Genital Herpes Genital herpes is a common sexually transmitted infection (STI) that any sexually active person can get. Most people with the virus don’t have symptoms. Even without signs of the disease, herpes can still be spread to sex partners. What is Genital Herpes? Genital herpes is an STD caused by two types of viruses. The viruses are called herpes simplex virus type 1 (HSV-1) and herpes simplex virus type 2 (HSV-2). What is Oral herpes? Oral herpes is usually caused by HSV-1 and can result in cold sores or fever blisters on or around the mouth. However, most people do not have any symptoms. Most people with oral herpes were infected during childhood or young adulthood from non-sexual contact with saliva. Is there a link between genital herpes and oral herpes? Oral herpes caused by HSV-1 can be spread from the mouth to the genitals through oral sex. This is why some cases of genital herpes are caused by HSV-1. How common is genital herpes? Genital herpes is common in the United States. More than one out of every six people aged 14 to 49 years have genital herpes. How is genital herpes spread? You can get genital herpes by having vaginal, anal, or oral sex with someone who has the disease. If you do not have herpes, you can get infected if you come into contact with the herpes virus in: A herpes sore; Saliva (if your partner has an oral herpes infection) or genital secretions (if your partner has a genital herpes infection); Skin in the oral area if your partner has an oral herpes infection, or skin in the genital area if your partner has a genital herpes infection. You can get herpes from a sex partner who does not have a visible sore or who may not know he or she is infected. It is also possible to get genital herpes if you receive oral sex from a sex partner who has oral herpes. You will not get herpes from toilet seats, bedding, or swimming pools, or from touching objects around you such as silverware, soap, or towels. If you have additional questions about how herpes is spread, consider discussing your concerns with a healthcare provider. 85% of adults have had oral sex. Is it safer? How can I reduce my risk of getting genital herpes? The only way to avoid STDs is to not have vaginal, anal, or oral sex. If you are sexually active, you can do the following things to lower your chances of getting genital herpes: Be in a long-term mutually monogamous relationship with a partner who is not infected with an STD (e.g., a partner who has been tested and has negative STD test results); Using latex condoms the right way every time you have sex. Be aware that not all herpes sores occur in areas that are covered by a latex condom. Also, herpes virus can be released (shed) from areas of the skin that do not have a visible herpes sore. For these reasons, condoms may not fully protect you from getting herpes. If you are in a relationship with a person known to have genital herpes, you can lower your risk of getting genital herpes if: Your partner takes an anti-herpes medication every day. This is something your partner should discuss with his or her doctor. You avoid having vaginal, anal, or oral sex when your partner has herpes symptoms (i.e., when your partner is having an outbreak). I’m pregnant. How could genital herpes affect my baby? If you are pregnant and have genital herpes, it is very important for you to go to prenatal care visits. Tell your doctor if you have ever had symptoms of, or have been diagnosed with, genital herpes. Also tell your doctor if you have ever been exposed to genital herpes. There is some research that suggests that genital herpes infection may lead to miscarriage, or could make it more likely for you to deliver your baby too early. Herpes infection can be passed from you to your unborn child before birth but is more commonly passed to your infant during delivery. This can lead to a potentially deadly infection in your baby (called neonatal herpes). It is important that you avoid getting herpes during pregnancy. If you are pregnant and have genital herpes, you may be offered anti-herpes medicine towards the end of your pregnancy. This medicine may reduce your risk of having signs or symptoms of genital herpes at the time of delivery. At the time of delivery, your doctor should carefully examine you for herpes sores. If you have herpes symptoms at delivery, a ‘C-section’ is usually performed. How do I know if I have genital herpes? Most people who have genital herpes have no symptoms, or have very mild symptoms. You may not notice mild symptoms or you may mistake them for another skin condition, such as a pimple or ingrown hair. Because of this, most people who have herpes do not know it. Herpes sores usually appear as one or more blisters on or around the genitals, rectum or mouth. The blisters break and leave painful sores that may take a week or more to heal. These symptoms are sometimes called “having an outbreak.” The first time someone has an outbreak they may also have flu-like symptoms such as fever, body aches, or swollen glands. People who experience an initial outbreak of herpes can have repeated outbreaks, especially if they are infected with HSV-2. Repeat outbreaks are usually shorter and less severe than the first outbreak. Although the infection stays in the body for the rest of your life, the number of outbreaks may decrease over time. You should be examined by your doctor if you notice any of these symptoms or if your partner has an STD or symptoms of an STD. STD symptoms can include an unusual sore, a smelly genital discharge, burning when urinating, or (for women) bleeding between periods. How will my doctor know if I have herpes? Your healthcare provider may diagnose genital herpes by simply looking at your symptoms. Providers can also take a sample from the sore(s) and test it. In certain situations, a blood test may be used to look for herpes antibodies. Have an honest and open talk with your health care provider and ask whether you should be tested for herpes or other STDs. Please note: A herpes blood test can help determine if you have herpes infection. It cannot tell you who gave you the infection or how long you have been infected. Can herpes be cured? There is no cure for herpes. However, there are medicines that can prevent or shorten outbreaks. One of these anti-herpes medicines can be taken daily, and makes it less likely that you will pass the infection on to your sex partner(s). What happens if I don’t get treated? Genital herpes can cause painful genital sores and can be severe in people with suppressed immune systems. If you touch your sores or the fluids from the sores, you may transfer herpes to another part of your body, such as your eyes. Do not touch the sores or fluids to avoid spreading herpes to another part of your body. If you do touch the sores or fluids, immediately wash your hands thoroughly to help avoid spreading your infection. If you are pregnant, there can be problems for you and your developing fetus, or newborn baby. See “I’m pregnant. How could genital herpes affect my baby?” above for information about this. Can I still have sex if I have herpes? If you have herpes, you should talk to your sex partner(s) and let him or her know that you do and the risk involved. Using condoms may help lower this risk but it will not get rid of the risk completely. Having sores or other symptoms of herpes can increase your risk of spreading the disease. Even if you do not have any symptoms, you can still infect your sex partners. You may have concerns about how genital herpes will impact your overall health, sex life, and relationships. It is best for you to talk to a health care provider about those concerns, but it also is important to recognize that while herpes is not curable, it can be managed with medication. Daily suppressive therapy (i.e., daily use of antiviral medication) for herpes can also lower your risk of spreading genital herpes to your sex partner. Be sure to discuss treatment options with your healthcare provider. Since a genital herpes diagnosis may affect how you will feel about current or future sexual relationships, it is important to understand how to talk to sexual partners about STIs. What is the link between genital herpes and HIV? Herpes infection can cause sores or breaks in the skin or lining of the mouth, vagina, and rectum. This provides a way for HIV to enter the body. Even without visible sores, having genital herpes increases the number of CD4 cells (the cells that HIV targets for entry into the body) found in the lining of the genitals. When a person has both HIV and genital herpes, the chances are higher that HIV will be spread to an HIV-uninfected sex partner during sexual contact with their partner’s mouth, vagina, or rectum. < Previous Next >

