Transcript Effectiveness for preventing pregnancy

Instructions:
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MAKING
APPOINTMENTS
After you have finished this online
instruction, you can call
to schedule your appointment. Let the
appointment secretary know that you have
completed this requirement.
PRIOR TO YOUR APPOINTMENT
Do not urinate for at least 60 minutes prior
to your appointment.
In case you need a pelvic exam, avoid
douching or using vaginal creams, sprays, or
deodorants 3-5 days prior to your
appointment.
Do not have sexual intercourse 24 hours
before your appointment.
YOUR APPOINTMENT DAY
If you are on your period or it starts the day
of your appointment, you will need to call and
reschedule.
Bring your ECU 1Card and check in at the self
check in kiosk, or with a front desk staff
member.
Plan on being at the ECU Student Health
Service for approximately 45 minutes to one
hour.
The Annual
Gynecologic (GYN) Exam
Explained
Women ages 20 and under*:
the annual GYN exam will consist of a physical exam from
the waist up (checking your breasts, heart, lungs,
abdomen) and testing for gonorrhea, chlamydia, HIV and
syphilis. If you are having any vaginal symptoms or
gynecological problems, you may also need a pelvic
exam. The pelvic exam allows the provider to examine
your vagina, cervix, and ovaries.
*if there is no past history of abnormal Pap testing
The Annual
Gynecologic (GYN) Exam
Explained
Women ages 21 and over:
the annual GYN exam will consist of a physical exam from
the waist up (checking your breasts, heart, lungs,
abdomen) and testing for gonorrhea, chlamydia, HIV and
syphilis. If you are having any vaginal symptoms or
gynecological problems, you may also need a pelvic
exam. The pelvic exam allows the provider to examine
your vagina, cervix, uterus, and ovaries.
In addition, every 3 years, a Pap test will also be performed.
THE MEDICAL WORK-UP
Your appointment begins
with a nursing staff
member, who will check
your blood pressure,
height and weight and talk
with you about your
medical history. You will
also be given a urine cup
to collect a urine sample.
THE EXAM
Another nurse will call you
from the lobby when the
provider is ready to see
you. You will be asked to
undress according to what
type of exam you are
having. The provider will
come in to the room, talk
with you, then perform
your exam.
Sexually Transmitted
Infection (STI) Tests
The urine sample collected when you arrive
is for chlamydia and gonorrhea testing.
After your provider talks with you and
performs your exam, you will go to the lab
for blood tests for HIV and syphilis.
Other tests may be also performed if
indicated. Your provider will talk with you
about what tests he/she recommends.
Why do we test for STIs?
Many women have been exposed to
STIs but have no symptoms. These
STIs can cause long term health
problems, and women who are unaware
they are affected will continue to pass
STIs to other partners. Regular
screening is important to overall health
and wellness.
Testing for other STIs
Genital herpes
A lab test can be done only if symptoms are presents to confirm the presence
of the herpes virus.
Genital warts (Human Papilloma Virus)
There are no lab tests for warts. It is diagnosed by visualization by the
provider. HPV on the cervix may be detected through a Pap test.
Hepatitis B or C
Requires a blood test.
If there are other STIs that you have concerns about, please feel free to talk
with the provider about them during your visit.
Human Papilloma Virus
What Is HPV?
HPV is a sexually transmitted infection (STI) that is caused by human papillomavirus
(HPV). Human papillomavirus is the name of a group of viruses that includes more than
100 different strains or types. More than 30 of these viruses are sexually transmitted,
and they can infect the genital area of men and women including the skin of the penis,
vulva (area outside the vagina), or anus, and the linings of the vagina, cervix, or rectum.
Most people who become infected with HPV will not have any symptoms and will clear
the infection on their own.
Some of these viruses are called "high-risk" types, and may cause abnormal Pap tests.
They may also lead to cancer of the cervix, vulva, vagina, anus, or penis. Others are
called "low-risk" types, and they may cause mild Pap test abnormalities or genital warts.
