Lisa Huendorf

I had unprotected vaginal sex using withdrawal/ the pull-out method, followed by oral sex and towel clean-up. I have concerns about pregnancy due to second vaginal sex happening afterwards, and missing 2 birth control pills in the following days.

Question: I had unprotected vaginal sex using withdrawal/ the pull-out method, followed by oral sex and towel clean-up. I have concerns about pregnancy due to second vaginal sex happening afterwards, and missing 2 birth control pills in the following days.

Answer: There is a risk of pregnancy following any unprotected vaginal sex.  A man cannot control pre-ejaculate, or pre-cum, which is fluid that will come out of a penis during sex that can contain live sperm.  So you may have been exposed to this even though he removed himself before ejaculating (finishing). 

Sperm do not live long outside of the body, but can live inside the female for 3-5 days.  So missing birth control pills after this sexual contact could increase the risk of pregnancy, depending on how many days after sex the pills were missed. 

All of the sex acts also put both partners at risk for sexually transmitted infections (STI) if condoms were not used.  It is recommended for both partners to visit a healthcare provider for STI testing, as most infections do not show any symptoms. 

The Family Planning Association (FPA) can perform a pregnancy test if you miss your next period, or experience other symptoms.

If the birth control pill is difficult to remember and causing you anxiety, FPA can also provide other effective methods that last longer than the pill, even years at a time.  FPA offers condoms for free, including flavored condoms and dental dams for safer oral sex. 

To make an appointment, please call 440-352-0608 for Painesville, or 440-992-5953 for Ashtabula.

Do you guys deal with emotional abuse? I think that’s what I’m going through with my husband and don’t know what to do for my kids not to be taken away.

Question:  Do you guys deal with emotional abuse? I think that’s what I’m going through with my husband and don’t know what to do for my kids not to be taken away.

Answer:  Signature Health offers individual or marriage and family counseling, however, if you feel you or your children are unsafe, please also consider a few of the local resources below:

  • Signature Health: 440-953-9999 or www.signaturehealthinc.com
  • Forbes House Helpline: 440-357-1018 or https://forbeshouse.org/get-help/helpline/. Forbes House can provide guidance and assist you in developing a safety plan to prepare you to leave.
  • Family Preservation services for concerns involving child placement
  • Child Protective Services
  • Cleveland Rape Crisis Center: 440-423-2020 (call or text) CRCC offers crisis services, counseling and court advocacy

 

I get a Depo shot every three months. I just lost my health insurance and cant afford the Depo shot from the pharmacy. How much would you guys charge to get it?

Question:  I get a Depo shot every three months. I just lost my health insurance and cant afford the Depo shot from the pharmacy. How much would you guys charge to get it?

Answer:  Our clinic works on a sliding fee scale which means that the patient’s income determines how much the bill will be for services.  This can range from 0% to 100% so it is helpful to bring proof of income to each appointment.  However, no one is turned away due to inability to pay.  For more information and to schedule an appointment, please call 440-352-0608 for Painesville, or 440-992-5953 for Ashtabula.

So im 15 years old and I want to be put on birth control because me and my boyfriend are sexually active. Do I have to have my mom be there to get the implant if I have insurance?

Question:  So I’m 15 years old and I want to be put on birth control because me and my boyfriend are sexually active. Do I have to have my mom be there to get the implant if I have insurance?

Answer:  While we do encourage family involvement, your parent does not have to be present for you to get any form of birth control, including the implant.  You can also begin your chosen birth control method with, or without health insurance.  However, there may be an Explanation of Benefits with the services completed sent to the insurance account holder (i.e. your parent), so if you have concerns about confidentiality, make sure to bring that up at your appointment so that we can respect your privacy.

How much is it to get checked for STD/STI’s?

Question: How much is it to get checked for STD/STI’s?

Answer:  Many STI screenings are covered under private insurance plans and/or Medicaid.  If you do not use insurance, the cost of service is determined by your income on a sliding fee scale, meaning the patient responsibility can range from 0-100% of the total bill.  You may call us at 440-352-0608 to find out where your income falls on this scale.  However, no one is turned away due to inability to pay.

I was just wondering if you check to see if women are fertile? I wanna have kids but having a hard time .

Question:  I was just wondering if you check to see if women are fertile? I wanna have kids but having a hard time.

Answer:  Family Planning services do not include fertility treatment, but staff may be able to help rule out some medical reasons for difficulties becoming pregnant.  It is possible to impact fertility with stress, poor diet or being over/under weight.  If there is a history of health issues such as thyroid complications, PCOS, endometriosis, or an untreated sexually transmitted infection – these can all impact a woman’s fertility.

