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Women's Health & Safety in Madrid

Abortion legal status
Legal
Emergency number
112

Updated July 2026 · Sources cited: aloneandabroad.com, housinganywhere.com

Good to Know

  • The 016 hotline is free, confidential, available 24/7 in 53 languages, and the call does not show up on phone bills — it's a safe first call even if you're unsure whether to involve police.
  • You do NOT have to file a police report to get a medical exam and have evidence collected after an assault — this keeps your options open if you decide to report later.
  • The morning-after pill is sold over the counter in Madrid pharmacies with no prescription and no age restrictions — you can just ask the pharmacist directly (in Spanish: 'la píldora del día después').
  • Regular birth control pills technically require a prescription in Spain, but many Madrid pharmacies will sell a short supply without one if you show your usual brand's box or a prescription from home — policies vary by pharmacist.
  • Pharmacies in Spain are marked by a green cross sign and are extremely common in central Madrid, including many open 24 hours (farmacias de guardia).
  • If you want a female police officer when reporting an assault, you can request one, but availability is not guaranteed, especially outside business hours.
  • Abortion is fully legal and free on request up to 14 weeks of pregnancy in Spain, and available later on medical/fetal grounds up to 22 weeks (no limit for fatal fetal anomalies).
  • Since the 2023 reform, 16- and 17-year-olds can consent to an abortion without parental involvement, and the mandatory 3-day 'reflection period' was scrapped.
  • If you're on the public system (via EU health card, S1, or Spanish social security), the procedure is free; nomads without local coverage should expect to pay privately, with cost depending on weeks of pregnancy and anaesthesia used.
  • Madrid has a strong private/mixed healthcare scene — Salamanca district clinics are a convenient, English-friendly option for routine gynecology care, though it's worth confirming a clinic's English proficiency and prices by phone before booking.
  • Bring your EHIC, private insurance details, or be ready to pay upfront in cash/card for private consultations — many smaller clinics don't bill international insurers directly.

Street, Night and Taxi Safety

  • Street Harassment

    Multiple solo-female-travel guides describe harassment in Madrid as comparatively low-level; one traveler account noted "no form of catcalling is acceptable, but at least the catcalling in Madrid never made me feel afraid," with no following, slurs, or threats reported. Guides still note that foreign women may occasionally draw stares or comments, especially when dining or sitting alone, and recommend engaging as little as possible with unwanted attention.

    Source

  • Walking Alone at Night — Areas Generally Fine

    Central, busy neighborhoods are repeatedly described as comfortable for walking after dark because they stay crowded late: guides list Salamanca, Retiro, Chamberí, Chueca, Malasaña, La Latina, and Barrio de las Letras as generally safe areas, and note that central neighborhoods are rarely empty even at night. Sol, Huertas, and Malasaña specifically are described as staying busy until dawn.

    Source

  • Walking Alone at Night — Areas to Approach with More Caution

    Local safety guides advise extra caution after dark in Lavapiés (particularly the area near Atocha station and a few blocks around the El Rastro flea market, which becomes a gathering point for drunk or homeless individuals at night), as well as in San Blas, Villa de Vallecas, Usera, and Carabanchel, the latter partly due to more limited public transport access at night. These are described as areas warranting caution rather than being considered dangerous.

    Source

  • Taxis and Ride-hailing

    Official Madrid taxis are white with a red stripe on the front doors and the city's seal, and travelers are advised not to get into any other vehicle claiming to be a taxi, since this is both unsafe and a common overcharging scam. Uber and Cabify also operate in Madrid as app-based alternatives, and solo female travelers are advised to use a ride app rather than walk alone in unfamiliar areas late at night, particularly after the metro stops running around 1:30 a.m.

    Source

  • Practical Precautions

    Sources consistently frame pickpocketing and bag-snatching, not violent crime, as the main practical risk for women in Madrid, concentrated around tourist hubs like Sol, Gran Vía, and major metro stations, especially during rush hour. Recommended precautions include sticking to well-lit, busy streets, keeping phones and valuables in inner or front pockets rather than easily accessible bags, staying aware in crowds at concerts or festivals, and, if confronted by someone persistent, drawing attention to yourself or stepping into a nearby shop, café, or hotel lobby rather than continuing to engage.

