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Disa Health Care Clinic
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#Abortion   #Abortionpills   #Cytotec   #Medicalabortion  

Who should not take the Abortion Pill?
Some women should not take Medical Abortion Pills.
Do not take Abortion pills if you:
• Have a pregnancy that is more than 63 days (9 weeks). Your healthcare provider may do a clinical examination, an ultrasound examination, or other testing to determine how far along you are in pregnancy.
 • Are using an IUD (intrauterine device or system). It must be taken out before you take Mifepristone.
 • Have been told by your healthcare provider that you have a pregnancy outside the uterus (ectopic pregnancy).
 • Have problems with your adrenal glands (chronic adrenal failure).
 • Take a medicine to thin your blood.
• Have a bleeding problem.
 • Have porphyria.
 • Take certain steroid medicines
• Are allergic to mifepristone, misoprostol, or medicines that contain misoprostol, such as Cytotec or Arthrotec. Ask your healthcare provider if you are not sure about all your medical conditions before taking this medicine to find out if you can take Mifepristone.

www.safersex.co.za

 

#MedicalAbortion #Pillabortion #Abortionpills #Mifepristone #Misoprostol #Cytotec

Medical abortion—also called medication abortion or the abortion pill—is a method of using pills to end a pregnancy through a process similar to a miscarriage. Like vacuum aspiration, medical abortion is very safe and effective. It also offers unique advantages. It provides a noninvasive method of ending an unwanted pregnancy that women can use in a range of settings, and often in their own homes.

The most effective medicines for inducing abortion are mifepristone and misoprostol used in combination. Medical abortion is especially promising for women most at risk of turning to dangerous or ineffective abortion methods, and for those for whom cost, distance or other factors make reaching other abortion services difficult or impossible. Millions of women around the world have already chosen this proven technology.

Contact us at: disa@icon.co.za or 0117871222

#Abortion #Womensclinic #Womenshealth #Terminationofpregnancy #Medicalabortion

When are abortions performed?

Abortions have been legal in SA since 1996. Abortions are performed when a pregnant woman asks a doctor to terminate her pregnancy and a doctor agrees to it. In general, an abortion is requested when a woman is not able to accept the unwanted pregnancy and the prospect of having a child.

There are usually several reasons why women decide to have an abortion. Some of these are:
•not being ready to raise a child
•lack of partner's support, absence of a partner, being in an abusive relationship
•need to complete education or keep a job
•having to raise other children
•financial situation and the lack of social support
•health problems
•pregnancies caused by incest or rape
•foetal abnormalities

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#STI #Sexuallytransmittedinfection #STD #Womensclinic #DISAclinic #

Every year, nearly 20 million new STIs occur in the United States, half of which infect young people ages 15-24. Yes, half. There’s no need to be alarmed, but it is important to be aware. Understanding the following will make it a little easier to spot the early signs of STIs, and help you take control of your own sexual health, while simultaneously being considerate of existing or potential partners. Remember, the best way to avoid contracting/passing on an STI is to 1. use condoms/dental dams 2. get tested regularly if you are sexually active, especially with several partners, and 3. communicate honestly with your partner.

What is a Sexually Transmitted Infection (STI)?
An STI is an infection passed from one person to another via sexual contact with genital, anal and oral areas. Because many people who have STIs don’t have obvious symptoms, it’s important to always have safe sex.

How are STIs caused?

STIs are caused by the spread of bacteria, viruses or parasites. Chlamydia, gonorrhea and syphilis are caused by bacteria. AIDS, genital herpes, hepatitis, genital warts, and cervical cancer are caused by viruses. Trichomoniasis and pubic lice are caused by parasites.

Do STIs have symptoms?

Not always. That’s why STIs can only be diagnosed through testing. However, common symptoms to watch out for include:
◦a burning sensation when urinating
◦pain during sex
◦unusual bleeding from the vagina after sex or between periods
◦unexplained fatigue, night sweats, and weight loss
◦sore throat, swollen glands groin or neck area, fever, and body aches
◦unusual discharge from the vagina, penis, or anus
◦itchiness around the genital area
◦rashes, sores, or small lumps on or around the penis, vagina, or anus