How Is HPV Diagnosed?
Most women are diagnosed with HPV on the basis of an abnormal Pap tests. A Pap test
is the primary cancer-screening tool for cervical cancer or pre-cancerous changes in the
cervix, many of which are related to HPV. An HPV DNA test will be done from your Pap
test to detect the high-risk types of HPV, if the Pap results have a specific abnormality.
Have you heard of
Gardasil®, the HPV
vaccine?
Who should get the vaccine?
The HPV vaccine is recommended for 11-12 year-old girls and boys, and
can be given to girls/boys as young as 9. The vaccine is also recommended
for 13-26 year-old girls/women & boys/men who have not yet received or
completed the vaccine series who may or may not be sexually active.
Is the same vaccine given to both females and males?
Yes, males will receive the same vaccine that females do. GARDASIL is
given as 3 injections over 6 months. GARDASIL helps protect males and
females ages 9 to 26 from 90% of genital warts cases. GARDASIL also
helps protect females ages 9 to 26 from about 75% of cervical, 70% of
vaginal, and up to 50% of vulvar cancer cases. Anyone who is allergic to
the ingredients of GARDASIL, including those severely allergic to yeast,
should not receive the vaccine. GARDASIL is not for women who are
pregnant.
Gardasil®-HPV Vaccine
How long does the vaccine protection last? Will a booster shot be needed?
The length of vaccine protection (immunity) is usually not known when a vaccine is
first introduced. So far, studies have followed women for five years and found that
women are still protected. More research is being done to find out how long
protection will last, and if a booster vaccine is needed years later.
What does the vaccine not protect against?
GARDASIL will not protect against diseases due to non-vaccine HPV types. There are
more than 100 HPV types; GARDASIL helps protect against 4 types (6, 11, 16, and
18). These 4 types have been selected for GARDASIL because they cause
approximately 70% of cervical cancers and 90% of genital warts. With the vaccine
not covering all types, it is important for women to continue getting screened for
cervical cancer (regular Pap tests). The vaccine will not prevent other sexually
transmitted infections (STIs). So it will still be important for sexually active adults to
reduce exposure to HPV and other STIs.
The Breast Exam
Breast cancer affects a growing number of
women in the United States. If breast cancer
runs in your family, you are at higher risk.
Early detection is crucial.
The health care provider will
perform a breast exam as part
of your appointment.
Breast Self Examination
In addition to the breast exam by the health care
provider, you should do a breast self examination
once a month.
Learning how to do the breast self-exam
can be life-saving.
What is a pelvic exam?
The pelvic exam, where the health
care provider checks the organs in the
reproductive system, may be
needed depending on your age,
or if you are having any gyn problems..
A speculum is used to open the vagina
and lab specimens may be collected.
A bimanual exam (the provider uses
their fingers to assess internal organs) may also be
performed.
Pap smears
The Pap smear is a
screening procedure to
aid in the detection and
diagnosis of abnormal
changes in the tissue of
the cervix. Women over
21 who have normal Pap
smears may only need
the test once every 3
years.
Female Reproductive System
Pap smear procedure
The speculum is inserted into
the vagina.
Two samples of the
cervix cells are taken by
rubbing the surface of
the cervix.
The collected cells are preserved
and sent to a lab for analysis.
Other screenings
Depending on your personal health needs,
the health care provider may perform other
screenings, such as a urine sample, blood
testing, or a rectal exam.
Preparing for a pelvic exam
A pelvic exam does not take long and should not be painful.
If you experience any pain, let the health care provider know.
The more relaxed you are, the more
comfortable the exam will be. Taking
deep breaths, talking to the health
care provider, and telling yourself to
consciously relax are all ways to
prepare for your pelvic exam.
After the Exam
The provider will leave the room and
allow you to get dressed.
If you have a Pap test, some of the very
thin tissue on the cervix can be broken,
causing some mild spotting/bleeding.
