Update – GYN Services

At this time we are offering limited gynecology services, including insertion of Long Acting Reversible Contraception (LARCs) like IUDs and Nexplanon that can be given under sedation and during a procedural abortion. We are also administering Depo Provera shots.

We are looking forward to providing further comprehensive GYN services again in the near future, and we will update our website when we do.

Pap Smear Guidelines

Pap Smear (cervical smear, or smear test) is a method of cervical screening used to detect potentially pre-cancerous and cancerous processes in the cervix.  The test may show abnormal results when a woman is healthy or normal results in a woman with cervical abnormalities — some 25% of the time. It may even miss up to 5% of cervical cancers.

AGOG Guidelines: How often should I have cervical cancer screening and which tests should I have?

How often and which tests depend on your age and health history
  • Patients aged 21–29 years should have a Pap Smear test alone every 3 years. HPV testing is not recommended.
  • Patients aged 30–65 years should have a Pap Smear test and an HPV test (co-testing) every 5 years (preferred). It also is acceptable to have a Pap Smear test alone every 3 years.

More information? Cervical Cancer Screening

Want to learn more? Check our Women’s Health Resources page


Treatment of Abnormal Pap Smear Results

Treatment Options
  • Retesting in 3 or 6 months
  • Colposcopy – with or without biopsy (FCHC does not offer this option at this time)
  • Cryosurgery (FCHC does not offer this option at this time)
  • Laser (FCHC does not offer this option at this time)
  • LEEP (FCHC does not offer this option at this time)

Preparation for IUD insertion

  • Appointments for IUD’s are best scheduled between day 5 and 9 of your cycle. (count the beginning of your cycle from the first day of your menstrual bleeding).
  • Plan to be at the center for 1 to 1 1/2 hours
BEFORE your IUD insertion appointment
  • Avoid sexual intercourse the day before insertion
  • Avoid douches 48 hours before the insertion
  • Avoid vaginal creams or medications one week before the insertion
  • Eat lightly prior to your appointment
  • Take Tylenol or Motrin 30 minutes prior to your appointment time
AFTER your IUD insertion appointment
  • Harmless spotting or bleeding and moderate to light cramping is possible immediately after; some women may need to use a sanitary napkin.
  • You should also be sure to comply with the Clinician’s instructions for follow-up visits.
  • Though you will immediately be protected it is suggested to refrain from Sexual Activity for 3 days.