{"id":72,"date":"2023-07-05T21:02:48","date_gmt":"2023-07-05T21:02:48","guid":{"rendered":"https:\/\/wellbeing.jhu.edu\/primary-care\/?page_id=72"},"modified":"2025-12-18T19:56:44","modified_gmt":"2025-12-18T19:56:44","slug":"sexual-and-reproductive-health","status":"publish","type":"page","link":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/sexual-and-reproductive-health\/","title":{"rendered":"Sexual and Reproductive Health"},"content":{"rendered":"<p>Student Health and Well-Being (SHWB) offers a variety of sexual and reproductive health services, including contraceptive services, pregnancy testing and counseling, testing for sexually transmitted infections (STIs), and more.<\/p>\n<h3>Contraceptive Services<\/h3>\n<p>We have a variety of birth control methods available:<\/p>\n<ul>\n<li>Condoms<\/li>\n<li>Oral contraceptives<\/li>\n<li>Over-the-counter oral contraceptive &#8211; <a href=\"https:\/\/opill.com\/pages\/about-opill\" target=\"_blank\" rel=\"noopener\">OPILL<\/a> (Norgestrel)<\/li>\n<li>Injection<\/li>\n<li>Intrauterine and subdermal contraceptives (LARCs)<\/li>\n<li>Vaginal ring<\/li>\n<\/ul>\n<h4>Long-Acting Reversible Contraceptives (LARC)<\/h4>\n<p>\n    <div class=\"zn-expand \" >\n      <div class=\"zn-title\">What are LARCs?<\/div>\n      <div class=\"zn-content\"> Long-acting reversible contraceptives, also known as LARCs, include intrauterine devices (IUDs) and subdermal implants. IUDs and implants protect against pregnancy for longer periods and are 20 times more effective than birth control pills, the patch, or the vaginal ring. Once inserted, LARCs can remain in the body for several years and be removed at any time.<\/div>\n    <\/div>\n    \n  <\/p>\n<p>\n    <div class=\"zn-expand \" >\n      <div class=\"zn-title\">Which LARCs are available at SHWB?<\/div>\n      <div class=\"zn-content\">Non-hormonal copper IUD: Paragard<\/p>\n<p>Hormonal IUDs: Mirena &amp; Kyleena<\/p>\n<p>Subdermal implant: Nexplanon<\/div>\n    <\/div>\n    \n  <\/p>\n<p>\n    <div class=\"zn-expand \" >\n      <div class=\"zn-title\">What are the steps to getting a LARC?<\/div>\n      <div class=\"zn-content\">Call our clinic and request an appointment for a LARC consultation. These can be telemedicine or in-person appointments. After the consultation an appointment for LARC insertion can be scheduled.<\/div>\n    <\/div>\n    \n  <\/p>\n<h4>Emergency Contraception<\/h4>\n<p>SHWB offers the medication Econtra EZ ($8) for emergency contraception, which should be taken within 72 hours after unprotected intercourse. For students with a body mass index (BMI) over 25, Ella is available by prescription, which can be taken up to 5 days after unprotected intercourse.<\/p>\n<p>If students are unable to make it to the clinic, emergency contraception can be purchased over the counter at a local drug store, online from Amazon, or <a href=\"http:\/\/afterpill.com\" target=\"_blank\" rel=\"noopener\">www.afterpill.com<\/a>.<\/p>\n<p>A copper IUD can also be used as emergency contraception for up to 5 days after unprotected sex.<\/p>\n<ul>\n<li><strong>Disclaimer &#8211; <\/strong>SHWB is unable to provide this service due to limited ability to schedule urgent IUD placement appointments. Please consult the following resources for more information on IUD placement:\n<ul>\n<li><a href=\"https:\/\/health.baltimorecity.gov\/family-planning-reproductive-health\" target=\"_blank\" rel=\"noopener\">Baltimore City Health Department &#8211; Family Planning and Reproductive Health<\/a><\/li>\n<li><a href=\"https:\/\/www.plannedparenthood.org\/health-center\/maryland\/baltimore\/21201\/baltimore-city-health-center-3292-90620\" target=\"_blank\" rel=\"noopener\">Planned Parenthood Baltimore City Health Center<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4>Wellness-to-Go Vending Machine<\/h4>\n<p>We have several products related to sexual and reproductive health available for purchase in our Homewood wellness-to-go vending machine, which can be accessed even when the clinic is closed. For example:<\/p>\n<ul>\n<li>Emergency contraception (Econtra EZ) for $8<\/li>\n<li>Pregnancy tests for $4<\/li>\n<li>Condoms for $2<\/li>\n<li>Opill Daily Oral Contraceptive (Norgestrel) for $18<\/li>\n<\/ul>\n<h3>Additional Resources for Comprehensive Sexual and Reproductive Healthcare (including abortion services):<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.reproductiveaccess.org\/wp-content\/uploads\/2014\/06\/2020-09-contra-choices.pdf\" target=\"_blank\" rel=\"noopener\">Your Birth Control Choices<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.wholewomanshealth.com\/clinic\/baltimore\/\" target=\"_blank\" rel=\"noopener\">Whole Woman\u2019s Health of Baltimore<\/a><\/li>\n<li><a href=\"https:\/\/www.plannedparenthood.org\/health-center\/maryland\/baltimore\/21201\/baltimore-city-health-center-3292-90620\" target=\"_blank\" rel=\"noopener\">Planned Parenthood<\/a><\/li>\n<\/ul>\n<h3>Sexually Transmitted Infection (STI) Testing Options and Insurance Coverage<\/h3>\n<h4>Asymptomatic STI Testing<\/h4>\n<p>If you are asymptomatic and getting STI testing for screening purposes, this is considered preventative care. The student insurance plan (WellFleet) covers preventive care at 100% (no charge).