Deschutes County Government, Oregon - DTHC more information

If you have had unprotected sex within the last five days and want the "Morning After Pill” also known as the ECP or Plan B
You want to start being on birth control
You want a refill of The Pill, Patch, NuvaRing
You want to change your birth control method
You want a Depo shot
You would like to take a pregnancy test
You need a Human Papilloma Virus (HPV) vaccine (Please make an appointment for this service).

Sexually Transmitted Disease or Infection Clinic:

You're in a new sexual relationship (both partners can get tested)
You would like to be tested for HIV
You want to be screened and have no symptoms
You need wart (HPV) treatment
You have experienced burning symptoms when urinating, unusual discharge, having to urinate more often, and/or you have swelling and/or pain in the testicles.
You have been notified by the Health Department that you have been exposed to a sexually transmitted infection (STI)

Different Types of Sexually Transmitted Infections (STIs)

Chlamydia is the most common sexually transmitted disease. Most people are unaware of their infection because often times it has no symptoms. If untreated, it can cause serious and permanent damage to your reproductive organs.

Type of infection: Bacterial

Symptoms: Burning sensation when urinating, abnormal discharge. Women have similar symptoms to a bladder or vaginal infection, vaginal bleeding between periods

Screening: Urine test for men, cervical swab for women

Treatment: Antibiotics

Genital Herpes (HSV-2 or Herpes Simplex Virus-2) can be transmitted from visual sores in the genital or oral area. It also can be transmitted when there are no visible symptoms.

Type of infection: Viral

Symptoms: Minimal symptoms but when they do occur, they appear as blisters on or around the genitals

Screening: Blood test. If there is an outbreak, the virus can be diagnosed with visual inspection and sampling the sore

Treatment: Viral infections are permanent once you become infected. However, anti-viral medications can shorten and prevent these outbreaks.

Gonorrhea , like Chlamydia also may not have signs or symptoms. If untreated, this bacteria could cause permanent health problems in both men and women.

Type of infection: Bacterial

Symptoms: Burning sensation when urinating; white, yellow, or green discharge. Women have similar symptoms to a bladder or vaginal infection, vaginal bleeding between periods

Screening: Urethral cotton swab for men, cervical swab for women

Treatment: Antibiotics

HPV (Human Papillomavirus or Genital Warts) affects at least HALF of sexually active men and women. While some people have visible warts caused by HPV, many carry the virus without knowing it and may infect their sexual partner.

Type of infection: Viral

Symptoms: Genital warts or no symptoms

Screening: If there are symptoms such as warts, HPV can be diagnosed by visual inspection. If there are no symptoms, there is no test for HPV in men. A pap test can be used to detect most types of HPV in women.

Treatment: Since it is a viral infection, once you’re infected you will always have it. However, visible infections such as warts can be treated with cream or freezing.

Prevention: There is also an HPV Vaccine available for women ages

13 to 26 and is most effective for preventing HPV if given before girls become sexually active.

STIs that are not as common in Deschutes County, but do occur:

Hepatitis (viral): Testing with blood draw and is untreatable. A vaccine is available to prevent infection.
Pelvic Inflammatory Disease: This condition is caused by complications of other STDs such as Chlamydia and Gonorrhea. Treatable with antibiotics but does not reverse damage that has occured.
Syphilis: Testing with blood draw and is a bacterial infection and treatable with antibiotics.
Trichomoniasis: Diagnosed via physical examination and lab tests and is treatable with medication.

What Does a Male STI Screening Involve?

All of the following screenings are available, but please specify which services you want to clinic nurse. Please read "Different Types of Sexually Transmitted Infections" below for symptoms of any of the following possible illnesses.

1. Chlamydia: Urine test (Required: do not urinate two hours before)

2. Gonorrhea: Urethral cotton swab

3. Hepatitis B/C: Blood draw

4. Herpes: Finger prick or blood draw or visual examination if you have

symptoms

5. HIV : Oral swab (Rapid testing-same day results). Conventional-blood draw or oral sample that is sent into a lab, results available in two weeks.

6. HPV (Genital Warts): Visual examination

7. Syphilis: Blood draw

What Does a Female Screening Involve?

All of the following screenings are available, but please specify which services you want to clinic nurse.

1. Bacterial Vaginosis: Vaginal examination

2. Chlamydia: Cotton swab of cervix

3. Gonorrhea: Swab of cervix

4. Hepatitis B/C: Blood draw

5. Herpes: Finger prick or blood draw or visual examination if you have symptoms

6. HIV : Oral swab (Rapid testing-same day results). Conventional-blood draw, or oral sample that is sent to a lab, results available in two weeks.

7. HPV (Genital Warts): Visual examination and Pap test

8. Syphilis: Blood draw

9. Urinary Tract Infection (UTI): Vaginal examination

Most Common Types of Birth Control Available at the Downtown Health Center:

How Much Do Services Cost?

The Health Department will never refuse services based on inability to pay and we charge on a sliding scale. We can bill for all services except for a Rapid Herpes test (10 minute test), which requires a $25 payment at the time the test is performed.
Birth control visits and annual exams can be covered by the Family Planning Expansion Project. To qualify for this program, you need to be a citizen and we need the following proof of citizenship:
- A passport or birth certificate AND photo ID
Methods of payment:
- Cash
- Check with proper ID
- Credit Card