Transportation Getting To A Clinic Home » Community Resources » Transportation Dial-A-Ride & Coos County Area Transit (CCAT) coostransit.org 541-267-7111 Yellow Cab Taxi 2756 Woodland Drive Coos Bay, OR 97420 541-267-3111 Coastal Express (between cities) currypublictransit.org 541-412-8806 Translink (Rides/reimbursement for medical appointments for open card clients) 239 E Barnett Rd Medford, OR 97501 888-518-8160 Full Moon Taxi 541-269-7790 Bay Cities Brokerage (BCB) bca-ride.com 3505 Ocean Blvd SE Coos Bay, OR 97420 877-324-8109 DAV Van Service (Transportation to VA medical appointments) Based out of Roseburg VA Hospital 541-440-1293 Ext 44358

Birth Control PP Birth control is how you prevent pregnancy. There are lots of different birth control options out there. We’re here to help you figure it all out.

Pregnancy Crisis Centers

Masturbation Masturbation is normal, and can be a healthy way to learn about your body. In fact, it’s the safest way to have sexual pleasure there is — there’s no risk of pregnancy or STIs. Is masturbating healthy? Masturbating is totally healthy, and totally normal. There are tons of myths out there meant to scare you into thinking masturbation is wrong or bad. But the truth is masturbation is perfectly safe. Masturbating won't make you blind, crazy, or stupid. It won’t damage your genitals, cause pimples, or stunt your growth. It doesn’t use up all your orgasms or ruin other kinds of sex. In fact, masturbation can actually be good for you. Here are some benefits of masturbation: Masturbation is safer than any other type of sex. You can’t get pregnant or get any sexually transmitted infections from masturbating. Masturbation can help you learn what you like and don’t like sexually. And if you decide to have sex with someone, you can know what you do/don’t want to do. BONUS: getting comfortable talking about sex and your body with your partner makes it easier to talk about protecting yourself against STIs and pregnancy, too. Exploring your body and learning how to give yourself sexual pleasure can be empowering and help improve your body image. Masturbation can lower stress and help you relax. It even helps some people fall asleep. Having an orgasm releases endorphins — feel good chemicals in your brain. Orgasms can be a natural painkiller and can even help with period cramps. Mutual masturbation (masturbating with a partner) is a really safe way to have sex and let the other person know what feels good to you. If you share a sex toy, use condoms on the toy and clean it before swapping. And if you touch each other’s genitals, wash your hands before touching your own. Can I get an STI from masturbating? Nope. Masturbating is the safest sexual activity out there. There is virtually NO chance of getting an STI or any other infection from touching your own genitals (and there’s also no chance of pregnancy). STIs have to be passed from one person to another, so you can’t give yourself an STD. The one exception to this is herpes - so if you have any cold sores on your mouth and touch them, make sure to wash your hands before masturbating. But it IS possible to get an STI if you’re masturbating with another person and touching each other’s genitals. Anytime semen (cum) or vaginal fluids are spread to someone else’s body, or your genitals rub against each other, there’s a risk of STIs. So if you touch each other’s genitals, wash your hands before touching your own. STIs can also be spread by sharing sex toys with another person. You can help protect yourself by using condoms on any toys that you share (even if they’re not shaped like a penis). Put a new condom on anytime a different person uses it. If you’re the only one using your sex toys, you don’t have to worry about STIs. But if you use them with other people, protect those sex toys just like you’d protect your own genitals — put a condom on ‘em! It’s possible for masturbation to cause irritation or infections if your body is sensitive to the way you masturbate or the things you masturbate with — but this isn’t the same thing as an STI. Lotions, Vaseline, oils, and scented or flavored stuff may irritate your vulva and vagina. Masturbating roughly and not using lubrication can also lead to irritation because of friction. And germs from the anus can cause vaginal infections — so never put something in your vagina that’s been in your butt without washing it or covering it with a condom. If you’re worried that you have an STI because of pain, itching, or discomfort in your genitals, go to your doctor or your local Planned Parenthood health center.