<\/p>\n<p>Preventive care includes hepatitis B screening, hepatitis C screening, HIV screening, PrEP (pre-exposure prophylaxis) HIV prevention medication, syphilis screening, chlamydia and gonorrhea screenings, and cervical HPV testing.<\/p>\n<p>STI screening is recommended annually, but depending on your risk factors you may require more frequent testing. Testing would still be covered at 100% by insurance if your provider makes sure to bill these tests as preventative care.<\/p>\n<h4>Symptomatic STI Testing<\/h4>\n<p>If you are symptomatic and getting STI testing for diagnostic\/treatment purposes, the WellFleet plan will cover in-network providers at 90% of the cost after you meet your deductible. This means you will be responsible for paying 10% of the cost.<\/p>\n<h4>Other Insurance Plans<\/h4>\n<p>If you have another insurance plan, please contact your plan to find out about coverage. Under the <a href=\"https:\/\/www.healthcare.gov\/coverage\/preventive-care-benefits\/\" target=\"_blank\" rel=\"noopener\">Affordable Care Act<\/a> most health plans must cover a set of preventive services \u2014 like shots and screening tests \u2014 at no cost to you.<\/p>\n<p>Whenever you use insurance, you will likely receive an <a href=\"https:\/\/www.cigna.com\/knowledge-center\/explanation-of-benefits\" target=\"_blank\" rel=\"noopener\">Explanation of Benefits (EOB)<\/a>, outlining the cost of the service and what was paid for by your insurance. The EOB is typically sent to the address on file with the insurance company. Please make sure you have the correct address associated with your insurance, otherwise your EOB might go to the wrong place.<\/p>\n<h4>Testing Options That Do Not Bill Insurance<\/h4>\n<p>There are a number of other options for testing if you don\u2019t want to use your insurance either because of the cost or privacy concerns. These options have the same cost regardless of whether you are symptomatic or asymptomatic:<\/p>\n<ul>\n<li>SHWB can perform rapid HIV tests on site when indicated. This service is free of charge.<\/li>\n<li>For syphilis and HIV, we can send test samples to the Maryland Department of Health and they will process them free of charge. However, it can take about two weeks to get the results.<\/li>\n<li>SHWB can send chlamydia and gonorrhea tests for processing through a confidential service. Each test costs $13 out-of-pocket (so chlamydia and gonorrhea tests together cost $26). This will not be billed to insurance so it remains confidential.<\/li>\n<li><a href=\"https:\/\/iwantthekit.org\/\" target=\"_blank\" rel=\"noopener\">I Want the Kit<\/a> is a free home-testing service (*currently available only to Baltimore City residents) that will deliver kits for testing HIV and chlamydia\/gonorrhea through the mail. These are mailed to the lab free of charge and results will come directly back to you.<\/li>\n<li>Services such as <a href=\"https:\/\/www.questhealth.com\/shop\/sexual-health\" target=\"_blank\" rel=\"noopener\">Quest Direct<\/a> or <a href=\"https:\/\/www.ondemand.labcorp.com\/\" target=\"_blank\" rel=\"noopener\">LabCorp OnDemand<\/a> allow you to purchase your own tests without a doctor\u2019s order and without using insurance (associated costs listed on the website).<\/li>\n<\/ul>\n<h3>Additional STI Resources<\/h3>\n<ul>\n<li><a href=\"https:\/\/goaskalice.columbia.edu\/\">Go Ask Alice<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/std\/default.htm\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control<\/a><\/li>\n<li><a href=\"https:\/\/www.ashasexualhealth.org\/\" target=\"_blank\" rel=\"noopener\">American Sexual Health Association<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Student Health and Well-Being (SHWB) offers a variety of sexual and reproductive health services, including contraceptive services, pregnancy testing and&#8230;<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-72","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/pages\/72","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/comments?post=72"}],"version-history":[{"count":49,"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/pages\/72\/revisions"}],"predecessor-version":[{"id":3278,"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/pages\/72\/revisions\/3278"}],"wp:attachment":[{"href":"https:\/\/wellbeing.jhu.edu\/PrimaryCare\/wp-json\/wp\/v2\/media?parent=72"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}