    Source

Abortion Law And OB-GYN

Legal Status
Fully legal and regulated
National Law
Organic Law 2/2010 on Sexual and Reproductive Health and Voluntary Termination of Pregnancy, as amended in 2023
Minors And Consent
Following the 2023 reform, 16- and 17-year-olds in Spain can undergo an abortion without parental consent, reversing an earlier requirement.
Recent Reform 2023
The 2023 changes removed the mandatory three-day reflection period between receiving information and the procedure, and enshrined the right to have an abortion in a state (public) hospital.
Constitutional Standing
In May 2023 the Spanish Constitutional Court (STC 44/2023) upheld the constitutionality of the 2010 law, rejecting a challenge from the conservative Popular Party.
Funding And Public Access
More than 70% of abortion patients in Spain have the procedure funded by the public health system (SNS), with private payment as an option for those not eligible or who prefer it.
Typical Private Consultation Cost
€139

Standard private gynecology consultation including an ultrasound

Abortion Time Limits

On Request
Abortion in Spain is legal upon request up to 14 weeks of pregnancy, and at later stages in cases of risk to the life or health of the woman or serious fetal defects.
Beyond 22 Weeks
The law also provides for the possibility of interrupting pregnancy beyond week 22 without limit when there is a fetal pathology incompatible with life, or when an extremely serious and incurable disease is detected in the foetus, confirmed by a clinical committee.
Medical Grounds 14 To 22 Weeks
Up to 22 weeks it is permitted when there is a grave risk to the life and health of the pregnant woman, requiring a medical report from a specialist doctor different to the one who will perform the abortion, or when the foetus has a grave anomaly, requiring a favourable report from two specialist doctors.

Named OB-GYN Options Madrid

  • Unidad Médica Angloamericana
    Type
    Private multilingual clinic, Gynecology/Obstetrics & Family Planning department
    Neighborhood
    Salamanca district (central Madrid)
    Notes
    Long-established English-speaking practice; consultations offered in English, Spanish and French, with gynecologists trained in the Spanish public system (IMSALUD) now in private practice, covering routine gynecology, family planning, pregnancy care and colposcopy.
  • Centro Ginecológico Goya
    Type
    Private gynecology clinic
    Neighborhood
    Calle de Goya, Salamanca district (central Madrid)
    Notes
    General gynecology and obstetrics practice in the central Salamanca neighborhood, a common base for nomads and expats.
  • Bárbara Fernández Del Bas – Gynecologist
    Type
    Private individual practice
    Neighborhood
    Madrid city
    Notes
    Solo-practice gynecologist offering general, functional and integrative gynecology consultations; communicates with patients via WhatsApp for scheduling.
  • Clínica Eugin Madrid
    Type
    Private fertility and reproductive health clinic
    Neighborhood
    Central Madrid (Castellana area)
    Notes
    Part of an international fertility clinic network, offering gynecological and assisted-reproduction consultations to both local and international patients.

Access Routes Practical Notes

  • First point of contact for residents is typically a public health centre (centro de salud) or gynecology department, which refers on to an accredited provider; under-14-week cases proceed without needing to justify a reason.
  • In practice, a significant share of terminations in the Madrid region are carried out at private clinics that hold agreements ('concierto') with the public health service, rather than directly inside public hospital walls, due to conscientious objection registered by many public-sector doctors — patients using this route generally still pay nothing out of pocket if referred through the public system.
  • Foreign visitors and nomads without Spanish public coverage (no EHIC/S1/local social security) can access the procedure at private clinics on a self-pay basis; costs vary by weeks of pregnancy and anaesthesia type and are quoted after an initial consultation.
  • Spain does not require proof of residency or a specific reason to access abortion care, and people from countries with restrictive laws can legally travel to Spain to have the procedure.

Assault Resources

Other Notes

Minors
Calls from minors are redirected to the ANAR Helpline for Children and Adolescents: 900 202 010.
Trafficking
Calls related to human trafficking for sexual exploitation are referred to the Ministry of the Interior line: 900 105 090.
Male Survivors
FAMUVI ('You are not alone' program) supports male victims of sexual assault: +34 910 133 161.

Forensic Exam Hospital

Phone
+34 91 727 70 00
Name
Hospital Universitario La Paz
Address
Paseo de la Castellana, 261, 28046 Madrid
Note
Designated hospital in Madrid for sexual-assault forensic examinations; a police report is generally needed to trigger a full forensic exam, but medical care for injuries can be obtained without one.

