- Abortion legal status
- Illegal
- Emergency contraception
- Without a prescription
- Emergency number
- 911
Updated July 2026 · Sources cited: costaricavibes.com, tripadvisor.com
Good to know
Good to Know
- 911 operators in Costa Rica often speak English and can transfer you directly to a specialized gender-violence line if you ask — save this number even for a short stay.
- Santa Teresa is a small, spread-out beach town; the nearest police post and basic clinic are in neighboring Cóbano, and a full hospital with forensic exam capability is typically further away in Nicoya or Jacó — plan for extra travel time if you need in-person police or forensic medical follow-up after an incident.
- Birth control pills are sold over the counter at local pharmacies without a prescription, so you generally don't need to arrange anything in advance, but rural pharmacy stock can be inconsistent — it's worth checking your specific brand is in stock rather than assuming.
- Emergency contraception is legal and can be bought over the counter at pharmacies, or obtained free at a public clinic/hospital — the free public route may take longer, so weigh the time-sensitivity of EC against travel time to a clinic.
- IUD or implant insertion is unlikely to be available directly in Santa Teresa itself; most nomads needing one travel to a private clinic in a larger town.
- Abortion is illegal in Costa Rica outside a very narrow exception for when the pregnancy threatens the woman's life, and in practice even that exception is inconsistently honored by hospitals — don't assume it will be accessible even in a genuine emergency.
- Be cautious of websites or WhatsApp contacts advertising abortion pills for sale in Costa Rica; this is an unregulated, prescription-only market with documented scam risk and no quality guarantee.
- Santa Teresa itself has no public hospital — the nearest public clinic (in Cóbano) only serves Costa Rican nationals with national insurance, so as a nomad you'll be relying on private clinics like Santa Teresa Medical Center for routine gynecological care, and on San José hospitals for anything more serious.
- If you need reproductive healthcare that Costa Rican law restricts (including abortion beyond the narrow legal exception), many travelers factor in the cost/logistics of flying to a country with broader access — Colombia and Mexico City are common regional options with more permissive laws, though verify current rules before relying on this.
Street, Night and Taxi Safety
Street Harassment
Verbal harassment such as catcalling and unwanted attention toward women does happen in Costa Rica, particularly at night, though sources describe it as rarely escalating beyond that. It's described as a general issue across the country's tourist towns rather than something specific to one street or neighborhood in Santa Teresa.
Walking Alone at Night
Multiple sources single out Santa Teresa's beach itself as the area to avoid after dark: one Tripadvisor contributor who has stayed in the area repeatedly advises not going to the beach after dark even with company, calling it "not safe (unfortunately)". A local safety guide also notes the main road through town has few sidewalks and can feel risky once it's dark, partly because the town experiences frequent power outages that leave streets unlit.
National Advisory on Isolated Areas and Theft
Canada's government travel advisory specifically names the Cóbano area, including Santa Teresa, Mal País and Montezuma, as a zone of particular concern for theft on the Pacific coast. Both Canadian and U.S. government advisories recommend avoiding isolated or deserted areas and not walking alone at night anywhere in the country, including on beaches.
Taxis and Transport
Local safety guides for Santa Teresa recommend taking a taxi rather than walking back to accommodation late at night. One safety-ratings site notes that public buses, in particular, can attract people looking for an easy target, so women travelling alone are advised to prefer a taxi over public transit after dark.
Practical Precautions
The U.S. State Department advises staying aware of surroundings, avoiding poorly lit beaches or streets, not displaying signs of wealth like expensive jewelry, and not physically resisting if a robbery does occur. These are national-level recommendations rather than specific to Santa Teresa, but locally-focused guides repeat the same core advice: don't flaunt valuables, secure your accommodation, and stay alert, especially after dark.
Abortion Law And OB-GYN
- Public Healthcare Caveat
- The one public (CCSS) clinic serving the whole southern Nicoya Peninsula is located in Cóbano (a short drive from Santa Teresa), but it is restricted to Costa Rican nationals enrolled in the national insurance system and has no lab or X-ray services, so it is not a realistic option for a visiting nomad — private care (in Santa Teresa itself, or a bigger private hospital in San José for anything specialized) is the practical route.
- Referral For Specialist Care
- For OB/GYN needs beyond routine consults (e.g., surgery, oncology follow-up, high-risk obstetrics), the standard referral point is a private hospital in San José such as CIMA Hospital or Hospital Clínica Bíblica, which is roughly a 3.5-5 hour drive or a short domestic flight from Santa Teresa — well outside the local area but the recognized regional standard for higher-level gynecological care.
Abortion Law
- Summary
- Abortion is a crime under Costa Rica's 1970 Penal Code and remains so today, with only a very narrow 'therapeutic abortion' exception.
- Legal Status
- illegal
- Access Routes
- In practice, even patients who technically qualify for the narrow therapeutic exception report being denied care, because many hospitals and doctors decline to perform abortions in the absence of clear institutional protocols, and doctors who suspect an unauthorized abortion are legally obligated to report it. For a legal therapeutic abortion, the process requires the woman's consent and evaluation confirming no other medical alternative exists, carried out at a hospital by a licensed physician. Outside this narrow route, self-managed abortion (e.g., with misoprostol) is illegal, and online sellers advertising abortion pills via WhatsApp operate outside legal prescription channels, carrying both legal risk and product-safety/scam risk.
