Gettin' some doesn't come cheap.

With the latest events surrounding Planned Parenthood, I’ve been thinking a lot about how much it costs to be responsibly sexually active. Birth control, condoms, PAP smears, STI tests, and Plan B — it adds up fast!

In Canada, the cost of medical tests are usually covered under our provincial health care. As far as birth control goes, my school’s health insurance plan covers the vast majority of the cost every month, leaving me to pay a tab that usually ends up anywhere between $3 and $5.

But for Americans without access to insurance or an institution like Planned Parenthood, the cost of having a healthy active sex life can be huge. Prices tend to vary from place to place, but according to the Planned Parenthood website, here are some ball-park figures of how expensive it is to get sexy:

Standard medical exam (needed in order to receive a BC prescription): $35-$250

The Pill: $15 – $50 per month

NuvaRing: $15 – $70 per month

Depo-Provera: $35 – $75 per injection (4 injections per year)

Ortho Evra (the patch): $15 – $70 per month Read More »

There’s a lot of things that come with having a grown-up, healthy sex life. Our sex ed classes were taught by those who preached about “sexual health,” but never really explained what that meant. Does it just mean going to the doctor or are there more things that can fall under the umbrella of “sexual health”?

There’s a lot more to leading a healthy, sexually active life than just visiting the doctor (though, we’ll talk about that too), so let’s take a look at what we can do to live those sexually healthy lifestyles we’re always told about.

Be honest with yourself and your partner. Are you ready to be having sex? Have you thought about the possible long-term implications and responsibility that comes with being sexually active? The important answer here isn’t just whether it’s yes or no – but it’s that you stay true to whatever that answer is. If being sexually active isn’t in the cards for you at the moment, be honest about it, own it, and don’t ever do anything you don’t think you’re ready to do.

Get on birth control. If and when you decide you’re ready to get naked with another person, you must get yourself on some form of birth control. There is no excuse for not using protection, and unless you’re planning on having a child anytime soon, it’s best to get yourself on birth control stat. If, for some reason, being on hormonal birth control isn’t an option for you, check out responsible alternatives such as condoms (which you should be using with BC anyways), or IUDs. (Editor’s Note: Seriously, ask your doc about an IUD. It’s the best thing I ever did.) Read More »

No matter how you slice it, visiting the gyno is awkward. Not only do you have to expose yourself in the most unflattering way to your doctor (and the nurse who is required to be in there), but you gotta do it while he or she makes small talk from between your legs.

“How’s your day?”
“How are classes going?”
“How many sexual partners have you had?”

[Cue the look of disappointment and the lecture on safe sex.]

I don’t know about you, but whenever I walk into my gyno’s office I always feel the need to prepare her for what she’s about to see. “Uh, just so you know, it’s winter so, uhhhh, yeah, I haven’t really done much, uhhhh, maintenance down there in, erm, a few months.” She promises me she’s not looking and that she’s seen it all before and then she comes at me with some metal tools, one of which looks eerily similar to that thing you use to clean the toilet. And then it’s done. You put on your pants, she bids you adieu and you’re on your way….with a little less pep in your step than on your way in.

But sometimes things get even weirder (how could they not when you’re spread eagle with your junk in someone’s face?), like my most recent appointment involving a doctor who left me to grab a phone call mid-exam. (Let’s just say it was windy down there.) It was traumatizing, but upon telling my friends the story (who all thought it was just HILARIOUS), I learned that everyone’s had a particularly uncomfortable trip to the gyno. And I wanted to hear them. So this week I asked the CollegeCandy writers to share their most awkward and traumatizing gyno experiences. Hard to believe, but reading these hurts me more than an actual appointment. Read More »

Got a health question? Don’t trust those “Doctors” at the University Health Center? Are you scared of Web M.D. because it always tells you you’re gonna die? Ask a real doctor, like our friend Dr. Lissa Rankin. She’s here every Thursday to answer whatever you throw at her – like post-sex soreness – so ask away. Leave your question in the comments or send it over to us. Don’t be shy; she’s waiting for ya!

Q: I found out that I have HPV. So, having sex with my boyfriend, does that mean he has HPV too? And if either of us perform oral sex – can the warts then be transferred to our mouths? Will this lead to cancer? On the paper I got back from the doctor it said to come back in 12 months for another pap smear; will it get worse by then? I’m nervous.

A: HPV can be a sneaky bastard. Unlike sexually transmitted infections like gonorrhea and chlamydia, HPV can hang around, unexpressed and asymptomatic, then suddenly rear its ugly head with little warning. Chances are that your partner also has HPV. In fact, chances are good that your boyfriend gave it to you. But it’s possible you could have contracted it from a prior partner and that he doesn’t have it. No way to know for certain, so the best strategy is to behave as if he doesn’t have it, just to protect him.

It’s unclear to me whether you have warts already or whether your HPV just came up on a pap smear. If it’s just a pap smear, chances are good that you carry the type of HPV that causes abnormal paps and cervical cancer, but not genital warts. The good news about this for your partner is that these strains of HPV tend to cause nothing in guys (which is why guys are passing it around like candy. They don’t even know they have it). Read More »

"What the eff am I supposed to do with a pap smear?!"

Oh, how I love Christmas morning.

