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Canadian Question: Nova-T or Flexi-T?

Hi everyone, I’ve been reading the posts in this community for the past several months and first off, thank you everyone for being so open and helpful! I’ve made the decision to get a copper IUD and everything I’ve read here has been so helpful and reassuring.

My question is regarding the different types of copper IUDs available in Canada. I believe that the 2 types of copper IUDs available here are the Nova-T and Flexi-T. I kind of thought that I would like a Flexi-T – I’ve read that it’s smaller and therefore might cause less severe cramping and easier insertion than the Nova-T (I’m NP BTW). However, I went to my consultation yesterday and the doctor (after trying to convince me to get a Mirena) gave me a prescription for the Nova-T and told me they sell them there for about $150. I’m going back in a few weeks for the insertion. This is the Bay Centre for Birth Control in Toronto. 

So, my questions are these: Does anyone have any opinions/info on the Nova-T vs. the Flexi-T? Is there a difference? Should I try to get a Flexi-T instead of the Nova-T? Also, I thought I had read somewhere here that someone had purchased a copper IUD in Toronto for $80 – is this true? Does anyone have any experience buying copper IUDs in Toronto? Money is an issue so I would like to find the best price. Any advice would be greatly appreciated! Thanks ladies!!         


( 11 comments — Leave a comment )
Jan. 27th, 2010 03:43 pm (UTC)
The model type is actually less important than the number, and higher numbers are generally better (300 or higher, up to 380).

Flexi T and Nova T are both T-shaped IUDs, as you can imagine from the names, and your doctor should know which one is better after consultation and examining you...They won't put one that is too big in, and I read something awhile aback that having the right 'fit' is more important than just the smallest one or whatever.
Jan. 27th, 2010 04:33 pm (UTC)
I got my IUD for 80$ in Vancouver, so I'm sure you can get in for the price in Toronto (I'm from Toronto, and everything is so much cheaper there than in Vancouver!).

When I got my IUD, I just paid the clinic that inserted it, as they had IUDs in stock. I'm not sure they even had Nova-Ts in stock, but maybe. I didn't go through a pharmacy. I can't tell from your post if you plan to get it at a pharmacy or at a clinic? Pharmacies have different markup prices (Shoppers for example is supposed to be the most expensive, at least that's what people tell me in Vancouver). So if you're getting it from a pharmacy, call a few places before getting your prescription filled.
If you're getting it from the clinic (in which case I don't understand why they gave you a prescription), try calling a few other clinics. (Maybe try Planned Parenthood? There is one in Toronto and their website say they have reduced rate birth control: http://www.ppt.on.ca/community.asp.) But it's probably better to pay a bit more if you feel like the people at Bay Centre have more experience.
Jan. 27th, 2010 05:35 pm (UTC)
I'm in Toronto and got my Flexi-T for $80..

I suggest you try to get a referral from your GP to Dr Yoav Brill at the Albany Clinic on the Danforth. He is AMAZING. No muss, no fuss, very matter of fact about it, and inserts gazillions of IUDs.

The Bay Center is a great place as well tho, ive been there to set up an abortion, but Dr Brill was really amazing. Not only is he a very competent OB/GYN, he really doesnt make a big deal about things, or scare women for no reason about their IUD. I asked him when I could have sex and he said "i suggest u wait til u get home. after that, its up to you!".

I highly recommend him, but like I said, you are going to need a referral from your own doctor to get to see him.
Jan. 27th, 2010 05:48 pm (UTC)
Haha "Dr Brill" sounds Brill
Jan. 27th, 2010 08:41 pm (UTC)
haha! clever lady !
he really is tho!

when I have a baby he's def gonna be the man - to deliver it, not father it.. -
Feb. 1st, 2012 06:10 pm (UTC)
I'm going to see my GP tomorrow and get a referral for Dr. Brill. He sounds great!

Footballgirrl - Does he sell Flexi-Ts? If so, what's the cost? I notice on the Albany Clinic's website that they no longer have a dispensary and instead direct people to the Pharma Plus in the same building.

