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Question: Are there any ways to stop recurrent utis from sex without having to just stop having sex?

Answer: There could be several reasons why a person experiences frequent urinary tract infections after sex and the best and first recommendation is for you and your partner to get tested to ensure they are in fact UTIs. A lot of STIs can cause symptoms that mimic UTIs as well. If a physician does diagnosis you with a UTI, antibiotics are the best course of action. In effort of preventing more in the future, try to urinate immediately after sex and increase your daily water intake. Further discussion with your physician may offer other options that would be effective for you.

Question: Would the Plan B pill not work if I smoke after taking it?

Answer: Smoking nicotine based products does not necessarily impact the effectiveness of emergency contraception (Plan B) but it can increase risk of heart attack, stroke or blood clot due. Dizziness is also a side effect of emergency contraception and marijuana can make you feel more dizzy. Please follow up with a medical provider for additional concerns.

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.

I recently got the Nexplanon implant in December of 2018 at age 18. It lasts 3 years so I’m due to get it out when I’m 21 and I’ll be in college. When it is time for it to be taken out and replaced can I go back to family planning to do this with no cost?

Question:  I recently got the Nexplanon implant in December of 2018 at age 18. It lasts 3 years so I’m due to get it out when I’m 21 and I’ll be in college. When it is time for it to be taken out and replaced can I go back to family planning to do this with no cost?

Answer:  If you are not interested in applying or using insurance, Family Planning assesses cost based off of family size and household income.  FPA does not refuse services if a client is issued a bill and is unable to pay.  We graciously accept donations as well.

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

 

What are the different types of birth control and how old to you have to be to be able to revive them?

Question: What are the different types of birth control and how old to you have to be to be able to revive them?

Answer:  There are five different types of birth control:

  1. Abstinence – refraining from oral, anal and vaginal sex is the only 100% effective at preventing pregnancy and sexually transmitted infections (STIs)
  2. Hormonal – prevents pregnancy by absorbing man-made hormones that will either either prevent or delay ovulation, build cervical mucous and interferes with uterine lining from building (arm implant, hormonal IUD, shot, ring, patch and pill)
  3. Chemical – Spermicide paralyzes sperm and prevents pregnancy (Copper IUD, spermicide alone [jelly, cream, suppositories, film] and diaphragms used with spermicide)
  4. Fertility Awareness – tracking monthly menstrual cycle (natural family planning, tracking basil temperature, calendar awareness and cycle beads)
  5. Barrier – internal and external condoms (male or female condoms) prevent pregnancy and STIs

If you are interested any of the above contraceptive methods, please call either the Painesville or Ashtaubla FPA clinic to make an appointment to discuss your options.

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.

How is an IUD inserted? Is there anything for the pain, such as numbing for the cervix?

Question:  How is an IUD inserted?  Is there anything for the pain, such as numbing for the cervix?

Answer:  In order to insert an IUD, the physician first inserts a speculum into the vagina and then the IUD applicator to measure the uterus.  Once size of the uterus is determined, the physician then reinserts the applicator and places the device into the uterus.  In some cases, the physician may prescribe a medication to relax the cervix to minimize discomfort.  The overall insertion process takes less than five minutes and can be placed during any part of a woman’s menstrual cycle.

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