There’s nothing quite like waking up to the smell of slow-roasting, honey-baked ham and my dad’s own personal off-key rendition of “Chestnuts Roasting on an Open Fire.” But, let’s be honest, as much as I love food/my family/blah blah blah, I (like most of you reading this) like getting presents the most. But, if there’s one thing I’ve come to learn in my 23 yrs. as an expert-present-opener, it’s that some presents (or maybe, some people?) just SUCK, plain and simple.

Believe me, as a poor college girl, there’s almost nothing I won’t take (or take and then pawn), but there are some presents that even I wouldn’t appreciate hiding out under my (fake) Christmas tree. Read More »

As you may or may not know, there was a recent recommendation made regarding how often women should be getting pelvic exams. Since most of us are used to getting them yearly and the new recommendation is to get them every 3 years, I asked Dr. Lissa Rankin what she thought. Here is what she has to say:

The American College of Obstetricians and Gynecologists recently announced new recommendations that cut back on Pap smear screening. Why are we recommending cutting back on women’s health screening? Let me fill you in on the news.

New Pap Smear Guidelines:

1. Instead of recommending that Pap smear screening begin after you’re sexually active, new guidelines say that even a sexually active 13 year old should wait until 21 for her first Pap.
2. After 21, Pap smears are recommended every 1-2 years until age 30.
3. After 30, if you’ve had three consecutively normal Pap smears with no history of a seriously abnormal Pap, new guidelines say you only need to do Paps every three years.

Why the Change?

There is evidence to support the changes.  The truth is that you’re unlikely to go from having a normal Pap smear to having cervical cancer in 3 years, even if you contract HPV. Because cervical cancer grows slowly, it’s still likely to be precancerous by the time it gets picked up. And yearly screening does increase the number of procedures performed, and some of those procedures can affect fertility and pregnancy in rare cases.  Plus, cutting back on Pap smears saves health care dollars. And if we’re not saving lots of lives and potentially causing harm by implementing procedures that may not be necessary, why do annual Pap smears? Read More »

"Hm. Maybe this job is better suited for a lady?"

[It's pretty obvious that the average CollegeCandy reader has some very strong opinions. Opinions that she likes to share with everyone on the site. We love a strong woman, so we thought we'd give her a real forum to discuss her thoughts, feelings, and perspectives. Every Friday I'll be featuring a hot topic (like the first-semester boyfriend!) and leaving it up to you, the readers, to duke it out. So, read it and get your debate on in the comments section below!]

Ok, let’s be honest, no one likes going to the doctor. Throw in a paper gown, putting your legs in stirrups and a “spreader” and it’s no surprise that a lot of us avoid going to the gynecologist like a plague of genital warts. But the truth is that there’s no way to really be in charge of your sexual life unless you bother to stay sexually healthy, and the lady-parts doctor is a necessary part of that.

While we try to give you hand with some of those problems here at College Candy, one of the biggest obstacles between “tear-my-hair-out terrifying” and “not my favorite thing, but bearable” is finding a down-there doctor you like, trust and feel comfortable around – and not surprisingly, a big factor for a lot of ladies is their doc’s gender. Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: This is a really gross question, but I have to ask someone.

I discharge…a lot. And it’s not just around the time of my period. It’s random and plentiful. Ew. Anyways, I don’t know what to do about it or if it’s caused by something serious? Help. I’m afraid to be with a boy because he’ll be super grossed out.

A: This isn’t gross, sweetie. It’s your body, and discharge is a normal part of being a woman. But I wish I had more information. Is your discharge white, clear, or greenish? Does it have an odor- like fish or fresh bread- or is it odorless? Do you have any vaginal itching or burning? Is it there all the time, or just in the second half of your cycle? Have you been checked for sexually transmitted diseases (STD’s) like gonorrhea and chlamydia?

Without knowing those answers, it’s hard for me to comment on your specific situation. If you haven’t seen a doctor about this issue, it’s time. Go in, let your gyno take a gander, and make sure you’re not missing something. Sometimes, an increase in vaginal discharge is the only sign we have that something’s going on down there. Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: I recently found out that I have HPV. I was so shocked and upset by the news that I couldn’t really think of anything to ask my doctor. So, I was wondering what I should do. This was the first time I’ve ever been tested, so do I have to tell every guy I’ve ever been with (even those I didn’t actually have sex with)? And do I have to tell all future partners?

A: First of all, I’m sorry you have Human PapillomaVirus (HPV). If it makes you feel any better, I have had it too. You didn’t say whether your HPV is the type that causes genital warts or abnormal pap smears (they tend to be different strains but may travel together). But I’d be happy to educate you about HPV in general, since you were too freaked out to ask your doc. Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: This may sound really dumb, but when my doctor asks me if I’m sexually active, I never know how to answer. Have I had sex before? Yes. Am I having it now? No. (But I wish I were…) When I have it, is it with the same person? No. How do I answer this and, even more, is she judging me when I answer truthfully?

A: I know how confusing that question can be.  I once asked a woman if she was sexually active and she said no. I then discovered she was pregnant and confronted her. She said, “Well, I only have sex five times/week. I don’t think that’s very active.” So yes, the word “active” can be misleading.

When we docs ask if a woman is sexually active, here’s what we’re trying to figure out. Read More »