Author Archive for lisa@bvwhc.org

My foreskin does not move…is that bad?

The foreskin is a fold of tissue covering the top part of the penis, and it can be pulled back when its inside surface separates from the head of the penis. This process happens naturally in childhood or during puberty, and most people are able to naturally retract (move back) their foreskin by the age of 18. You should never force the foreskin back before the natural separation has happened, because this can cause pain and possibly tear the connective tissue. If you are concerned about the health of your foreskin, we encourage you to make an appointment with one of our providers!

When you take plan b, how long is it effective in your body?

Plan B will be effective for up to 5 days after unprotected sex, but it works much better if you take it during the first 3 days. We recommend taking a pregnancy test if you haven’t gotten your period within 3 weeks after taking Plan B.

Do you still risk getting an STI/STD if sperm or vaginal fluid comes in contact with a cut on your hand?

STIs can be transmitted through sperm or vaginal fluids, and in some cases by getting infected blood or other fluids into open sores. However, there are a couple important things to understand: in order for transmission to be possible, one person has to have an STI first (in other words, they don’t happen spontaneously just because sexual fluids came in contact with a sore). Secondly, there’s really only one STI that could be transmitted from sexual fluids coming in contact with an open sore, and that’s HIV. It’s easier for HIV to get into your body if you have sores, cuts, or openings in your skin that semen, vaginal fluids, or blood may get into. But again, transmission would only be possible if the person whose sperm or vaginal fluids touched the sore had tested positive for HIV and was not taking appropriate medication.

We know STI information can be confusing, so if you have more specific questions, please text our anonymous hotline (text 66746 and start with “ToTC”) or make an appointment to talk to one of our providers!

How much is a visit to start taking birth control and how much is the pill?

It depends! If you are 17 or younger, both the appointment and the prescription for the pill are FREE. If you are 18 or 19, appointments cost $0-15 and birth control pills cost $0-5. These prices depend on whether you have a steady income, and if so, how much money you make. If you are over 19, we offer our services on a sliding fee scale, which means you pay a price that corresponds with your income level (i.e., people who make less money pay less for their service, and people who make more money pay slightly more). We aim to make our services as affordable and accessible to as many people as possible, so if cost might be a barrier to you coming in, please call us to discuss your options!

I’m not sure if this is the best place to ask this but I really don’t know where else to go. I’ve been dating a guy for about 2 months now. Any time he touches me, like holds my waist or something, I just feel uncomfortable. He has kissed me (and I consented to it) but I thought it was gross and I was uncomfortable and wanted it to end. He’s a really sweet guy and I like him a lot, but I have no interest in ANYTHING physical with him. So, what does that mean? Like why do I have no physical attraction to him? Am I asexual or demisexual? Honestly, I’m just very confused by all of this and just want to understand it.

Figuring out your sexuality can take a long time, and it’s normal to feel confused or unsure sometimes. It’s possible you simply aren’t sexually attracted to your partner, even if you’re emotionally attracted to him. The two don’t always go together, and it doesn’t mean there’s something wrong with you. Sometimes the attraction can build in a relationship over time, but sometimes it doesn’t. Depending on your relationship history, you might also be feeling this way because you’re not completely comfortable with your partner (even in a subconscious way). Our bodies react in lots of ways to even subtle forms of discomfort, and your body might be telling you that you’re not quite ready to be intimate with this particular person.

If you don’t think you’ve had sexual attraction to anyone before, it’s possible you’re asexual. Asexual people often feel romantically attracted to others; they just don’t have the desire to express their feelings in a sexual way. It’s also totally normal to go through periods of time in which you don’t feel sexual feelings, and then periods in which you do. Sexuality can change as you go through life due to a variety of factors. It sounds like you and your partner are doing a good job communicating about consent, so keep it up! Remember to let your partner know what you’re comfortable with (and what you’re not) as you continue to explore your sexuality.

Could I get birth control for free?

It depends! If you are 17 or younger, yes–you can come in and get a prescription for free (or you can make a donation if you like!) If you are 18 or 19, the cost of birth control would be significantly discounted (0-$50). The amount you pay as an 18 or 19-year-old depends on a couple factors: whether you have an income, and what particular contraceptive method you want. To find out more about the costs associated with different methods, please give us a call!

If my boyfriend and I are having a lot of sex is it okay for him to ejaculate inside of me every time since I’m on birth control and take it on time everyday? Or should he still pull out?

If you are taking your pill at the same time every day, your birth control is 99% effective at preventing pregnancy, even if your partner ejaculates inside you. It’s up to you to decide whether you still feel more comfortable with him pulling out.

Which IUD do you have available for teens? The question relates to the amount of hormone in the IUD. Is it possible to get Kyleena at your clinic?

The IUDs we have available for teens include Mirena, Kyleena, Paraguard and Liletta. Mirena and Liletta are essentially the same; they’re just made by a different manufacturer. Kyleena is a slightly smaller IUD and contains fewer hormones than Mirena/Liletta. However, smaller IUDs can sometimes cause more breakthrough bleeding (spotting between menstrual periods) than the larger ones. With all of the hormonal devices, your period may become shorter and/or lighter. Some people will eventually stop getting their periods at all. Paraguard is a non-hormonal IUD (it uses copper instead) that lasts longer (up to 10 years). Although it’s non-hormonal, it can cause heavier bleeding and cramping. All of these options could be great options for teens; it just depends on your medical history. We encourage you to make an appointment to further discuss your options with a medical provider!

I’m a teen. I’m scared I may be pregnant. I can’t tell anyone in my family and I don’t know what to do. Please help me.

We’re sorry to hear this is causing you so much stress. The only way to know for sure whether you’re pregnant is to take a pregnancy test. You can get these tests at most grocery stores and pharmacies, and they have to be done at least 14 days after unprotected sex in order to be accurate. If you find out you are indeed pregnant, you have options. In that case, we would encourage you to call our clinic to discuss your options with a medical provider.

If I got tested for STDs would HPV show up?

It depends! HPV is tricky because it can only be tested in females; there is no test for males. Females can be tested for HPV through something called a pap smear, which is a swab of the cervix. A doctor or nurse uses a small brush to gently take some cells from your cervix. The cells are sent to a lab to be tested, and that’s where HPV would show up if you had it. Women normally start having pap smears around age 21, and usually every three years after that. If you are concerned about HPV, feel free to make an appointment to discuss your options with one of our providers.