Depending on how long you have been trying to become pregnant, you may want to start with ovulation tracking.  This can help you determine the days each month that you are most likely to be ovulating so that you can have sexual contact during those times.  There are websites as well as apps for your phone that can help you keep track of your cycle to do this as well.  You may also consider purchasing an ovulation tracker over the counter at your local pharmacy.

If you have been trying for more than six months, staff suggest that you make an appointment with an OBGYN that specializes in this treatment.  Locally some options include University Hospitals, Cleveland Clinic and Lake OBGYN.

23 and looking to get birth control pills for the first time

Question:  I’m currently 23 and are looking to get birth control bills for the first time. I just wanted to know if it’s okay to come in whenever you’re open or do you request appointments for asking about what kinds and getting the first pack to pay for and try? I had an appointment set up at Lake Health gyno but it’s a month out because she’s THAT booked and if I didn’t have to wait that long I’d rather not wait lol…….. Currently in a relationship and have always used some sort of protection otherwise but I’m looking to try pills as a birth control and possibly to help with hormonal acne. My insurance is through Aetna and I’m on my single father’s insurance and I obviously don’t talk to him about this kinda stuff! So just looking for the process through you guys and what step I should be taking next. Thanks!

Answer:  FPANEO does ask that you make an appointment in order to begin a birth control method so that we can assess your medical history and what method may work best for your needs.  Birth control pills can be very effective at preventing pregnancy if taken consistently and correctly and can also help with acne concerns.  Please make sure to communicate these needs to our nursing staff so that they can provide you with an appropriate prescription.  In regards to your insurance, we do accept most private insurance plans but if you choose to have confidential services (meaning you do not want to use your father’s insurance) you would be put on a sliding fee scale where your income determines how much you would pay.  For your appointment please bring your insurance card and/or proof of income so that we can best work with your situation.

To make an appointment please call Painesville at 440-352-0608 or Ashtabula at 440-992-5953.

Services for couple trying to have children

Question: Hello, my husband and I are trying to have a baby without any luck in the past year. Does family planning offer any services for our situation?

Answer:  Family Planning would be able to provide a pelvic exam to determine if you are healthy and your reproductive organs are functioning normally.  We also can provide counseling services if that is appropriate for your situation.  If you would like to start the initial exam process with us, please call 440-352-0608 to set up an appointment.  Moving forward, a gynecologist’s office should be able to provide further services including blood and infertility testing for you and your partner.

Does Family Planning have a birth control option that’s specifically for helping acne?

Question: The birth control I’ve been taking (LoSeasonique) has been breaking me out pretty badly. Does Family Planning have a birth control option that’s specifically for helping acne?

Answer:  Many oral contraceptive pills can help with managing acne.  We would suggest talking to the physician that prescribed the medication to you about your concerns and consider changing the dosage or the brand to one that will meet your needs – including the skin concerns.  If this does not help, the next step would be to contact a dermatologist who may be able to make better recommendations.  If you would like to come to Family Planning to talk about switching your birth control brand/ method, please call 440-352-0608 for Painesville, or 440-992-5953 for Ashtabula to make an appointment and answer some questions!

Question: Is it possible to get the abortion pill from your company? If it is possible, would parent consent be required?

Question: Is it possible to get the abortion pill from your company? If it is possible, would parent consent be required?

Answer:  Family Planning does not provide abortion services.  We do provide all-options counseling for women who test positive for pregnancy so that they can make an informed choice.  Depending on your situation you may be able to consider emergency contraception – this is a high dose of birth control pill (not the abortion pill) that a woman can take up to 3 days after having unprotected sex to help reduce her risk of getting pregnant.  We do have Plan B available at Family Planning; you can also get it over the counter at most drug stores/ pharmacies at any age.  If the unprotected sex was up to 5 days ago you may be able to get an IUD inserted called ParaGard.  This particular birth control method works very effectively as emergency contraception if within 5 days, and can be left in for up to 10 years for continuing birth control.  If these are not an option, you should consider making an appointment to see a health care provider and get a pregnancy test – to do this with Family Planning please call 440-352-0608 and hear about your options whether the test is positive or negative.  If you are already positive that you are pregnant, abortion services are available in Cuyahoga County (you cannot get these services in Lake, Geauga, or Ashtabula Counties).  You can make an appointment with them to discuss your options as well, however you will need consent from one parent if you are under the age of 18.  Minors are able to obtain judicial court by-pass for certain circumstances, and a counselor at one of these clinics would help you with that process as well.  For referral resources and further information, please call Family Planning at 440-352-0608 to schedule an appointment at any of our four locations.

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