Author Archive for Rose Leaven

I had Nexplanon inserted on 7/25 (2 1/2 weeks ago?)…

 ….We just started having sex again a week ago. I haven’t used a condom with my boyfriend since… I’m supposed to get my period today. What should I expect?

It is important to know that once someone has had the Nexplanon for a full week, they are 99% protected from pregnancy even if ejaculation in the vagina occurs.

The Nexplanon, however, does not protect against STIs. Only condoms and/or dental dams can do this.

In terms of your period, a very common side effect of the Nexplanon can be irregular bleeding. Some people lose their period completely; some have irregular spotting, and some people bleed more for the adjustment period. Sometimes it can take anywhere from 3-6 months for the body to adjust to the new hormone, or some people have unpredictable bleeding for entire time.  The reason this happens is because Nexplanon contains the hormone Progesterone, which over time stops the uterine lining from building up. Sometimes it will still build up and then shed. This is why someone may not have a period, or may have irregular bleeding. So since every body is different, we cant quite predict what your bleeding pattern will be. Just know that this change in period is completely healthy and okay.

If you want to make an appointment at Teen Clinic give us  a call at 303-442-5160.

My friend thinks he has a disease. He thinks he might have herpes.

Lets talk a little bit about Herpes!

There are two different types of Herpes, Herpes Simplex Virus I & II.  Type I presents itself as cold sores on the the mouth so it is not considered an STI unless it’s transmitted through unprotected oral sex (mouth to genital contact).

Type II is usually called “Genital Herpes” because it presents itself as open sores on the genitals, and is transmitted through unprotected sexual skin to skin contact.

So, if there was skin to skin contact without any barrier methods ( like a condom) there would be a risk of transmission. It is also possible that someone can transmit the Herpes Virus even if there is no visible sore. This is because right before someone has an outbreak  the virus is under the surface of the skin trying to break through. During this time a person may feel tenderness, tingling, or see discoloration in the area. During this time the virus can be transmitted.

The only way someone can know for sure if they have Herpes is to have a provider take a swab of an active sore. So if someone begins to experience any symptoms (sores or blisters on either the genitals or the mouth) they should see a provider so they can test for it.

In the future, it’s important to remember to use barrier methods like condoms or dental dams to reduce the risk of STI transmission.

If you want to make an appointment, give us a call at 303-442-5160.

I haven’t had sex yet but am planning to…

….Do I still need to get an STD check ?

 

This is a great question!

It is important to know that people define sex differently.  At Teen Clinic we define sex as vaginal, oral, anal, and genital to genital contact.

STIs can be a very real risk for people if they are engaging in certain types of sexual contact. It’s good to know that when it comes to STIs they are transmitted through..

  • Sexual Fluids (Semen and Vaginal fluids)
  • Skin to skin contact (or genital to genital contact)
  • Breast milk
  • Vaginal birth

In order for someone to contract an STI, they would need to engage in sexual activity with a person who already has an STI in which one or more of these modes would come into play.

So, if you engage in any contact where an STI could be a risk, it would be a good idea to get tested.

Using condoms and/or dental dams can help reduce the risk of STIs.

It is also a good idea for everyone involved to get tested. Not all STIs show symptoms, so getting tested can help partners be on the same page, and know what their risk is. Many partners come in together to get tested!

If you want to make an appointment with us you can call us at 303-442-5160

 

Me and my boyfriend had unprotected sex tonight…

…but I got the Nexplanon implant 3 days ago. Is there a chance I could still get pregnant?

Thanks for asking!

It takes the Nexplanon (and all hormonal forms of birth control) 1 week to become effective.  It is recommended to use a backup method during this week (like condoms or abstinence). After someone has had the Nexplanon for 1 week, it protects against pregnancy up to 99% for 3 years, even if ejaculation in the vagina occurs.

Since unprotected sec occurred before a full 7 days, there would be a risk of pregnancy in this situation.  Emergency contraception is an option, which can be taken up to 5 days after the sexual contact, but is more effective the sooner it is taken. Emergency Contraception works by delaying ovulation.

Remember, The Nexplanon does not reduce the risk of STIs, only condoms/dental dams can do this!

If you want to make an appointment, call  Teen Clinic at 303-442-5160

If you got treated for Chlamydia Friday….

…… and you masturbated Monday is that a risk of still having the disease?

Let’s start out by talking about what Chlamydia is and how it can be spread or transmitted.

Chlamydia is a common sexually transmitted bacterial infection of the vaginapenisanus, or throat. Chlamydia is spread through vaginal fluids and semen. Someone can get Chlamydia through unprotected oral sex, vaginal sex, anal sex, and genital to genital contact.

Chlamydia is cured with antibiotics. When someone is being treated for Chlamydia, it is very important that they and their partners are treated and finish the medication, and abstain from sexual activities with other people for 7 days. This will help ensure that re infection doesn’t occur.

Someone can not reinfect themselves with chlamydia through masturbation. It is a good idea however to thoroughly wash sex toys, if any have been used.

The only way someone could reinfection themselves is if they did not wait the 7 days to have sexual contact with someone, or if they had sexual contact again with someone who still had the infection.

