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.
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.
Question: I got my IUD inserted by your office January 2010, I want to get it removed asap.. do I have to make an appt with your office to do that and if so, how soon could I get in?
Answer: Please call the office 352-0608 to schedule an appointment to get it removed. If you are experiencing severe pain, please go to the emergency room immediately.
Question: HI, a doctor at the family planning clinic in Painesville OH took out my Mirena IUD that i had had in for a year. It was causing me a lot of pain. She prescribed my Junel Fe 1/20 to begin taking that day. I have been on the JUnel fe now for two months and have missed both months periods. on mirena my periods did come only once every few moths, and I got mine the week before i got it taken out, so I am wondering why i would still not have gotten it on the new birth control. I have taken a pregnancy test and it came up negative, and i take a daily vitamin and am very active, so i am concerned there is something wrong. should I make an appointment or wait another month to see what happens?
Answer: I spoke with the nurse practitioner and she suggested that your delayed period might be a result of the left over hormones from the Mirena. It is normal to allow your body a few months to adjust to different dosages of hormones when changing birth control methods. However, if you are uncomfortable not having a menstrual cycle, I encourage you to call and make an appointment to switch to a different dosage (440) 352-0608.
” I’ve never been to family planning, however, I am interested in getting an IUD. I know you must be on your period when you get the IUD put in, and that you must first have a pelvic exam/ pap smear done. I was wondering if this could all be done on the same day while on your period, or would I have to make two separate appointments, one before my period, and one while on it? Thanks!”
A: At the Family Planning Association, a patients’ first visit will include a pelvic exam and STD testing. A second visit will need to be scheduled and this is when the IUD will be inserted. It is recommended to have the IUD inserted within 7 days of the start of your period. This will make the insertion more comfortable.
“I am interested in getting an IUD but have heard that if you have no children you can’t get an IUD. I was wondering what the “rules” are to make someone eligible for an IUD.”
A: “Everyone’s situation is unique. Contact your health care provider to discuss if the IUD would be a good option for you.”
“Does family planning implant the hormonal iud Mirena?”
A: Yes, the Family Planning Association does have Mirena. If interested in more information you can call Family Planning and schedule an appointment at 440-352-0608.
“How much does a IUD removal cost?”
A: At the Family Planning Association, the cost is based off of a sliding fee scale; which is determined by a persons’ income and family size. For further information, we recommend calling Family Planning at 440-352-0608.
“I was wondering if your organization offers Mirena or IUD devices and how much they typically cost. I use Depo-provera right now and I was reading about how it deprives a woman of calcium, so obviously I don’t want to be on it forever and I don’t want to go back to pill packs”
A: FPA offers both the Paraguard and Mirena IUDs. The Paraguard is priced on a sliding fee scale, based on the patient’s income. The Mirena is available via the Arch Foundation, which provides free IUDS to patients who qualify according to the foundation’s income guidelines. If a patient’s income is too high to qualify for a free Mirena, the FPA can provide one for $350.