Gynecology

Women and individuals assigned female at birth should begin scheduling annual gynecological health exams when they turn 21. Prior to age 21, patients may schedule appointments as needed for sexually transmitted infection (STI) testing, contraception, menstrual or breast concerns, or other gynecologic concerns.  

An annual exam includes a physical exam, breast exam, and pelvic exam but may also include contraception and screenings for STIs.

Pap smears are performed according to a recommended screening schedule usually beginning at age 21 and are repeated every 3 years if normal. Gonorrhea and chlamydia testing are recommended yearly through age 24. Patients 25 years of age and older should receive gonorrhea and chlamydia testing if they have a new partner or additional risk factors for acquiring sexually transmitted infections.

Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S. and is most prevalent in the late teens and early twenties.

The HPV vaccine protects against some of the most common types of HPV and can decrease the chance of developing genital warts and cervical cancer. The vaccine is administered in three shots over six months. It is important to get all three doses on time to get the best protection, but students do not need to restart the series if they are late for an injection. The vaccines are most effective when given before a person's first sexual contact (when the person could be exposed to HPV) but are indicated until age 45 in most people. 

There are many contraceptive options available, most of which are offered through University Health Services. Please schedule a contraception appointment and talk with your clinician to determine which option is best for you.

Available Contraceptives

• Intrauterine Devices (IUDs)
• Nexplanon (Arm Implant)
• Depo Provera (the shot)
• The Pill (combined hormonal and Progesterone)
• The Patch
• The Ring
• Barrier Methods

Emergency Contraceptives

The emergency contraceptive pill (Plan B) can be used by individuals who are concerned about a possible pregnancy due to unprotected intercourse, birth control misuse, or sexual assault.

Plan B is currently available over-the-counter and does not require a prescription from a health care provider and can be used up to 72 hours or 3 days after unprotected intercourse. Another emergency contraception pill, Ella, requires an office visit and prescription but can be effective up to 5 days after unprotected intercourse.

Common gynecological health concerns 

• Menstrual concerns
• Sexually Transmitted Infections (STIs)
• Vaginitis (vaginal discharge, odor, itching)
• Pelvic pain
• Pain or swelling in the breast
• Pelvic abnormalities including ovarian cysts, uterine fibroids, and polyps
• Pre-Menstrual Syndrome (PMS)/Premenstrual Dysphoric Disorder (PMDD) 

Individuals with acute problems are typically seen the same or next day. If you have a medical problem requiring an appointment, please call the appointment line during regular business hours. If you are experiencing a concern after hours, please call the UHS Advice Nurse to discuss your medical concern. The nurse will help you decide what action is needed to address your health problem.

UHS does not provide prenatal care

Pregnancy Testing

Pregnancy testing is available at University Health Services by appointment with a nurse. Appointments for pregnancy testing are usually available within 1 to 3 days.

Pregnancy Counseling

For patients who are pregnant and unsure of their options, counseling is available through University Health Services and can be scheduled through myUHS or by calling the UHS appointment line during regular business hours.