If you want to make an appointment with us give us a call at 303-442-5160

If I go to the doctor do I need to tell a parent?

It is important to know that in the state of Colorado, the law says that minors have the right to access any sexual healthcare without the consent or notification of their parents. That means they can start a birth control method, get tested for STIs, or get any other sexual healthcare without their parents being involved at all. In fact, it’s illegal for clinics to share sexual health information with parents (or anyone else!) without an individual’s permission.

With that being said, Teen Clinic encourages teens to have a trusted adult in their life that they can talk to about their sexual health- whether it be a parent, a teacher, a coach, or an aunt or uncle. But we also understand that teens might not have someone they can talk to.  Many teens bring their parent or guardian with them to their appointment, but it is not required!

If you want to make an appointment at Teen Clinic give us a call at 303-442-5160

I had my implant on July 26th…

….. and I had unprotected sex August 1st & 2nd. Is there a chance I can get pregnant?

Thanks for asking!

It takes the Nexplanon (and all hormonal forms of birth control) 1 week to become effective.  It is recommended to use a backup method during this week (like condoms or abstinence). After someone has had the Nexplanon for 1 week, it protects against pregnancy up to 99% for 3 years, even if ejaculation in the vagina occurs.

Since unprotected sec occurred before a full 7 days, there would be a risk of pregnancy in this situation.  Emergency contraception is an option, which can be taken up to 5 days after the sexual contact, but is more effective the sooner it is taken. Emergency Contraception works by delaying ovulation.

Remember, The Nexplanon does not reduce the risk of STIs, only condoms/dental dams can do this!

If you have more questions or want to make an appointment, call  Teen Clinic at 303-442-5160

Where can I get a plan b pill for free? I am 15 yrs old.

Lets talk a little bit about emergency contraception.  Plan B is a brand of emergency contraception.

Emergency contraception  is a hormonal emergency birth control method used to delay ovulation in the hopes of preventing pregnancy. The hormones prevent ovulation – the process when the ovaries release an egg – and thicken cervical mucus. Plan B is not an abortion pill. It will not harm or end a pregnancy; it will only work to delay ovulation to reduce the risk of a pregnancy.

People of all ages can get Emergency Contraception over-the-counter at most pharmacies. In Colorado there is no age restriction to buy Emergency Contraception. It is usually between $40-$60 at these locations.

Someone can walk into Teen Clinic and get Emergency Contraception as well. If someone has never been a patient with us they can get Emergency Contraception for $20. If someone has been a patient with us they can get Emergency Contraception for free.

If you want to make an appointment with us, give us a call at 303-442-5160

Hi, I’ve been thinking about my sexuality recently…

…I have dreams where I want to be romantically and sexually with a girl. I like all parts of female anatomy and would feel comfortable being intimate with a woman. I consider myself straight yet I’m repulsed by male genitalia? Is this normal?

Thanks for asking this!

Who we like, what we find attractive, or what turns us on is very personal and part of what makes us unique! Attraction can be emotional, physical and/or visual.

Sexuality is complicated, and can be confusing!  A person’s sexuality can even change over time.  At Teen Clinic, we encourage youth to define their sexuality however they like. If putting a label on who you’re attracted to is something you want to do, you can do that using common terms (there are many!), or you can even make one up! Just know that there is no right or wrong way to identify – even if that means that you choose not to put a label on it!

Some people may be romantically or sexually attracted to a gender, but that doesn’t necessarily mean they want to be sexually active with that gender. Emotional, physical, and romantic attraction don’t have to align, and they can fluctuate, or be on a spectrum.   There aren’t any rules when it comes to sexuality, and you can do whatever you feel most comfortable with.

Think about whether a sexual label will be helpful to you.  Because sexuality can fluctuate throughout life, your feelings may fit a label clearly one year and not the next. On the other hand, identifying as something can help connect you to friends, communities and resources who will help you explore your feelings in a positive, healthy way.

If you want to learn more about this, here is a great resource that discusses sexuality : http://www.transstudent.org/gender

If you want more resources, and live in the Boulder area consider checking out local groups like Out Boulder, where you can meet others in your shoes and learn more about sexuality in general.

If I had unprotected sex …

…. and the boy shot in me and it’s been 7 days since I got the Depo Shot I should be alright or can I be pregnant? Because other people were telling me I have to wait 2 weeks before having unprotected sex. Can you help me?

Once someone has had a hormonal form of birth control (like the Depo shot)  for 1 week it can help prevent pregnancy up to 99% (even if ejaculation occurs in the vagina).  It takes a full week for the hormones to be integrated into the body and start working.

In order for the Depo Shot to be effective, a person needs to get the shot every 3 months.

So if you waited a full 7 days before you had unprotected sex, there would be protection. If you had sex on the 7th day or before, there would be a risk of pregnancy. In that situation Emergency Contraception is an option, which can be taken up to 5 days after and is more effective the sooner it is taken. Emergency Contraception works by delaying ovulation- when the egg is released from the ovary.

Remember, the Depo Shot does not reduce the risk of STIs. Only condoms and dental dams can do this.

If you have more questions or want to make an appointment at Teen Clinic give us a call at 303-442-5160