Talk to the provider about any
questions that you may have.
How do I get my testing
results?
Some lab work is performed here and results will be given
to you before you leave.
Other tests have to be sent to an outside lab. You will be
sent a confidential notification via our secure messaging
system. An email will come to your ECU email letting you
know your results have returned and how to log on to your
“Online Student Health” account. If any of your tests are
abnormal, you will be advised to schedule an appointment
with a provider to discuss the results.
COST AND INSURANCE
Cost will depend on what type of exam and tests you have performed.
STI screening (chlamydia/gonorrhea, HIV and syphilis) costs
approximately $40. A Pap test, if you have one performed, is ~$42. An
additional charge of approximately $72 will occur if the HPV DNA test is
performed.
If you have the Student Health Insurance Plan, ECU Student Health
Service will file your claim. If you have any other type of third party
insurance, you will need to request a walk out statement to self file your
charges. You should always check your insurance coverage and specific
policy limitations prior to having your annual exam.
Choosing a
contraceptive
method
How do you know
what’s right for you?
Choosing a method of birth control is a highly personal
decision, based on individual preferences, medical history,
lifestyle, and other factors. When you choose a method, be
sure and find one that fits your individual needs. Pick a
method that you are likely to use correctly to guarantee the
most effectiveness.
THE PILL
(Oral Contraceptives)
Method: Pills taken orally; hormones are absorbed through the digestive
system.
How it works: Prevents pregnancy by suppressing ovulation, causing
changes in the lining of the uterus, and increasing the natural mucus
around the cervix.
Correct use: Take them everyday around the same time of day.
Effectiveness for preventing pregnancy:
99% WHEN TAKEN CORRECTLY.
Cost: Call the pharmacy at 328-6841 for exact pricing.
THE PILL (Oral Contraceptives)
Common side effects: May include nausea, headaches, fatigue,
minimal weight gain, depression, breast tenderness, decreased sexual
drive, and changes in the menstrual cycle.
When to use a backup/alternative contraceptive:
1) For the entire first month of use.
2) If you miss a pill, use a backup method until you
start your next new pack of pills.
3) With certain medications. Always consult with
your health care provider or pharmacists about
possible interactions/reduced effectiveness before
you take new medications.
No protection from sexually transmitted infections.
THE PATCH
(ORTHO-EVRA)
Method: Hormones are absorbed transdermally (through the skin).
How it works: Prevents pregnancy by suppressing ovulation, causing
changes in the lining of the uterus, and increasing the natural mucus
around the cervix.
Correct use: Wear a patch in the abdomen, buttock, or upper back
area for 7 days. Replace the patch once a week for 3 weeks. The
fourth week--do not wear a patch. Repeat the following month.
Alternate patch site to avoid skin irritation.
Effectiveness for preventing pregnancy:
99% WHEN USED CORRECTLY.
Cost: Call the pharmacy at 328-6841 for exact pricing.
THE PATCH
(ORTHO-EVRA)
Common side effects: May include skin irritation, nausea,
headaches, fatigue, minimal weight gain, depression, breast
tenderness , decreased sexual drive, and changes in the menstrual
cycle.
When to use a backup/alternative contraceptive:
1) For the entire first month of use.
2) If the patch comes off or if you do not change it as directed.
3) With certain medications. Always consult with
your health care provider or pharmacists about
possible interactions/reduced effectiveness
before you take new medications.
No protection from sexually transmitted
infections.
NUVARING
(Vaginal Hormonal Ring)
Method: Hormones are absorbed through the vaginal lining.
How it works: Prevents pregnancy by suppressing ovulation, causing
changes in the lining of the uterus, and increasing the natural mucus around
the cervix.
Correct use: With fingers, squeeze flexible ring together and insert into the
vagina. Guide device with one finger to the upper portion of the vagina.
Wear for 3 consecutive weeks and then remove. The fourth week, no ring
is worn. Repeat the following month.
Effectiveness for preventing pregnancy:
99% WHEN USED CORRECTLY.