Avoiding STIs

Other than abstaining from sex entirely, internal and external condoms offer the best protection against STIs. A dental dam, which is a thin square of latex, can be used to prevent the spread of sexually transmitted infections during oral sex. Dams should be placed on the vulva or anus when the mouth, lips, or tongue are used for sexual stimulation. This barrier method keeps partners’ body fluids out of each other’s bodies and prevents skin-to-skin contact. The Sheer Glyde dam has been approved by the FDA for safer sex. They are even available in a variety of “fun and fruity” colors and flavors. You can also create your own dental dam using non-microwavable (nonporous to prevent bacteria and viruses from passing through) Saran Wrap, an internal or external condom that has been cut open, or a latex glove with the fingers cut off and one side cut down. Note: These methods are only effective when they cover the infected area. That’s why it is critical to swap sexual histories with your partner. It may feel awkward to ask your partner, but it’s totally a totally normal, healthy, and important conversation to have (#respect).

Can people who don’t have sex with multiple partners still get STIs?

Yes. Even if you’re currently in a monogamous relationship, you or your partner might have been previously infected without knowing it. Since STI symptoms may not show for months or even years or not at all, the only way to be sure you’re STI-free is to get tested.

I’m in a long-term relationship. Do I still need to use a condom?

The choice is yours. If you’re in a long-term relationship and prefer to have sex without condoms, we suggest that you and your partner(s) get tested first. If you’re nervous, go together! It could be a fun little date, and takes the pressure off each individual. Keep in mind that condoms not only help prevent the transmission of STIs, but protect against a potential pregnancy if a female-bodied partner is involved. Of course, there are other birth control options to explore, but only condoms prevent STIs.

Here are the most common STIs, explained:

Chlamydia

Chlamydia is the most common STI that can easily be cured. Unfortunately, many people don’t develop symptoms, but they can still infect others via sexual contact. Symptoms may include genital pain and discharge from the vagina or penis. Diagnosing chlamydia is done by taking a swab of the affected area or with a urine test. Chlamydia is easily treated with antibiotics, but left untreated can lead to serious long-term health complications, including infertility and chronic pain.

Genital warts

Caused by the human papilloma virus (HPV), genital warts are bumps or skin changes that occur on or around your genital or anal area. The warts are normally painless, but you may experience redness or itching. Occasionally, genital warts bleed. Because HPV is spread by skin-to-skin contact, you can skill pass the infection by rubbing without having penetrative sex. Treatments available for genital warts include creams and cryotherapy.

Cervical dysplasia (abnormal pap smear)

Cervical dysplasia is found by a Pap test. It’s most often caused by the human papilloma virus (HPV) and may lead to cervical cancer if not treated. Most of the time, this condition causes no symptoms. It either can be treated or help prevent cervical HPV infections by getting an HPV vaccine.

Genital herpes

A common STI marked by genital pain and sores, genital herpes is caused by the herpes simplex virus (HSV), which is a type of the same virus that causes cold sores. Some people develop small, painful blisters or sores only a few days after coming into contact with the virus. However, months to years after you’ve been infected, certain triggers can reactivate the virus, causing the blisters to develop again. Currently, there’s no cure for genital herpes, but outbreaks can be controlled using daily antiviral medications.

Gonorrhea

Gonorrhea is a bacterial STI, in which at least half of females and many males experience no symptoms. When present, symptoms include painful urination and abnormal discharge from the vagina or penis. Diagnosed by a swab or urine test, gonorrhea can be treated with antibiotics. Left untreated, gonorrhea can lead to infertility and pain in the pelvic area.

Syphilis

Syphilis is a bacterial. It is simple to cure when treated immediately, but is infection that can have extremely serious complications when left untreated. Syphilis develops in stages, and symptoms progress with each stage. The first stage involves a painless sore on the genitals, rectum, or mouth. The second stage is characterized by a rash on the hands and feet. The final stage usually occurs many years later, and can result in heart problems, paralysis and blindness. When syphilis is treated properly (with antibiotics), the later stages can be prevented. Testing for syphilis usually requires a sample of blood or in rare instances spinal fluid.

HIV

Commonly transmitted by having unprotected sex or coming into contact with infected blood (for example, sharing needles to inject drugs). HIV virus attacks and weakens the immune system, our body’s natural defense against illness. Even though there’s no cure for HIV, there are daily treatments that allow most people to live an otherwise healthy life. People with an initial HIV infection may feel healthy or experience a flu-like illness. Blood and saliva tests are normally used to test for HIV. The CDC estimates that more than one million people are living with HIV in the United States, with 1 in 8 remaining unaware of their infection. All the more reason to go get tested!

