Birth Control Services

At the Thunder Bay District Health Unit, we believe that everyone has the right to choose the birth control method that is right for them. 

What We Do

Birth Control Prescriptions

The TBDHU Sexual Health Clinic provides clients with a number of birth control options, including:

  • Birth control pills
  • Evra patch
  • Depo-Provera injection (“depo shot”)
  • Inter-uterine system (Mirena)
  • Inter-uterine device (Kyleena)
  • Inter-uterine device (Copper IUD)
  • Nuvaring vaginal ring
  • Nexplanon implant

These are sold at the Sexual Health Clinic, often at a lower cost than most pharmacies. Some may also be covered by OHIP+ if you are eligible for that program. For specific costs, see the Fees section below.

You will need a prescription for the TBDHU Sexual Health Program even if you have a prescription from your own doctor or primary care provider

To get a prescription, please contact the Sexual Health Clinic

All Clinic services are confidential.

Emergency Contraception

There are two types of emergency contraception available in Canada: “morning after pills” and the copper intrauterine device (IUD).

Emergency contraception can help prevent unwanted pregnancy if:

  • You’ve had sex without using birth control.
  • The condom broke, tore, slipped off or was misused.
  • You forgot to take your hormonal birth control (for example, you missed pills, forgot to put on or change your birth control patch or forgot to insert or change your contraceptive vaginal ring).
  • You are late in receiving your Depo-Provera shot.
  • You were sexually assaulted.

Emergency contraception must be taken or inserted within hours or days of unprotected intercourse. For more information on emergency contraception, visit SexandU.ca or call the Sexual Health Clinic at (807) 625-5976.

Important Information About Emergency Contraception Pills

The faster you take this medication, the less likely you are to become pregnant.

You do not need a prescription for most emergency contraceptive (LNG) pills in Ontario, such as Plan B, Norlevo, Option 2, and Next Choice. Some “morning after pills” are available from pharmacies. However, these pills tend to cost less at TBDHU’s Sexual Health Clinic (see Fees section below).

If our Sexual Health Clinic is not open (clinic hours), it is strongly recommended that you go to a pharmacy rather than wait. Time is of the essence.

Emergency contraceptive pills and weight 

Emergency contraceptive pills are less effective in people weighing 165 to 176 pounds (75-80 kg), and are not effective in people over 176 pounds (80 kg). 

Clients who weigh 165 pounds or more should ask a health professional for advice on emergency contraception. The UPA (ella) pill may be more effective for clients weighing over 165 pounds (75 kg). The UPA (ella) pill is available by prescription only. 

Emergency contraception pills should not be used as your main form of birth control.

Birth Control Fees

In accordance with the Municipal Act, 2001, the Board of Health has approved a User Fee Policy for goods and services for which a fee is charged. 

 
DESCRIPTION FEE
Hormonal contraceptive - Alesse $15.001
Hormonal contraceptive - Alysena $10.006
Hormonal contraceptive - Depo-Provera $25.001
Hormonal contraceptive - Evra $10.001
Hormonal contraceptive - Linessa $10.001
Hormonal contraceptive - Lolo $10.002
Hormonal contraceptive - Marvelon $10.001
Hormonal contraceptive - Minovral $10.001
Hormonal contraceptive - Movisse $10.006
Hormonal contraceptive – Nexplanon $295.007
Hormonal contraceptive - NuvaRing $10.001
Hormonal contraceptive - Tricira Lo $10.006
Hormonal contraceptive - Triquilar $10.001
Hormonal contraceptive - Yasmin $15.001
Hormonal contraceptive - Yaz $15.001
Emergency contraceptive - LNG/"morning after" pill $5.001 +HST
Emergency contraceptive - ella™ $26.003
IUD - Mirena $335.004
IUD - Non-Hormonal (5 year) $50.00+HST
IUD - Non-Hormonal (10 year) $55.00+HST
IUD - Kyleena  $355.005
Pregnancy Tests by appointment No Charge1

1 Resolution 120-2015 (Sept. 16, 2015) | 2 Resolution 152-2015 (Dec. 16, 2015) | 3 Resolution 57-2017 (June 21, 2017) | 4 Resolution 27-2017 (March 15, 2017) | 5 Resolution 37-2019 (May 15, 2019) | 6 Resolution 69-2020 (Sept 16, 2020) |7 Resolution 24-2021 (June 16, 2021)

Other Forms of Birth Control

Other forms of birth control that are not offered through TBDHU’s Sexual Health Clinic include:

  • Tubal ligation (“getting your tubes tied”; surgical procedure for people with ovaries)
  • Vasectomy (surgical procedure for people with testicles)

These are usually considered permanent methods of birth control, though they can be reversed in some cases. 

For more information about these options, please talk to your doctor or other primary care provider. 

If you do not have a primary care provider, you can book an appointment with the Sexual Health Clinic to learn more about these birth control options and to get a referral.

 

Birth Control and STIs

Birth control methods such as the pill or the patch do not protect against sexually transmitted infections (STIs)

The only way to completely prevent STIs is to not have sex or any sexual contact. If you choose to have sex, using barriers (condoms/dental dams) is the best way to reduce your risk of getting an STI. 

If you have a new partner, you and your partner should both be tested before you start to have sex. Testing is available from your primary care provider or at TBDHU’s Sexual Health Clinic

To learn more about reducing the risk of STIs, visit Sexual Health Ontario’s Prevention page.

 

For Further Information

Call the Sexual Health Clinic at (807) 625-5976

or toll-free 1-888-294-6630

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