Madrid City Service Savg

Phone
900 222 100
Name
S.A.V.G. – Servicio de Atención a Mujeres Víctimas de Violencia de Género (Madrid City Council)
Email
savg24h@madrid.es
Hours
24 hours
Features
Also offers an online chat option

Police Specialized Units

Civil Guard
EMUME (Equipo Mujer-Menor) — specialized Civil Guard unit assisting female victims and minors.
National Police
UFAM (Unidad de Atención a la Familia y Mujer), 24/7, based at Comisaría de Policía, Avda. Doctor Federico Rubio y Galí, 55, phone +34 91 322 35 55; you can also approach any police station and request a female officer, though availability is not guaranteed.

Medical Forensic Protocol

Name
Código VISEM (Comunidad de Madrid)
Evidence Collection Window
For evidence collection in cases involving vaginal penetration you have up to 10 days/240 hours, and in other sexual aggression cases up to 3 days/72 hours.
Description
A comprehensive regional protocol for people who have experienced a sexual assault, that involves urgent healthcare and medical-legal guidance, and that may include biological evidence collection.
Practical Note
It is recommended not to shower before authorities have had a chance to collect physical evidence, though you are not obligated to report to police to still receive a medical exam and have evidence preserved for later.

National Emergency Number

Number
112
Description
General EU/Spain emergency number. Ask for an English-speaking operator; 112 will direct you to the nearest police station or medical facility.

Gender Violence National Hotline

Phone
016
Cost
Free and does not appear on phone bills
Name
016 – Teléfono de Información y Asesoramiento Jurídico en Violencia de Género
Email
016-online@igualdad.gob.es
Hours
24/7, 365 days a year
Languages
Available in 53 languages
Text Or WhatsApp
600 000 016
Description
Free and confidential service providing information, legal advice and immediate psychosocial care by specialized personnel for all forms of violence against women.

Specialized Sexual Violence Center Cimascam

Phone
+34 915 340 922
Name
CIMASCAM – Centro de Atención Integral a Mujeres Víctimas de Violencia Sexual
Hours
10:00–20:00
Address
Calle Pedro Muguruza, 1, 28036 Madrid
Services
Provides legal, medical and psychological assistance to victims of sexual assault in Madrid.

Contraception Access

General Note
Contraception is legal and widely available in Spain. Pharmacies (marked with a green cross) are on almost every block in central Madrid.

IUD

Legal Status
Fully legal and regulated
Prescription Required
Yes
Practical Note
Must be fitted by a gynecologist/healthcare professional (Mirena and copper IUDs are both available). Insertion is covered under Spain's public health system (Seguridad Social) for residents/those with access; private clinic costs vary by provider and were not consistently reported.

Birth Control Pill

Legal Status
Fully legal and regulated
Prescription Required
Yes
Cost With Prescription Per Month
€3.00
Cost Without Prescription Per Month
€10
Practical Note
Technically requires a doctor's prescription in Spain, though some Madrid pharmacies will dispense it without one, especially if you show an old box of your usual brand or have a foreign prescription.

Contraceptive Implant

Legal Status
Fully legal and regulated
Prescription Required
Yes
Cost With Prescription
€60
Cost Without Prescription
€150
Practical Note
Public health insurance covers surgical contraceptive procedures except the implant itself.

Emergency Contraception

Legal Status
Fully legal and regulated
Age Restrictions
None
Brands Available
Levonorgestrel-based EC (behind-the-counter since 2009) and ellaOne/ulipristal acetate (since 2015); ellaOne is the longest-acting option, effective up to 5 days after unprotected sex versus roughly 3 days for levonorgestrel pills.
Free Public Option
In some Autonomous Communities, including parts of the Madrid region, EC can be obtained free at public health centers, emergency rooms, or sexual/reproductive health clinics rather than paying at a private pharmacy; a 2023 national law reform aims to guarantee free EC at public health system facilities nationwide, though rollout has varied by region.
Prescription Required
No
Typical Pharmacy Cost
€20
Cost Range Note
Pharmacy prices generally range from about €15 to €30 depending on the brand/type.
AI-generated estimateData refreshed July 2026

These are the sources cited in this women's health & safety research for this city. Individual figures may not each trace to one of them.

  1. 1.aloneandabroad.com
  2. 2.housinganywhere.com
  3. 3.movingto.com
  4. 4.fringemadrid.com
  5. 5.hersafevoyage.com

Data last updated July 2026 · Verify anything important.