- Legal Grounds
- Article 121 of the Penal Code makes abortion unpunishable only when performed by a licensed doctor, with the woman's consent, to avoid a danger to her life or health that could not be avoided by other means.
- Not Permitted For
- Abortion is not legally permitted on the grounds of rape, incest, fetal anomaly/malformation (as of the 2025 decree), or simply at the woman's request. Only about 11% of Costa Ricans support abortion available on request, versus majority support only for the life-threatening scenario.
- Abortion Time Limits
- The Penal Code itself does not set a specific pregnancy cutoff for the therapeutic exception, but the 2019 'Technical Norm' implementing it allows a therapeutic abortion up to six months (roughly 24-26 weeks) of pregnancy at a hospital with the required medical team. In October 2025, President Rodrigo Chaves signed an executive decree that narrowed access further: previously a separate ground existed allowing termination up to 25 weeks for fetal malformations incompatible with life outside the womb, and the new decree restricts legal abortion to cases where the pregnancy poses a risk to the woman's life.
- Legal Basis Note
- Based on the Costa Rican Penal Code (Law No. 4573, Articles 118-122), and reporting on the October 2025 executive decree signed by President Rodrigo Chaves.
OB-GYN Options In Santa Teresa
Santa Teresa Medical Center
- Type
- Private medical center with an OB/GYN on staff
- Location
- Serves Santa Teresa, Mal País and Playa Carmen (Cóbano, Puntarenas)
- Notes
- A private, English- and Spanish-speaking clinic that explicitly welcomes tourists and international patients, and treats women and men. Its team includes a gynecologist/obstetrician with a gynecologic oncology background alongside other specialists, and the clinic operates 24/7 with WhatsApp contact, walk-ins accepted (appointments recommended for non-emergencies).
Assault Resources
Embassy Contact
- Description
- Foreign nationals are generally advised to also contact their home country's embassy in San José, which can assist with medical referrals, police liaison, and family contact, though embassies do not replace local emergency reporting.
National Emergency Line
- Number
- 911
- Description
- Costa Rica's universal emergency line for police, fire, and medical dispatch, reachable nationwide including Santa Teresa. English-speaking operators are frequently available, and callers can ask to be transferred to the INAMU (women's institute) direct line for gender-violence cases.
Medical And Forensic Care
- Local Note
- Santa Teresa itself is a small beach town on the Nicoya Peninsula; the nearest police post and basic clinic (EBAIS) are in the adjacent town of Cóbano, while a full public hospital with forensic/emergency-medicine capacity is typically in Nicoya or Jacó, meaning victims may need to travel roughly 30-90 minutes for a full medical-forensic exam.
- Description
- Public CCSS hospitals and clinics provide free emergency medical care to assault victims regardless of whether a police report is filed, including access to emergency contraception and, where relevant, HIV post-exposure prophylaxis (PEP), which is most effective if started within 6-8 hours and must begin within 72 hours.
Oij Crime Reporting Hotline
- Number
- 800-8000-645 (800-8000-OIJ)
- Description
- Hotline for Costa Rica's Judicial Investigation Organization (OIJ), the agency that formally investigates serious crimes such as sexual assault. Filing an OIJ report is separate from calling 911 and is needed to open a formal case.
Inamu Gender Violence Support
- Access
- Via 911 transfer, or regional INAMU units
- Description
- The Instituto Nacional de las Mujeres (INAMU) runs a dedicated gender-violence response line accessible by asking a 911 operator to transfer you, and operates a Women's Delegation office plus regional units, though its main physical office is in San José, not in Santa Teresa itself.
Psychological Support Hotline
- Name
- Aquí Estoy
- Description
- A free national hotline for psychological and emotional emergencies, including support following sexual abuse or assault.
Contraception And Emergency Contraception
- Regulatory Note
- Costa Rica does not require a prescription for standard hormonal contraceptives, which are sold over the counter at any farmacia.
IUD
- Status
- Fully legal and regulated
- Availability
- Hormonal IUDs (e.g., Mirena) are available in Costa Rica, but insertion requires a doctor; Santa Teresa is a small town, so placement likely requires traveling to a private clinic in a larger town such as Nicoya, Jacó, or San José rather than being done locally.
- Typical Cost Placement National Estimate
- CRC 137,000
Implant
- Status
- Fully legal and regulated
- Availability
- Contraceptive implants are legally available in Costa Rica but are not commonly used by women there compared to pills or injectables, and would likely require sourcing through a private clinic outside Santa Teresa itself.
Birth Control Pills
- Status
- Fully legal and regulated
- Availability
- Sold over the counter without a prescription at pharmacies, including local farmacias in and around Santa Teresa/Cóbano.
Price Range Per Month Supply
- Low
- CRC 4,500
- High
- CRC 13,600
Emergency Contraception
- Status
- Fully legal and regulated
- Availability
- Emergency contraception can be obtained free of charge at any public medical center or hospital without a prescription, and is also sold over the counter at local pharmacies at the buyer's own cost.
- Effectiveness Window
- Most effective within 72 hours of unprotected sex; should be taken as soon as possible.
- Approximate Pharmacy Price
- CRC 18,000
Sources cited for this category
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.
More About Santa Teresa
Data last updated July 2026 · Verify anything important.