Cost: Call the pharmacy at 328-6841 for exact pricing.
NUVARING
(Vaginal Hormonal Ring)
Common side effects: May include nausea, headaches, fatigue,
minimal weight gain, depression, breast tenderness, decreased sexual
drive, and changes in the menstrual cycle.
When to use a backup/alternative contraceptive:
1) For the entire first month of use.
2) If the ring is outside of the vagina for more than 1 hour.
3) With certain medications. Always consult with
your health care provider or pharmacists about
possible interactions/reduced effectiveness
before you take new medications.
No protection from sexually transmitted
infections.
DEPO-PROVERA
(3-month injection)
Method: Hormones are injected intramuscularly.
How it works: Prevents pregnancy by suppressing ovulation,
causing changes in the lining of the uterus, and increasing the
natural mucus around the cervix.
Correct use: Keep your appointments! A health care provider will
administer the injection once every 12 weeks (4 times a year). The
initial injection must be given during the first 5 days of the
menstrual period.
Effectiveness for preventing pregnancy:
99% WHEN USED CORRECTLY.
Cost: Call the pharmacy at 328-6841 for exact pricing.
DEPO-PROVERA
(3-month Injection)
Common side effects: May include nausea, headaches, fatigue,
weight gain, depression, breast tenderness, decreased sexual drive,
and changes in the menstrual cycle.
Calcium Intake: Use of Depo-Provera may deplete the amount of
calcium absorbed. Talk to your health care provider about increasing
calcium in your diet to avoid risk of osteoporosis.
When to use a backup/alternative contraceptive:
1) For the first 48 hours after the initial injection.
2) If you are late for a scheduled injection.
No protection from sexually transmitted
infections.
80% of users stop having menstrual periods after 6-12 months of use.
MALE CONDOMS
Method: Disposable latex or polyurethane sheath sold over-the-counter
without a prescription.
How it works: Fits snugly over the penis; prevents ejaculatory fluid
from coming into contact with a sexual partner.
Effectiveness for preventing pregnancy: 86-98%, depending on
correct and consistent use.
Cost: Call the pharmacy at 328-6841 for exact pricing.
Possible side effects: Allergies to latex or spermicide found on
condoms may cause irritation. If this occurs, try polyurethane condoms or
a condom without spermicide.
Male condoms provide increased protection from sexually
transmitted infections. Condoms can be used in conjunction with
hormonal methods to increase protection from pregnancy and sexually
transmitted infections.
MALE CONDOMS
Correct use:
1) Store condoms at room temperature. Keep away from heat!
2) Use caution when opening the condom package, particularly with fingernails.
Scissors and teeth should not be used to gain entry to the package.
3) Make sure that the condom is properly lubricated before and during
intercourse. If it becomes too dry, it may break. Use a water-based
lubricant (like KY Jelly or Astroglide) for additional lubrication.
Never use massage oil, Vaseline, or anything oil-based to lubricate a condom.
4) Pinch a ½ inch tip at the end, allowing room for ejaculatory fluid. Place the
condom on the erect penis. Roll the condom all the way down.
5) After intercourse, remove the condom before the erection is lost. Hold the
condom at the base when withdrawing to prevent the condom from slipping
off inside.
If the condom breaks: Immediately stop intercourse and insert an over-thecounter spermicide. Contact a health care provider about emergency
contraceptive options.
FEMALE CONDOMS
Method: Disposable polyurethane sheath containing two flexible rings sold
over-the-counter without a prescription.
How it works: Fits inside of the vagina; Prevents ejaculatory fluid from
coming into contact with a sexual partner.
Effectiveness for preventing pregnancy: 79-97%, depending on correct
and consistent use.
Cost: Female condoms are not available at the SHS pharmacy but you can
contact an outside pharmacy to see if they carry them.
Possible side effects: Rare reaction to polyurethane. Trapped air can create
a noise effect during intercourse. If this occurs, add lubrication.