Trichomoniasis

Caused by a small parasite, trichomoniasis causes foul-smelling vaginal discharge, genital itching, and painful urination in women. Males generally have little or no symptoms. For pregnant individuals, complications include a risk of premature delivery. Treatment involves both partners taking antibiotics.

Pubic lice

Pubic lice (often called “crabs” because they look like crabs under a microscope) are six-legged creatures that typically infest hair in the pubic area, although they also can attach themselves to other body hair. Pubic lice are easily passed through close genital contact. It may take weeks before experiencing itching. Pubic lice can usually be successfully treated with over-the-counter creams or shampoos.

How often should I get tested?

Under 25, if you have sex, you should get tested every year. 25 and up, if you have sex (oral, anal, or vaginal sex), and have any of these apply to you, get tested if you have…
◦a new sex partner
◦more than one sex partner
◦a sex partner with multiple sex partners
◦a partner with a sexually transmitted infection

If you test positive for chlamydia or gonorrhea, you should be retested 3 months after having treatment to ensure that you are no longer infected.

The Center for Disease Control recommends testing for HIV at least once between the ages of 13-64. You should get more frequent testing if you…
◦are a male who has had sex with another male
◦had sex—anal or vaginal—with an HIV-positive partner
◦had more than one sex partner since your last HIV test
◦have injected drugs and shared needles or works (for example, water or cotton) with others
◦have exchanged sex for drugs or money
◦have been diagnosed with or sought treatment for another sexually transmitted disease
◦have been diagnosed with or treated for hepatitis or tuberculosis (TB)
◦have had sex with someone who could answer yes to any of the above questions or someone whose sexual history you don’t know

If any of these criteria apply, you should get tested at least once a year for HIV.

How do I tell my partner(s) I have an STI?

First of all, relax. Knowing your diagnosis means you can seek treatment. As we like to often say, knowledge is power. It is important to tell your present and past partner(s) if a test comes back positive, as their health is at risk, and they need to be informed to maintain their well-being. If the roles were reversed, wouldn’t you want to know? (#goldenrule) If you contract something that is incurable, it is important to tell all future partners as well. Note: Not telling a partner about a confirmed diagnosis is a criminal offense in some states.

You may be fearful of rejection or embarrassment. What if they blame me, or think I’m weird? Fortunately, most STIs are easy to cure, and all are manageable to treat. Also, remember that 20 million number at the beginning? While we hope this statistic starts going down soon, STIs are hella common! The best option to approach the conversation is to be direct, honest, and open to (respectful) questions and concerns. If you don’t know the answer, look it up together, or give them the space they may need. It is also helpful to provide suggestions for where to get tested.

If you need more information on sexually transmitted infections, STI testing, or how to handle common excuses for not wearing condoms, talk to your doctor or visit your local health clinic. For more information you can look at the CDC website or the DISA clinic site www.safersex.co.za or call us on 0117871222

Just because you’re young doesn’t mean you’re invincible. Be safe, stay smart, get tested, and talk to your partner(s)! And remember, life with an STI is manageable. Don’t be scared by social stigmas and go get tested!
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#Discharge #Womenshealth #Gynaecology #Womenclinic

Vaginal Pain & Discharge

Vaginal discharge can be a distressing problem not only because of the discomfort it causes but also for the simple fact that it is connected with our most intimate parts. Most women generally make an assumption that they have a thrush infection and will buy over the counter medication. In most cases this is good practice and will help to relieve the symptoms.

Thrush, yeast or candida infection is however not the only reason for vaginal discharge, discomfort, abnormal smell or irritation. Other causes may be bacterial vaginosis, gonorrhea or herpes infection or dermatitis. If in any doubt, it is always best to have a thorough examination to establish an accurate diagnosis.

Send an email to disa@icon.co.za
or call the clinic on 0117871222

#Vaginismus #Womenshealth #Botox #Dyspareunia

What is Vaginismus?

Vaginismus, sometimes anglicized "vaginism" is the German name for a condition which affects a woman's ability to engage in any form of vaginal penetration, including sexual intercourse, insertion of tampons, and the penetration involved in gynecological examinations. This is the result of a conditioned reflex of the pubococcygeus muscle, which is sometimes referred to as the "PC muscle". The reflex causes the muscles in the vagina to tense suddenly, which makes any kind of vaginal penetration, including sexual intercourse, painful or impossible. This is often distressing and the results of treatment are variable. Recently we have used Botox injection in order to relax these muscles. Success rate 70—80%.