Cost of Condoms and Birth Control They are A LOT Cheaper than having a baby... Birth Control: Prices vary depending on whether you have health insurance, or if you qualify for Medicaid or other government programs that cover the cost of birth control pills. For most brands, 1 pill pack lasts for 1 month, and each pack can cost anywhere from $0-$50. But they’re totally free with most health insurance plans, or if you qualify for some government programs. Condoms: Affordable or free condoms are often available at health centers, family planning clinics, your local health department, community centers, college health centers, or your doctor’s office.

Trans And Gender Nonconforming Identities Transgender is about gender identity. Transgender is a term that includes the many ways that people’s gender identities can be different from the sex they were assigned at birth. There are a lot of different terms transgender people use to describe themselves. For example, sometimes the word transgender is shortened to just trans, trans*, or trans male/trans female. It’s always best to use the language and labels that the person prefers. Transgender people express their gender identities in many different ways. Some people use their dress, behavior, and mannerisms to live as the gender that feels right for them. Some people take hormones and may have surgery to change their body so it matches their gender identity. Some transgender people reject the traditional understanding of gender as divided between just “male” and “female,” so they identify just as transgender, or genderqueer, genderfluid, or something else. Transgender people are diverse in their gender identities (the way you feel on the inside), gender expressions (the way you dress and act), and sexual orientations (the people you’re attracted to). When people’s assigned sex and gender identity are the same, they're called cisgender. What’s gender dysphoria? Gender dysphoria is a term that psychologists and doctors use to describe the distress, unhappiness, and anxiety that transgender people may feel about the mismatch between their bodies and their gender identity. A person may be formally diagnosed with gender dysphoria in order to receive medical treatment to help them transition. Psychologists used to call this “gender identity disorder.” However, the mismatch between a person’s body and gender identity isn’t in itself a mental illness (but it can cause emotional distress), so the term was changed to reflect that. How is a transgender identity different from sexual orientation? People often confuse gender identity with sexual orientation. But being transgender isn’t the same thing as being lesbian, gay, or bisexual. Gender identity, whether transgender or cisgender, is about who you ARE inside as male, female, both, or none of these. Being lesbian, gay, bisexual, or straight describes who you’re attracted to and who you feel yourself drawn to romantically, emotionally, and sexually. A transgender person can be gay, lesbian, straight, or bisexual, just like someone who’s cisgender. A simple way to think about it is: Sexual orientation is about who you want to be with. Gender identity is about who you are. What does passing mean? Passing describes the experience of a transgender person being seen by others as the gender they want to be seen as. An example would be a trans woman using the women’s bathroom and being seen as female by those around her. Passing is extremely important for many transgender people. Passing can be emotionally important because it affirms your gender identity. Passing can also provide safety from harassment and violence. Because of transphobia, a transgender person who passes may experience an easier time moving through the world than a person who is known to be transgender or looks more androgynous. But not all transgender people feel the same way about passing. While passing is important to some people, others feel the word suggests that some people’s gender presentation isn’t as real as others. They may feel that passing implies that being seen by others as cisgender is more important than being known as transgender. Some transgender people are comfortable with and proud to be out as trans and don’t feel the need to pass as a cisgender person.