Female condoms provide increased protection from sexually
transmitted infections. Condoms can be used in conjunction with hormonal
methods to increase protection from pregnancy and sexually transmitted
infections.
FEMALE CONDOMS
Correct use:
1) Use caution when opening the condom package, particularly with fingernails.
Scissors and teeth should not be used to gain entry to the package.
2) The condom should be lubricated when taken out of the package. A small
bottle of extra lubrication which may be applied before or during intercourse.
3) The female condom contains two rings. Pinch the ring on the inside
of the pouch together and guide the condom into the vagina, placing it
as far back into the vagina as it will go. This inner ring serves as an internal
anchor to help the condom keep its placement in the vagina. The outer ring
of the female condom serves as the opening. Read
additional instructions for insertion on the package.
4) Never use a male and female condom at the same time.
If the condom breaks: Immediately stop intercourse and
insert an over-the-counter spermicide. Contact a health care
provider about emergency contraceptive options.
SPERMICIDES
Method: May be in the form of foams, jellies/gels, suppositories, sponge, or
dissolving film.
How it works: Chemically kills sperm to prevents ejaculatory fluid from reaching
the upper reproductive system.
Effectiveness for preventing pregnancy: 74-94%, depending on correct and
consistent use. Spermicides are most effective when used in conjunction with
barrier methods.
Cost: Price varies, depending on method of spermicide. The SHS Pharmacy does
not keep this in stock, but the Pharmacist can special order it upon request.
Possible side effects: Skin irritation from reaction to chemical spermicidal
product.
No protection from sexually transmitted infections. A recent study
suggested that spermicides may irritate sensitive genital lining, creating an
opening for viruses and bacteria to enter the body and increasing possible risk of
transmission.
SPERMICIDES
Correct Use: Varies, depending on the method of spermicide used.
Follow instructions on the package exactly. Each type of spermicide
varies in terms of how it is applied to the vagina, and when
contraceptive protection begins.
1) Be sure to use the correct amount of spermicide. A common
error is to use too little spermicide.
2) With some methods, there is a brief waiting period that users
should observe after inserting before engaging in intercourse.
3) Some methods may need to be “re-applied” after a certain
amount of time has passed, whether intercourse is “finished” or
not.
4) An additional application of spermicide is needed each time
intercourse is repeated.
THE DIAPHRAGM
Method: A dome-shaped latex cup with a flexible rim around
the edge that is inserted inside of the vagina during intercourse.
A spermicidal jelly should ALWAYS be used with the diaphragm.
How it works: Serves as a barrier method, preventing sperm from entering the
upper reproductive system while spermicide kills sperm.
Effectiveness for preventing pregnancy: 80-94%, depending on correct
and consistent use.
Cost: Call the pharmacy at 328-6841 for exact pricing.
Possible side effects: Allergies to the latex material or skin irritation from
reaction to chemical spermicidal product.
No protection from sexually transmitted infections. A recent study
suggested that spermicides (which are used with the diaphragm) may irritate
sensitive genital lining, creating an opening for viruses and bacteria to enter the
body and increasing possible risk of transmission.
THE DIAPHRAGM
(Insertion)
Correct Use: One of the most important things to know about the
diaphragm is that it is NOT effective without a spermicide.
1) Wash hands. Check the diaphragm before insertion to make sure there
are no holes or tears.
2) Hold the diaphragm with the dome down like a cup. Apply about 1
teaspoon of spermicide (jelly or cream) into the dome
and spread some around the rim with your finger.
Do not use oil-based lubricants such as baby oil,
mineral oil, or vaginal medications for infections.
3) Using the fingers to squeeze the flexible ring together,
insert the diaphragm into the vagina. The spermicide
that is inside the dome should be facing your cervix.
Once the diaphragm is correctly in place, women
should not be able to feel it.
THE DIAPHRAGM
(After Intercourse)
Check the position of the diaphragm, using your finger to be sure the
diaphragm is still in place. If it has been dislodged, you may want to contact
your health care provider.
