birth control

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For my first time coming in for birth control pills, will I have to have a pap smear exam if I’m 17 and have never had one done? And will my parents HSA cover the cost of the birth control pills?

Question:  For my first time coming in for birth control pills, will I have to have a pap smear exam if I’m 17 and have never had one done? And will my parents HSA cover the cost of the birth control pills?

Answer:  American Cancer Society recommends PAP exams starting at age 21 and because you are age 17, you will unlikely receive a PAP exam during your office visit.

Under the Affordable Care Act, the majority of insurance companies provide birth control pills at either low or no cost to the patient.  If your insurance company does not cover the cost of your birth control, or you decide not to use your family insurance, Family Planning offers a sliding fee scale as well as accepts donations.

Depo-Provera birth control shot – due for shot and chance of pregnancy

Question: Hi I went on the depo shot Jan 6 and not sure when I was suppose to get the 2nd shot I think the end of March beginning of April. I had sex on 3/24 and pulled out took a pregnancy test yesterday 4/7 and there is a very light line where the pregnancy line should be.. Was there a slim chance I could have gotten pregnant? He did pull out, but I know there is still that chance, should I wait a few days to test again to see if the line gets darker? I have 3 kids the youngest being only 8 months and freaking out, the whole point in going on the depo I thought I was protected even on that last week before the next was due. Any advice would be appreciated

Answer:  The Depo-Provera shot is effective for 12-13 weeks, but no birth control is 100% effective.  If your first shot was January 6, that means you would be due for the second shot around March 31, so you should have been protected on the March 24 intercourse.  Remember that stress, as well as beginning a new birth control method can affect the timing of your period.  If you would like to make an appointment to have a pregnancy test done in our clinic, please call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula).  If you are not pregnant, you should also make sure to get your next shot as soon as possible to prevent future unplanned pregnancies.  This can be done without an appointment if you come in during the clinic’s Supply Times which can be found on our website at or by calling the clinic you prefer.

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.

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.

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.

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!

What forms of birth control does FPA offer?

Question: What forms of birth control do you have available at the clinic? I would rather not use condoms or the pill. Allergic to latex, and I have gotten pregnant on the pill. I’m 26 years old with three children, with medicaid insurance. Thank you

Answer:  The Family Planning Association offers a variety of contraceptive methods, including but not limited to, the female condom (non latex), the Nuva Ring, Depo-Provera (the shot), Nexplanon (the implant) and IUDs.  Please call 440-352-0608 to schedule an appointment at any of our four locations.

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.

Is break-thru-bleeding normal when I start or change my method of hormonal birth control?

Question:  I switched birth controls 3 months ago and now I had my period for almost 2 weeks mid pill cycle and now I am getting it every other day. It goes away then comes back. I don’t know what it is

Answer:  Break-thru-bleeding is nothing to worry about during the first three (3) months on the pill, if you change from one pill to another, if you miss a pill, or if you are late taking a pill.  If the bleeding lasts from more than 3 cycles, please call 440-352-0608 and make an appointment with the nurse.

How much does birth control cost?

Question: So yesterday, my boyfriends mother found out that we’ve begun having sex in our relationship. She thinks that it would be a good idea to visit family planning so that we can be safe. I’ll be 20 here in a couple months though and know that if I asked my father about anything sex related that he would flip. I do have his insurance card, however. So I guess my questions are;
-How much is birth control with or w/o insurance?
-If I made an appointment, what all would happen?
-How much is an appointment, is there a fee?

Cost is a big issue for me, so that’s mainly where my questions reside. Thank you.

Answer: Under the Affordable Care Act all preventative services, including reproductive health and birth control, are covered at no cost.  However, these services would be itemized on your fathers insurance explanation of benefits or EOB.  If you choose not to use your father’s private insurance, Family Planning deciphers a fee based on family size and income of the household.  However, FPA never refuses services based on your ability to pay.

Once you make an appointment, the visit itself is like an ordinary appointment at the doctors office.  The medical staff will take your blood pressure, height, weight and go over your medical history.  Then, you will be screened for pregnancy, chlamydia, gonorrhea and HIV.  After, you will speak with a nurse on what birth control options would be best for you.  Please call to schedule an appointment at 440-352-0608.

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