in the clinic and grab some from the condom jar in the waiting room!

 

HOW MUCH DO THEY COST?
They’re free!


 

Referral for Tubal Ligation

HOW DO I GET ONE?
We do not perform this procedure at our clinic. However, you can make an appointment with one of our doctors to discuss this option. If you and the doctor decide that this is the best option for you, the doctor can write you a referral to have this procedure done at the QEII Health Sciences Centre. (Please note: this procedure often has a wait list of several months)


 

Referral for Vasectomy

HOW DO I GET ONE?
We do not perform this procedure at our clinic. However, you can make an appointment with one of our doctors to discuss this option. If you and the doctor decide that this is the best option for you, the doctor can write you a referral to have this procedure done at the QEII Health Sciences Centre. (Please note: this procedure often has a wait list of several months)