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Women with Disabilities

Our Access clinic provides gynecological care including breast and pap test screening for adolescents and women with disabilities

Together a nurse practitioner and gynecologist provide complex contraception counselling, menstrual suppression and dilator therapy in addition to regular reproductive health screening for transgender patients, adolescents (16+) and adult women with intellectual or physical disabilities. 

You should come to the Access Clinic if
  • You have difficulties having routine cervical cancer screening in your regular health care provider's office or clinic. 
  • This includes you if you have a disability or if you have had difficult exams in the past. 
  • We help any woman experiencing barriers to cervical cancer screening.


  • pap tests
  • pelvic exams
  • breast exams
  • referral to mammography
  • IUD insertions
  • contraceptive advice
  • complex contraception
  • menstrual suppression and dilator therapy
  • menstrual management
  • STI screening
  • menopausal advice/management

A doctor's referral is not necessary, however, you do need to have a health care provider or clinic for us to send test results to.

How to make an appointment?

Our clinic is held on Tuesday afternoons. Special arrangements can be made for appointments at other times.
Call (604) 875-3290. Our clerk will take your name, number and ask a few questions about the nature of your disability.

Frequently Asked Questions

Why are Pap tests, pelvic and breast exams so important?

These exams can detect abnormalities that may lead to cancer or early cancers. Cancer found early is easier to treat and cure.

What is a pap test?

The pap test is a way to look at cells collected from your cervix and vagina. This test can show the presence of abnormal cells, or cancer.

Who should have these tests?

All women who are or have ever been sexually active should have regular pap tests.

What will happen at my appointment?

A woman doctor or nurse will ask you a few questions about your medical and sexual history in private. We will assist with your transfer to our large examination table. If required, a ceiling lift is available. We will do all we can to make the examination as comfortable as possible for you. 
The doctor or nurse will check both your breasts for any abnormalities. She will then do a pap test. She will also check your tubes, ovaries, and uterus (womb) by putting two gloved fingers inside your vagina. With her other hand, she will feel from the outside for any lumps or tenderness. This takes only a few minutes.

How is a Pap test done?

A pap test is simple, quick and painless. While you lie on the exam table, your doctor or nurse inserts a special instrument called a speculum into your vagina to open it. She will use a small brush or wooden stick to take a few cells from your cervix (the opening to the uterus). A lab will check these cells for cancer or other problems.

When should I have these tests?

It is important that you do not have your period when you have your pap test.

What should I wear?

Wear comfortable clothing that is easy to remove. We will help you dress and undress if you need us to.

Do I need to bring someone?

You may bring whomever you want to the appointment. This may be an advocate or an attendant.

What about mammograms?

For women over 40, information on mammograms is available. The Access clinic can also assist with this exam. 

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SOURCE: Women with Disabilities ( )
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