Hepatitis C HCV infection is the most common chronic bloodborne infection in the United States, with an estimated 2.7 million persons living with chronic infection. Hepatitis C Most people who get infected with the Hepatitis C virus develop a chronic, or lifelong, infection. What is Hepatitis C? Hepatitis C is an infection of the liver that results from the Hepatitis C virus. Acute Hepatitis C refers to the first several months after someone is infected. Acute infection can range in severity from a very mild illness with few or no symptoms to a serious condition requiring hospitalization. For reasons that are not known, about 20% of people are able to clear, or get rid of, the virus without treatment in the first 6 months. Unfortunately, most people who get infected are not able to clear the Hepatitis C virus and develop a chronic, or lifelong, infection. Over time, chronic Hepatitis C can cause serious health problems including liver disease, liver failure, and even liver cancer. How is Hepatitis C spread? Hepatitis C is usually spread when blood from a person infected with the Hepatitis C virus enters the body of someone who is not infected. Today, most people become infected with Hepatitis C by sharing needles, syringes, or any other equipment to inject drugs. Before widespread screening of the blood supply in 1992, Hepatitis C was also spread through blood transfusions and organ transplants. While uncommon, poor infection control has resulted in outbreaks in healthcare settings. While rare, sexual transmission of Hepatitis C is possible. Having a sexually transmitted disease or HIV, sex with multiple partners, or rough sex appears to increase a person’s risk for Hepatitis C. Hepatitis C can also be spread when getting tattoos and body piercings in unlicensed facilities, informal settings, or with non-sterile instruments. Also, approximately 6% of infants born to infected mothers will get Hepatitis C. Still, some people don’t know how or when they got infected. What are the symptoms of Hepatitis C? Many people with Hepatitis C do not have symptoms and do not know they are infected. If symptoms occur, they can include: fever, feeling tired, not wanting to eat, upset stomach, throwing up, dark urine, grey-colored stool, joint pain, and yellow skin and eyes. When do symptoms occur? If symptoms occur with acute infection, they can appear anytime from 2 weeks to 6 months after infection. If symptoms occur with chronic Hepatitis C, they can take decades to develop. When symptoms appear with chronic Hepatitis C, they often are a sign of advanced liver disease. How would you know if you have Hepatitis C? The only way to know if you have Hepatitis C is to get tested. Doctors use a blood test, called a Hepatitis C Antibody Test, which looks for antibodies to the Hepatitis C virus. Antibodies are chemicals released into the bloodstream when someone gets infected. Antibodies remain in the bloodstream, even if the person clears the virus. A positive or reactive Hepatitis C Antibody Test means that a person has been infected with the Hepatitis C virus at some point in time. However, a positive antibody test does not necessarily mean a person still has Hepatitis C. An additional test called a RNA test is needed to determine if a person is currently infected with Hepatitis C. Who should get tested for Hepatitis C? Testing for Hepatitis C is recommended for certain groups, including people who: • Were born from 1945 – 1965 • Received donated blood or organs before 1992 • Have ever injected drugs, even if it was just once or many years ago • Have certain medical conditions, such as chronic liver disease and HIV or AIDS • Have abnormal liver tests or liver disease • Have been exposed to blood from a person who has Hepatitis C • Are on hemodialysis • Are born to a mother with Hepatitis C Can Hepatitis C be treated? Yes. However, treatment depends on many different factors, so it is important to see a doctor experienced in treating Hepatitis C. New and improved treatments are available that can cure Hepatitis C for many people. Testing is the only way to know if you have Hepatitis C. How can Hepatitis C be prevented? Although there is currently no vaccine to prevent Hepatitis C, there are ways to reduce the risk of becoming infected with the Hepatitis C virus. • Avoid sharing or reusing needles, syringes or any other equipment to prepare and inject drugs, steroids, hormones, or other substances. • Do not use personal items that may have come into contact with an infected person’s blood, even in amounts too small to see, such as razors, nail clippers, toothbrushes, or glucose monitors. • Do not get tattoos or body piercings from an unlicensed facility or in an informal setting. < Previous Next >