Leave the diaphragm in place for at least 6 hours after the last act
of intercourse. Diaphragms should not be left in place for longer than 24
hours, however; leaving the diaphragm for a longer period of time increases
risk for toxic shock syndrome.
Remove by inserting your finger into the vagina, feeling for the rim of the
diaphragm, and pulling the device out.
The diaphragm should not interfere with normal activities.
Using plain soap, wash the spermicide applicator and the diaphragm. Place
the diaphragm in its convenient case and store in a cool dry place. Douching
is not recommended.
CONTRACEPTIVE IMPLANTS
Method: A flexible rod (about the size of a matchstick) is inserted under the
skin in the upper arm that provides pregnancy prevention for 3 years. The
implants available now are Implanon and Nexplanon.
How it works: It releases a steady low dose of hormones to thicken cervical
mucus and thin the lining of the uterus. It also typically suppresses ovulation.
Effectiveness for preventing pregnancy: Less than 0.5% failure rate.
Cost: Call the pharmacy at 328-6841 for exact pricing.
Possible side effects: changes in bleeding patterns, nausea, headaches,
decreased libido, mood swings
No protection from sexually transmitted infections.
CONTRACEPTIVE IMPLANTS
Once inserted, there is no daily maintence or need interupt sex to have
pregnancy prevention
Can be easily removed anytime by a health care provider
Quick return of fertility if a patient desires to remove the implant and
become pregnant
You will need to have a “consult” appointment with a provider prior to having
Implanon/Nexplanon inserted; this appointment allows the provider to
discuss the method with you, assess any contraindications, and then order
your Implanon/Nexplanon.
You will then return once the implant has been received by SHS. You will
need to have it inserted while on your period and a pregnancy test will be
required prior to insertion of the implant.
Procedure to insert takes about 15 minutes and uses local anesthetic; a
bandage is placed over the site and patients can expect healing of the
insertion site in 3-5 days.
IUD (Intrauterine Device)
Method: an IUD is a small, “T” shaped device inserted into a woman’s uterus to
prevent pregnancy.
How it works: There are 2 types of IUDs in the US: hormonal (Mirena/Skyla)
and copper (ParaGard). Both types work by affecting the way sperm move so
they cannot join with an egg. Also, hormonal IUDs may prevent the egg from
even leaving the ovary and may thicken cervical mucus to help block sperm
travel.
Effectiveness for preventing pregnancy: Greater than 99% effective.
Cost: Call the pharmacy at 328-6841 for exact pricing.
Possible side effects: discomfort with insertion of device,
cramping immediately after insertion of device, changes in
bleeding patterns or spotting between periods.
No protection from sexually transmitted infections.
IUD (Intrauterine Device)
Once inserted, there is no need interupt sex to have pregnancy prevention
Can be easily removed anytime by a health care provider
Quick return of fertility if a patient desires to remove the IUD and become
pregnant
You will need to have a “consult” appointment with a provider prior to having
an IUD inserted; this appointment allows the provider to discuss the method
with you, assess any contraindications, and then order your device.
You will then return once the device has been received by SHS. You will
need to have it inserted while on your period and a pregnancy test will be
required prior to insertion.
Procedure to insert takes about 30 minutes; you may experience some light
cramping and discomfort during the insertion of the device.
Depending on the device, protection may last from 3 years (Skyla) to 5 years
(Mirena) to 12 years (ParaGard)
OTHER METHODS OF
CONTRACEPTION
Natural Family Planning/Fertility Awareness
Sterility (Vasectomy and Tubal Ligation)
For more information about these methods,
contact the ECU Student Health Service at 328-6841 or
submit any questions to GotQuestions @ecu.edu.
EMERGENCY CONTRACEPTION
Method: Pills taken orally; hormones are absorbed through the
digestive system.
