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My period is two weeks late and I do not have insurance

Question:  I’ve taken two pregnancy tests two weeks apart and they both came up negative but my period is over 2 weeks late.  Last night I got a pretty bad cramp in my abdomen and pelvic region so I figured I’d get it that night or today. Its now midnight with no period. I don’t have insurance and recently moved out on my own so my funds are pretty limited, but I’ve been to this Family Planning a few years ago when I was covered under my dad’s insurance. Is there a way to change the information on file so I can still receive help? I’m worried there is something wrong but can’t afford to do anything about it.

Answer:  There are many factors that can impact a woman’s period including age, stress and medications.  Please call the Family Planning Association 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula) to make an appointment and update your financial information we have on file.  If a client does not have insurance, cost is assessed by household income  and family size; FPA does not refuse services because of inability to pay and accepts donation.  If you are interested in enrolling in Medicaid or private insurance, FPA also has Certified Application Counselors on site that can answer your questions and assist you in the enrollment process.

 

How do you determine cost if I am unemployed and a teenager?

Question: I am a teenager and do not have a job. If my parents will not be coming with me to my visit, how will I bring pay stubs or proof of household income? I will not be using insurance, so will need to look at the sliding pay scale. But how do you determine the cost if I do not have a job and will not be using parents’ income or insurance to pay for treatment?

Answer:  If you are an unemployed student without documentation of family income, Family Planning Association would assign you to the furthest side of our scale. FPA services are available to you at little or no cost and you would never be turned away because of inability to pay; we do accept donations.  Call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula) to make an appointment.

I’ve had ParaGard for over a month; should I be worried if I’ve been having non-stop cramp like stomach pain for over an hour?

Question: I’ve had ParaGard for over a month should I be worried if I’ve been having non-stop cramp like stomach pain for over an hour. It’s never happened since I got it. The only other thing was cramps on my side while having sex. Should I be worried about that?

Answer:  Cramping the first few weeks, even the first few months, is normal after the insertion of any IUD.  If the the pain intensifies or lasts more than 90 days after the IUD was inserted, please contact your medical provider or Family Planning at 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula).

How does the sliding fee scale work if I’m not eligible for any government insurance?

Question:  How does the sliding fee scale work if I’m not eligible for any government insurance?

Answer:  Family Planning Association assess cost based off of household income and family size but never refuses services because of inability to pay.  Please call the Painesville clinic (440-352-0608) or Ashtabula clinic (440-992-5953) for additional questions or to make an appointment.

Is my girlfriend pregnant if she is late for her period?

Question:  My girlfriend is 4 days late for her period and she says she has really bad cramps but no blood.   What is the possibility of her being pregnant?

Answer:  There are several explanations on why a woman’s period is late.  If you are fearful of possible pregnancy, please call Family Planning (352-0608 Painesville) or (992-5953 Ashtabula) to schedule an appointment for a pregnancy test as soon as possible.

 

Is it normal to experience acne breakouts when using Depo-Provera (the shot)?

Question: I recently changed birth control methods from the pill to the depo shot, and suddenly I’m breaking out everywhere. I’ve rarely had acne all my life- usually only around the time of my period- but it has gotten really bad since receiving the shot. Is this normal? Is there a way to reduce the chance of this happening or a way to control it?

Answer:  Changes in acne is a common side effect of most hormonal birth control. If you are unhappy with the side effects of Depo-Provera, you have a few options:

  • Give it time.  Mild side effects often lessen or go away three to four months after starting or changing your contraceptive
  • Make changes in diet or facial cleanser
  • Consult a Dermatologist

If you have additional questions or would like to discuss other birth control options, please call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula).

Can I make an appointment at Family Planning if I do not have insurance and I am unemployed?

Question: So, I do not have insurance nor a job as I have literally just moved to Ohio. My IUD has dislodged itself and is causing me pain.  How can I get help as someone without a job? Are there alternatives to maybe figure out cost like me bringing in a W2?

I’m really not wanting to pay the huge tab on a ER visit for such a simple thing so please let me know if there is something you can do or other alternatives so I can get your services.

Answer:  The Family Planning Association uses a sliding fee scale that asses cost based off of household income and family size.  Please call the Painesville clinic (440-352-0608) or Ashtabula clinic (440-992-5953) to make an appointment. If you are interested, you can also visit with one of our Certified Application Counselors for information or assistance in applying for private insurance or Medicaid.

However, it is an emergency if you believe your IUD is dislodged.  Please do not wait for an appointment at Family Planning and go to the ER right away.

What are the side effects of Depo-Provera (the shot)?

Question: I am thinking about getting the shot since I think it’s easier than taking the pill every day cause I’ve taken the pill for years but sometimes forget. Is there any side effects to getting the shot?

Answer: All hormonal contraceptives have advantages and disadvantages.   Specific to the shot (Depo-Provera):

Advantages:

  • Each shot provides 12 weeks of pregnancy protection
  • Private
  • Helps prevent cancer of the lining of the uterus
  • Can be used while breastfeeding

Disadvantages:

  • May cause changes in period (spotting, no periods, or heavier periods)
  • Change in weight
  • Bone mineral density decrease
  • Does not protect against STIs/HIV

Please call the Painesville clinic (352-0608) or the Ashtabula clinic (992-5953) for any questions or to schedule an appointment.

 

When can I have my hormonal arm implant removed?

Question: I have the implant and I lost my card can I schedule an appointment to get it taken out?  Would like this done within the next month?

Answer:  The implant (Nexplanon) provides three years of pregnancy protection but can be removed at anytime.  Please call the Painesville clinic (352-0608) or Ashtabula clinic (992-5953) to schedule an appointment to remove the device.

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