Gynecologic Services

Routine Gynecologic Exams are available by appointment with a certified nurse practitioner. The exam involves a health history review and a general physical assessment including a breast and pelvic exam. STI screening is considered a routine aspect of annual exams for sexually active persons.

Gynecologic Problems such as vulvo-vaginitis, pelvic pain, lower abdominal discomfort, menstrual irregularities, PMS, recurrent UTIs, etc. are assessed and managed or referred as needed. Confidential STI testing is available.

Pap tests are included in a gynecologic exam starting at age 21 years. Paps are used to screen for cervical changes that may require further testing and to help prevent and manage cervical cancer. Abnormal paps may be managed by a referral to a specialist for further exam and treatment.

HPV infection that leads to cervical changes may be detected by a pap screen and is clinically managed by a referral to a specialist for exam and treatment. The CDC does not recommend routine screening for HPV infection for males or females under 30 years of age at this time. Women are recommended to get a first pap screen at age 21. The HPV vaccine (Gardasil) is available. See Vaccines and Travel Medicine for information on other vaccines.

Contraceptive Management and Counseling Oral contraceptives are currently available by an appointment and prescription. Prescriptions and referrals for contraceptives that we do not carry are available if clinically appropriate. Male condoms are available at our cold clinic table in the upper right drawer. Polyurethane (non-latex) condoms are available behind the counter (just ask). Female condoms and dental dams may be purchased as well.

Plan B is a pill form of emergency contraception that is available for females who have had unprotected intercourse without contraception or are concerned about contraceptive failure. Plan B does not guarantee pregnancy prevention but will decrease the risk of pregnancy by up to 90% if taken within 120 hours of intercourse. Plan B is available by appointment. Local pharmacies carry Plan B as well and the cost will vary. You must be at least 18 years old to purchase Plan B at a drug store without a prescription.

Pregnancy Testing and Counseling are available by appointment.

Sexual Assault or Abuse is an issue that our sexual health care providers are trained to respond to appropriately and with sensitivity. We understand the confidentiality concerns that survivors may have and work with students to provide necessary care and support. Beth Kotarski is the sexual assault program coordinator. Bkotars1@swarthmore.edu or 610-328-8058.

Links:

Women's Resouce Center at Swarthmore College

www.womenshealth.gov from the US Department of Health and Human Services

For natural ecofriendly women's menstrual products: check out Moonface