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
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.
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.
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
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:
- Abstinence – refraining from oral, anal and vaginal sex is the only 100% effective at preventing pregnancy and sexually transmitted infections (STIs)
- 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)
- Chemical – Spermicide paralyzes sperm and prevents pregnancy (Copper IUD, spermicide alone [jelly, cream, suppositories, film] and diaphragms used with spermicide)
- Fertility Awareness – tracking monthly menstrual cycle (natural family planning, tracking basil temperature, calendar awareness and cycle beads)
- 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.
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.
Question: What should I do if I don’t have any income since I’m 15?
Answer: If a patient does not have any income or insurance, they would receive all services at no cost. Family Planning does accept donations and will not turn any one away because of inability to pay.
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.
Question: So I’m 15 years old and I want to be put on birth control because me and my boyfriend are sexually active. Do I have to have my mom be there to get the implant if I have insurance?
Answer: While we do encourage family involvement, your parent does not have to be present for you to get any form of birth control, including the implant. You can also begin your chosen birth control method with, or without health insurance. However, there may be an Explanation of Benefits with the services completed sent to the insurance account holder (i.e. your parent), so if you have concerns about confidentiality, make sure to bring that up at your appointment so that we can respect your privacy.
Question: How much is it to get checked for STD/STI’s?
Answer: Many STI screenings are covered under private insurance plans and/or Medicaid. If you do not use insurance, the cost of service is determined by your income on a sliding fee scale, meaning the patient responsibility can range from 0-100% of the total bill. You may call us at 440-352-0608 to find out where your income falls on this scale. However, no one is turned away due to inability to pay.
Question: I just found out I’m pregnant and I was trying to see if you guys do ultrasounds or check to see if your baby is healthy ?
Answer: Family Planning Association does not provide ultrasounds. We can write an order for a person to get an ultrasound at another facility but the patient would be responsible to cover the cost. Cost of an ultrasound may vary depending on the provider. Call local OBGYN’s in your area for further information.
If you are interested, FPA has Certified Application Counselors on staff that can assist you in applying for insurance or Medicaid. Because you are pregnant, you qualify for the special enrollment period under the Affordable Care Act that can help cover your prenatal costs. Please call 440-352-0608 (Painesville) or 440-992-5953 (Ashtabula) if you have any additional questions or if you would like to schedule an appointment.