If I can't get it from his office I'll go with hippychippy's info and buy one at the BCVD.
Jan. 27th, 2010 09:53 pm (UTC)
I have a post somewhere in the memories with info about this, so I'm going to check...


"The copper IUDs available in Canada for sure are the Nova-T 200 and the Flexi-T 300. I think the Flexi-T 380 is also available, but only for women who have had children. The Nova-T 380 is definitely not available." (From my insertion post, which is pretty ridiculously long, but in case anyone's interested, or wants more detail: http://community.livejournal.com/iud_divas/1770035.html)

I went with the Flexi-T 300 because it's good for 5 years instead of 2-3 (like the Nova-T 200). The number at the end refers to the amount of copper in the IUD, so the higher the number, the more copper doing its job.

Mine was somewhere between $80 and $90, and I was written a prescription that I had filled at a pharmacy. Make sure they specify the number at the end (that is, not just "Flexi-T" or "Nova-T") because if for some reason they have multiple IUDs with the same brand name entered in their system, my pharmacist informed me that they'd go with the lowest "dosage." I ended up with a Nova-T 200 when I wanted a Nova-T 380 before finding out that they weren't available in Canada; if you're supposed to be getting a Flexi-T 380, you don't want them accidentally giving you a Flexi-T 300.
Jan. 27th, 2010 10:40 pm (UTC)
Thanks everyone! Good point about the prescription - I checked and she just wrote "Nova-T". Hmmm... I think she said it would be good for 5 years so I'm guessing that they would sell me the 380 at the Bay Centre. I think she gave me the prescription in case I wanted to go out price comparing and bring one back if I found it cheaper. I'm surprised the Bay Centre is charging $150 if you can get it at the pharmacy for ~$90 - I thought they would be the cheapest.
Thanks for the suggestion about Dr.Brill, he sounds great but I'm pretty much committed to getting it inserted @ the Bay Centre. I can't afford to take extra time off work to see my FP first for the referral.
Well, I will call around tomorrow and see what my options are. I'm on a mission now - cheapest IUD in Toronto :)
Jan. 27th, 2010 11:41 pm (UTC)
Nova T vs. Flexi T
Hi! I got my Nova T 200 about a month and a half ago. It's pretty great. I am a bit disappointed that it isn't as effective longer, and perhaps a person or two less effective on an annual basis...but when I asked my OBGYN whether she'd use condoms or not in my position, and she said she wouldn't bother. So really...it's pretty much your choice if you're willing to hunt them down. Good luck and share the final cost when you finally pick it up!
Feb. 2nd, 2010 03:32 pm (UTC)
Hey, I just thought I would share what I have found out so far.
I've called around, and these are the options that I can find so far for purchasing IUDs in Toronto:

Shoppers Drug Mart: Nova-T, $180. Have to special order it though.
Rexall Pharmacy: Nova-T, $200.
Bay Centre for Birth Control: Nova-T, $157.50
Birth Control & Venereal Disease Information Centre: Flexi-T, $75.

So far, it looks like the Bay Centre is the most affordable option for a Nova-T, but the BCVD centre carries the Flexi-T and it's the cheapest of all. So, I think I will end up going there. However I've already had my consultation at the Bay Centre so I'm hoping that the BCVD Centre can just provide the IUD and I can get it inserted at the Bay Centre. I'm not sure if I can do that yet though, will keep you posted...
Nov. 26th, 2010 07:01 pm (UTC)
Nova-T or Flexi-T
All copper IUD's are similar, but the Flexi-T cost half the price of the Nova-T. If you pay more than $80, it is too much. The number 380/300 refers to the amount of copper but truly no effective difference between 380 and 300. The flexi-t is the only IUD that offers the smaller size flex-t 300, which is primarily used in women who have never been pregnant. This is an important point because of ease of insertion without any discomfort to the women.
( 11 comments — Leave a comment )