Women's Health and Contraception

The nurse practitioners at the Henry Wise Wellness Center are committed to providing quality health care for the women attending Bowie State University.

Li-Lin Chiu, CRNP-A, CRNP-OB/GYN, MSN

Services

Services available on site at Henry Wise Wellness Center with nurse practitioners include:

  • Pap smear and annual pelvic exams (with pap smear education classes prior to examinations)
  • Breast exams
  • Pregnancy testing
  • Care and support for women with menstrual problems
  • Treatment of vaginitis
  • Treatment of urinary tract infection
  • Sexually transmitted infections screening and treatment
    • Chlamydia
    • Gonorrhea
    • Syphilis
    • Herpes culture, if lesions present and if clinically indicated
    • HIV testing

Referral to Community Resources for:

  • HIV testing
  • Contraceptive services
  • Emergency contraception
  • Obstetrical care
  • Specialized gynecologic procedures

Counseling Services

  • Support and information for negotiating safer sex and choosing abstinence
  • Assistance in choosing a contraceptive method
  • Pregnancy testing and options counseling and referrals
  • Pap smear education
  • General health concerns

First-Time Visits

A first-time appointment for an annual exam will be 45 minutes long. The first 15 minutes will include pap smear education followed by a medical history form, pertinent information, and brochures. When you arrive for a pelvic exam, the nurse practitioner will review your medical history form. Be sure to mention any specific symptoms you have and ask questions about any special concerns. If you are not sexually active, this is an opportunity for you to become well informed before having to make decisions. Information will be offered regarding all methods of contraception. If you are concerned about sexually transmitted diseases, you can ask the practitioner to discuss your concerns. She will take your blood pressure and examine the breasts and abdomen. The pelvic exam will follow.

Confidentiality

Any information regarding services and appointments is kept strictly confidential. This information is not available to family, friends, or administration without your written authorization.


STI TESTING

The following sexually transmitted infections screening is available at Henry Wise Wellness Center:

  • Syphilis (blood sample)
  • Chlamydia (urethral for males or cervical swab for females)
  • HIV (blood sample collected by the Prince George’s County Health Department)
  • Gonorrhea (urethral or urine sample for males or cervical swab for females)
  • Genital warts (HPV) (Visual inspection and pap smear)
  • Herpes Simplex (if lesions present and patient symptomatic)

Condoms

A WORD OF CAUTION: Condoms are an imperfect prevention for herpes and genital warts. A large number of individuals will have lesions in the genital area in areas not protected by a condom from exposure. Oral sex without protection is another way of transmitting herpes.


PAP SMEARS

Guidelines 

A.   Initiation of Screening

  1. Start screening at age 21 years regardless of the age of first sexual intercourse.

B.   Frequency of Screening

  1. Age 21-29:  every 2 years.
  2. Age 30 and older: every years, if the person has had 3 consecutive cervical cytology results that are negative.
  3. Exceptions that may require more frequent screening:
  • Women who are infected with HIV

              Recommendation:  twice in the first year after diagnosis; annually thereafter

  • Women who are immunosuppressed (ex: transplant patients)
  • Women who were exposed to diethylstilbestrol in utero
  • Women previously treated for CIN2 , CIN3, or cancer

             Recommendation: Annually for at least 20 years after treatment

 

Source: Clinical management guidelines for obstetrician-gynecologist: Cervical cytology screening. ACOG practice Bulletin, December 2009. No.109

If you have any questions or concerns, please do not hesitate to call our office at 301-860-4170.


EMERGENCY CONTRACEPTION

Emergency contraceptive pills are not available in the Wellness Center.

The pill can be purchased over the counter at the pharmacy without a prescription. This service is available through the Healthy Teen Center at 301-324-5141. Although recommended to be given within 72 hours, recent published literature indicates that EC (emergency contraception) is effective even up to five days post-incident. The sooner it is given, the better. The number 1-888-not-2-late is a toll-free number that gives ECP options and resources.

When is emergency contraception appropriate?
No contraceptive method is 100% effective, and few couples can use their method perfectly every time they have intercourse. Emergency contraception provides an important safety net when:
  • A condom breaks
  • No contraceptive is used
  • A woman misses two or more contraceptive pills in a row or starts a new pack two or more days late
  • A diaphragm or cervical cap slips out of place
  • A woman is more than two weeks late for a contraceptive injection
  • Intercourse occurs unexpectedly and without contraceptive protection
  • A woman is raped
Emergency Contraception is not a substitute for regular contraceptive use. It is less effective than regular contraception (used correctly) and provides no protection from HIV or sexually transmitted infections (STIs). However, in emergency situations, it can play an important role as a backup for other methods. It is second-chance contraception.