Talking With Your Partner It's important to communicate with your partner about how you feel about sex and abstinence How do I talk about not having sex? Abstinence only works when both partners are cool with not having sex. So the key to making abstinence work is talking about it with your partner/boyfriend/girlfriend — especially because abstinence can mean different things to different people. It’s important to be honest with each other and make decisions about sex together. Talking about sex, birth control, and abstinence might seem hard, but it’s one of the best ways to keep your relationship happy and healthy. It’s normal to feel awkward or embarrassed, especially if you’ve never talked about sex before. Here are some tips to keep you on track: Know what being abstinent means to you. Think about how far you feel comfortable going and what your sexual limits are. Once you know exactly how you feel and what you need, it’s easier to tell someone else about it. Talk before things get sexual. It’s hard to think and speak clearly when you’re all turned on in the heat of the moment. So think ahead of time about how to say “no” to sex if it comes up. What words are best? What actions or body language will make it clear how you feel? It can help to practice what you’ll say out loud, and think about what your partner may say back. Be straightforward. The talk doesn’t have to be long or complicated. Just be up-front and clear about what you want and what you’re comfortable doing. Be confident. You have the right to decide when and if you have sex, and you can say no to sex at any time, for any reason — even if you’ve already had sex before. (And if your partner doesn’t respect your limits, it could be a sign that your relationship isn’t healthy.) Sex isn’t the only way to show your love and affection. People get to know each other, become close, and build trust by: talking and listening sharing being honest respecting each other's thoughts and feelings hanging out together Talking about sex doesn’t have to be a one-time thing that settles things forever — most couples have lots of talks about sex. Relationships change over time, and you and/or your partner may eventually have different feelings about sex and abstinence. If you want to start exploring sex with your partner, talk about birth control and/or sexually transmitted infections first. No matter what happens in your relationship, keep the conversation going and always be open and honest with each other.

things to think about Women who decide to become pregnant and have a child, rather than having it “just happen,” are better prepared emotionally and financially for the demands of having a baby. But they can’t make that decision if they lack information and access to contraception. As a result, about 80 percent of pregnancies among young women age 18 to 29 are described by the women themselves as unplanned. LEARN MORE Bringing up baby: a cost analysis Cost Of Raising a Kid For a middle-income family to raise a child born in 2015 through the age of 17, the cost of rearing a child has hit $233,610, according to the report. LEARN MORE Cost of Diapers and Formula The average baby goes through six to 10 diapers a day, which, according to the National Diaper Bank Network, can set you back $70 to $80 per month, or about $900 a year. If you choose not to breastfeed, formula can cost up to $150 per month, or about $1,800 a year. Cost Of Condoms and Birth Control They are A LOT Cheaper than having a baby... LEARN MORE

Teen Mom Speaks 15 to 17 "I was 16 and still in high school. One thing I wish I had known was how big of an emotional toll being in separate households from my boyfriend was going to be. I was a single mother and I developed terrible baby blues, which caused me to leave the father of my baby." — Kyndal, 19

749e4d3b-1f7f-4245-a25e-429ed709c9ea < Back Northwest Abortion Access Fund The Northwest Abortion Access Fund is an abortion fund serving Washington, Oregon, Idaho, and Alaska. We help people pay for their abortion care by sending funding directly to the clinic. We also help people get to and from the clinic. And we make sure people traveling for care have a safe place to stay. Previous Next