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.

I have taken one month of birth control pills and have not started my period

Question: I came in to get started on birth control about a month ago. I received the pills and was instructed to start them that day (Monday June 13). My last period was May 27-31. I have gone through my first package of birth control pills but my period still hasn’t come. Is this normal? should I be worried? I’ve heard u are supposed to start the pill the Sunday after ur period ends but i was instructed to start 2 weeks after, could that alter my period cycle?

Answer: Regardless of where you are in your menstrual cycle, medical providers often recommend immediate start of birth control if you received a negative pregnancy test during your office visit.  If you have been taking your birth control pills correctly, the same time every day and have not missed a pill, it is very unlikely you are pregnant.  It is common for women who start a birth control method to experience irregular periods during the first three months of any new birth control.  Low-dose birth control pills and stress can also cause your period to be delayed.

Can I get an IUD at low cost at Family Planning without insurance?

Question: My parents are taking me off their health insurance. I can’t afford health insurance and I can’t qualify for any aid from the government because my parents still file me on their tax returns as a dependent. Am I able to get low cost care? I’m looking into an IUD but they’re really expensive. They said they would not help me with the cost.

Answer:  Family Planning Association assess a fee based on family size and income of the household.  However, FPA never refuses services based on your ability to pay and encourage you to call to make an appointment to discuss your IUD choices 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula).  If you are also interested, please call our Director of Social Services at the Painesville clinic to discuss your Medicaid and/or private insurance options and answer any questions you may have with possible enrollment.

Should I be concerned that I am experiencing spotting on the Nexplanon arm implant?

Question: I got the Nexplanon Implant in on Aug 29, 2015. I was told that spotting could occur for up to 6 months. It has been past 6 months and I still spot frequently and have periods. My spotting tends to be a dark brown or black discharge…I feel  like I have this all the time and it is affecting my sex life. Is this something I should be concerned about? Is there something that could prevent the bleeding?

Answer:  One side effect of the Nexplanon arm implant is an irregular menstrual cycle.  Although spotting between periods is not medically concerning when using the implant, you can have it removed if it is not meeting your goals and select another method of birth control.  Please call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula) to schedule an appointment to speak to the nurse about your contraceptive options.

I am experience irregular periods while using Depo-Provera

Question: I have been on depo for about 12 years.  I got a shot on Wednesday, may 11, and suddenly had a period start on Saturday.  I was due for the shot starting may 9, was the earliest possible date. I had spotting before, but nothing like this.  It is starting to taper off now.  My questions are:  in between getting the shot and the period, my husband and I had sex.  I am wondering if I have anything to worry about as far as possible pregnancy.   Also, since I had a period after the shot, am I still protected for three months?  I am interested in switching methods, as I have been gaining weight steadily the last few years on the shot.  How long after the injection can I switch methods?  Thanks so much for your time in answering my questions.

Answer:  Irregular menstrual cycle and changes in weight are side effects of using Depo-Provera.  If you received your injection on time (within 12-13 weeks of your last injection), you would be at low risk for an unintended pregnancy until you are due for your next injection.  However, because abstaining from sex is the only 100% way to avoid pregnancy and disease, I would encourage you to take pregnancy test if you are concerned.  If you are interested in getting tested for pregnancy or discussing other contraceptive options, please call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula) to schedule an appointment.

I think I have an STD; can I get tested and for how much?

Question:  I think I have a std not sure if gonorrhea or chlamydia can I get test on the dl had a one nite stand  and how much?

Answer:  All services offered by the Family Planning Association are confidential.  FPA accepts private insurance, Medicaid or offers services based on a sliding fee scale. Please call (440) 352-0608 (Painesville clinic) or (440) 992-5953 (Ashtabula clinic) to schedule an appointment to get tested for STIs.  If you are 19 years old or younger you can also call to schedule an appointment or walk-in on  Teen Clinic Mondays. Please call for further information.

 

What kind of birth control can help regulate my period?

Question: I started birth control when I was around 15 to help with my extremely irregular period cycle, then my mom’s company chose to drop her health insurance (and mine) a few years later due to the Affordable Care Act. The price of my birth control skyrocketed so we couldn’t afford the pills anymore and I haven’t been on them for maybe a year or two. I am 20 now and my period has gone back to being extremely irregular; it didn’t come for months at a time and now it came and I’ve had it nonstop for two months so far (it’s still ongoing). I am not sexually active, nor have I ever been.

How would I go about getting back on birth control?

Would I need another vaginal exam (my doctor did one when I first started birth control)?

How much would it cost?

Also, is there any biological reason my period would be like this? I got my first period when I was 9 and it has always been irregular.

Answer:  It is normal for females under the age of 25 to experience an unpredictable menstrual cycle.  One advantage of using a combined hormonal contraceptive method, such as the pill, patch and ring, is the regulation of your menstrual cycle.  However, if you are not planning to become pregnant in the next year, a long acting birth control might be something for you to consider.  Both the Liletta and Mirena intrauterine device (IUD) offer 3-5 years of pregnancy prevention and a lot of women that use either the Liletta or Mirena experience no period at all, with exception of a light/spotty period once every couple of months.  Please call 352-0608 to make an appointment to discuss the variety of contraceptive methods with our staff.

Regulations involving pelvic exams have recently changed and females do not receive regular screening until they reach age 21.  However, if your last pelvic exam was abnormal or you have a history of any medical concerns, please let the staff know when you call to make an appointment.

The Family Planning Association of Northeast Ohio accepts private insurance, Medicaid or can set your cost using a sliding fee scale.  The clinic will ask you how much income your household brings in, how many people are living off of that income and asses the fee for your visit.  However, Family Planning can offer you services regardless of your ability to pay and accepts donations as well.

What type of birth control can cause infertility?

Question: Hey I had a question its what kind of birth control can help be infertile?

Answer:  Using birth control for months or even years does not hurt a woman’s fertility to plan future pregnancies.  For example, if women who rely on the hormonal pill for unintended pregnancy prevention forget to take even one pill, they can still become pregnant.   In addition, ovulation typically returns within a few weeks to a few months in women who stop using long-term birth control methods, such as an Implant or IUD.

Although birth control does not decrease the chance of a female becoming pregnant in the future, untreated sexually transmitted infections (STI) can.  Untreated cases of chlamydia and gonorrhea can cause fallopian tube scaring, which may impact a fertilized egg’s ability to travel to the uterus.  It is important to talk to your partner and get regularly tested.

There are also permanent types of birth control that can surgically block a woman’s fallopian tubes and is not meant to be reversed, also known as a tubal ligation or “getting your tubes tied”.

If you have any further questions, please call 440-352-0608.

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!

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