Send an email to disa@icon.co.za or call the clinic on 0117871222

#HIV #STI #STD #Sexuallytransmitteddiseases #AIDS #DISAclinic

How to talk to your partner about STI’s, including HIV

There is no A-B-C method of how to ask a partner if s/he has a sexually transmitted infection or STI, including HIV. Keep this in mind: one of the most common symptoms of an STI is no symptom, so your partner-to-be may not even be aware of infections they carry. Even with HIV, many people live for many years without knowing they are HIV positive, unless they get tested. For this reason, in addition to asking, you both may want to consider getting tested if you haven't done so recently or if you've had any exposures. Communicating about STIs and HIV before you're in bed together is also a good idea because when you're aroused, and perhaps not thinking as clearly as normal, your partner could be inclined to assure you they had no infections, just to 'get the show on the road.'

Some tips for your conversation. First, you can consider when and how comfortable you are about bringing up the STI discussion. It may be that it's something that's not discussed the first few times you have sex — you both just automatically choose to use condoms. . Or it may be that you're a more verbal person, and need to talk about STIs and HIV early on in a relationship.

Whenever you talk:
• Use language you're comfortable with.
• Be as direct as possible, knowing that it may be a little awkward (Can you find the courage to embrace and move through the awkwardness? Give it a try!).
• Be yourself.
• Stress that you care for your own and your partner's health, and you believe that these conversations are an important part of any relationship.
• Ask for details — has your partner ever been tested? How does s/he feel about testing?
• Pick a time and place where you won't be interrupted or disturbed, and when you're not sexually engaged.
• Have some suggestions ready for how you can learn more about your sexuality and sexual choices together as a couple. Ideas include going to a bookstore to read up on sexual health books and reviewing pamphlets from a health centre. Or, you can make an appointment together to see a health care provider to discuss your safer sex options.

Many couples say that they use condoms regardless of their partner's history, and that's how they avoid the awkwardness of this discussion. However, if you're interested in developing a relationship with increased intimacy over time, it's a good idea to discuss STIs and HIV at some point. It doesn't have to be a trust issue, or a discussion of past relationships and promiscuity or prudence, but more a look at the future and caring for yourselves enough to protect each other.

Contact us at DISA clinic :
disa@icon.co.za or 0117871222

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#Abortionpill #Medicalabortion #Cytotec #Terminationofpregnancy #Unwantedpregnancy #Sonar #Womensclinic #DISAclinic #Misoprostol
#Termination #

1. How early can I have a medical abortion?
Medical abortion may be performed from 5 weeks gestation to up to 9 weeks gestation.

2. How effective is medical abortion?
It is an alternative to surgical termination of pregnancy. Medical abortion is a safe and effective way of terminating a pregnancy in its early stage.

3. How is a medical abortion performed?
You will be prescribed (by a Dr) medications to take which will cause an abortion. You would take the first medication at an appointment and the second medication 48 hours later at home. The process should be explained to you in full at your appointment, along with any side-effects the medications may cause and any possible risks and signs of complications. You will need to attend the Clinic for another appointment and Ultrasound scan 7 - 10 days later.

4. Who will perform my termination?
A doctor is required to prescribe the medications used in medical termination.

5. How will I feel emotionally?
For many women, making the decision to seek help regarding abortion is relatively straightforward. However, for others abortion is an issue that is fraught with complexities and the decision to undergo the procedure causes much anxiety. It is not an easy decision.
While most women feel relief following an abortion and are able to move forward, some may feel a sense of loss or sadness and can experience the following:
•numbness and emptiness
• false euphoria
• the need to keep excessively busy
• general depression
• sudden bouts of crying
• anger and/or guilt
• sexual or relationship difficulties

6. Will talking about it help?
The majority of women feel that talking through their feelings with their partner, friends, family or doctor is usually all that is needed. However, some women may not have anyone they can easily talk to, or they may think that others will pass judgment, and therefore feel very isolated; right at the time support from others is needed.

By acknowledging and accepting unexpected reactions and unresolved feelings towards the abortion, most women find they are able to work through these in a positive way.

This is where post-abortion counselling can help and you should seek assistance from any of the sources suggested below.

