Birth control and renewal in Quebec: understand your options

A birth-control renewal is more than paperwork: it is a chance to check whether the method still fits, whether health or medications have changed and whether follow-up is needed. In Quebec, physicians, NPs, authorized nurses and pharmacists may be involved in different settings. The right professional and format depend on the method and your circumstances.

Bring your current method, health changes and preferences; renewal may sometimes be remote, while certain methods require an in-person visit. (Read more)

What is reviewed before renewal

Expect questions about the current method, missed doses, side effects, migraines, smoking, medications, blood pressure and changes since the last prescription. The goal is to assess safety and fit, not impose a method. Include your priorities: cycle control, simplicity, privacy, pregnancy plans or a preference for a non-hormonal option.

The professional depends on the need

The OIIQ says nurses authorized to prescribe may, under Quebec’s contraception protocol, prescribe and adjust hormonal contraception and certain long-acting methods. Pharmacists also perform clinical activities involving prescriptions. Availability and criteria vary; direction to an NP, physician or clinic may be needed.

What cannot be completed only online

Insertion or removal of an IUD or implant requires an in-person procedure. Acute pelvic pain, heavy bleeding, possible pregnancy with pain or another concerning symptom should not be managed through teleconsultation alone. For a stable renewal, the practitioner decides whether measurements or an examination are needed.

When a MedVibe request may fit

If you already use prescribed birth control and need the prescription renewed, a refill request can be submitted for clinical review. Include the current method, side effects, health changes and preferences. Assessment determines eligibility and next steps; the request does not mean a prescription, renewal or specific quantity will follow.

Severe pelvic pain, fainting, breathing difficulty, chest pain or heavy bleeding needs urgent assessment; call 911 in an emergency. For a non-urgent question or help choosing a resource, call 811.