How it works: Also known as the “morning after pill, it prevents a
fertilized egg from implanting into the uterus lining. Emergency
contraception is used after unprotected sexual intercourse, but before a
woman becomes pregnant. This is a follow-up method used when
contraception has failed or has not been used and because it has a
lower effectiveness rate than many contraceptive methods, it should
not be used as a long-term birth control method. Emergency
contraceptive pills keep a pregnancy from occurring by inhibiting
ovulation (release of an egg), inhibiting a fertilized egg from implanting
into the uterus, and/or interfering with the process of the fertilized egg
passing through the fallopian tubes.
EMERGENCY CONTRACEPTION
Time Limit: Emergency contraceptive is not effective once an egg has
implanted. For this reason, it must be taken soon after intercourse. It is
recommended that emergency contraception be used within 72 hours
after intercourse. (It can be used up to 120 hours, but the sooner
it is used, the more effective it is for preventing pregnancy.)
Correct use: Take as directed by the health care provider.
Effectiveness for preventing pregnancy:
75-89% WHEN USED CORRECTLY.
Possible Side Effects: Nausea, vomiting, headaches, breast
tenderness, dizziness, fluid retention. If vomiting occurs within two hours
after taking a dose, contact your health care provider.
Cost: Call the pharmacy at 328-6841 for exact pricing.
Pregnancy
testing
The ECU Student Health Service
can provide pregnancy testing.
You can request a pregnancy test
or the provider may feel you need
one based upon symptoms or the
date of your last menstrual period.
Please answer
the following
questions.
True or False.
You should do a breast self-exam once a month.
True
False
THIS IS TRUE.
Every woman should perform a breast self
exam at least once a month. The best time
to do the breast exam is the week following
the menstrual cycle. If you find any
changes, particularly hardening of the tissue
or lumps, see a health care provider as soon
as possible.
True or False
The Pap smear is a screening test which checks
for abnormalities of the cervical cells.
True
False
THIS IS TRUE.
The Pap smear procedure takes a sample
of the cervix cells which can be examined
for abnormalities. Because these
screenings can even detect pre-cancerous
cells and signal the need for treatment,
the number of cervical cancers has
drastically decreased in the U.S.
True or False
You will be tested for sexually transmitted
infections during your annual GYN exam.
True
False
THIS IS TRUE.
There are reportedly more than 25 STI’s;
therefore, will not be tested for “all” STI’s at
your appointment. However, ECU Student
Health Service routinely tests students for
chlamydia, gonorrhea, syphilis, and HIV. If the
provider feels any other tests are indicated
based on your symptoms or risk factors, you
may be advised to have more STI testing.
True or False
You should choose a method of
contraception based on your personal needs
and lifestyle.
True
False
THIS IS TRUE.
Use a contraceptive method that you will be
comfortable with, and that you will use
correctly and consistently. If you are
forgetful about taking medications, “the pill”
may not be the best option for you.
Consider all of your options before making a
decision on which contraceptive is best for
you.
True or False
GARDASIL helps protect against all
types/strains of HPV.
True
False
THIS IS FALSE.
The GARDASIL vaccine will help protect
against 4 types (6, 11, 16, and 18) of HPV
only. These 4 types have been selected for
GARDASIL because they cause
approximately 70% of cervical cancers and
90% of genital warts. With the vaccine not
covering all types, it is important for women to
continue getting screened for cervical cancer
(regular Pap tests).
True or False
Emergency contraception must be used
within 48 hours after intercourse for it to be
effective.
True
False
THIS IS FALSE.
Emergency contraception must be taken as soon
as possible after intercourse. It is recommended
that emergency contraception be used within a
72 hour span after intercourse. It can be used
up to 120 hours, but the sooner it is used, the
more effective it is for preventing pregnancy.
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After you submit this information, you may then call 328-6841 to schedule your
appointment. Let the person you speak with know that you have completed the
online class.
If you have questions about the exam, contraceptive methods, or other
sexuality/reproductive health concerns, you can email your questions
anonymously to:
[email protected]