7. How much does post-abortion counselling cost?
The cost of post-abortion counselling varies. Some agencies are government funded with no fee and some charge a minimal cost for post-abortion counselling.

8. How long will I need to take off work?
This is entirely up to you. If you have a physically demanding job you may want to take a few days off. A lot of women return to work on the day following an early termination.

9. What about future contraception?
It is very important that you are aware you could conceive immediately after your abortion. We therefore strongly advise that you decide on a suitable contraceptive method as quickly as possible. You will be given advice on your options and how soon you can start the different contraceptive methods during your consultation. Your options include: The contraceptive pill, an IUD or IUS, or a contraceptive injection.

Contact us at disa@icon.co.za
0117871222
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#Chlamydia #STI #Sexuallytransmittedinfections #STD #Womenshealth #Womensclinic

What is Chlamydia?
• Chlamydia trachomatis is a sexually transmitted bacterial infection.
• In males it infects the urethra (tube inside the penis) and in women it infects the urethra and cervix (neck of the womb).
• It can also infect the rectum and sometimes the eyes and throat.

How does someone get Chlamydia?
• Chlamydia is transmitted through contact with genital fluids from the penis and vagina.
• If you have vaginal sex or anal sex without a condom you may become infected. Sometimes oral sex can transmit the bacteria.
• Other sexual practices such as mutual masturbation or fingering may also result in the spread of infection.
• Chlamydia can be passed from mother to baby during birth. The baby may develop an eye or lung infection as a result.

What are the symptoms?
• Many people do not develop any symptoms from a chlamydia infection.
• It can remain for months or even years if it is not treated.
• Chlamydia can be transmitted to others whether a person has symptoms or not.
• Symptoms for men can include:
o Soreness or redness at the opening of the penis
o Discomfort when passing urine
o Clear or whitish discharge from the penis.
• If not treated, chlamydia can spread to the testicles, leading to pain and swelling.
• It may occasionally cause infertility in men.
• Sometimes a condition called Reiter’s disease or Sexually Acquired Reactive Arthritis (including arthritis, conjunctivitis and urethritis) can occur, causing inflammation of eyes, skin and joints.
• Many men do not have any symptoms.
• Symptoms for women can include:
o Unusual vaginal discharge
o Unusual vaginal bleeding, especially after sex
o Lower abdominal pain, including pain during sexual intercourse
o Discomfort when passing urine.
• Most women do not have any symptoms.
• If not treated, chlamydia may spread into the uterus (womb) and tubes resulting in Pelvic Inflammatory Disease (PID), a condition that may cause infertility.
• Both men and women can have infection with chlamydia in the rectum if they have anal sex. This may cause rectal discharge or discomfort, but often no symptoms occur.
• Chlamydia infection of the throat may occur, but is uncommon and usually does not cause any symptoms.

How do I know if I have Chlamydia?
• The best way to find out if you have chlamydia is to have a sexual health check-up.
• Women need to have an examination if a full check-up is being done but sometimes just a urine sample is enough.
• Men need to give a urine sample to test for chlamydia.
• If rectal infection is suspected, a swab is taken from just inside the anus.

How is Chlamydia treated?
• Chlamydia is easily treated with antibiotic tablets.
• This may be a 7-day course or a single dose treatment.
• It is important to finish all the antibiotics; otherwise the infection may not be properly treated.

Does my partner need treatment?
• If you have had sex without a condom with your sexual partner(s) it is very likely that they are infected with chlamydia.
• It is important that they have a sexual health check-up and treatment for chlamydia even if they have no symptoms and even if they have a negative chlamydia test.

Important advice for someone infected with Chlamydia?
• Finish all the antibiotics – symptoms may resolve in a few days but the bacteria may still be there.
• Sexual intercourse without a condom during treatment should be avoided because the infection can still be transmitted.
• If you receive single dose therapy you should avoid sex without a condom for 7 days after treatment and until 7 days after your partner(s) have been treated.
• If you are using a combined oral contraceptive pill you need to use a condom for 14 days as antibiotics can affect the reliability of the pill. Ask your doctor or nurse if unsure.
• We recommend you have a chlamydia test as part of a sexual health check-up 3 months after you have completed treatment to check you have not been re-infected.

This information is not intended to replace the need for a consultation with your doctor. All clients are strongly advised to check with their doctor about any specific questions or concerns they may have. Contact the clinic 011-7871222 or email disa@icon.co.za


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