College Office

Note: The services and information below apply to cisgender women. Screening for breast and cervical cancer as well as birth control are important concerns for many trans men as well. Trans women may also need to consider breast cancer screening. Please consult with your UHP Medical Services health care provider who can advise you based on your transition status.

Health Care Providers

Health care providers at UHP Medical Services include physicians board certified in family medicine and family nurse practitioners. They have the knowledge, skills, and experience to provide the routine women's health care services described below. When needed, our health care providers will refer students to obstetrician/gynecologists or other specialists in Bozeman.

Annual women's health exams are offered at UHP Medical Services. All sexually active women and all women age 21 years and older are encouraged to have an annual exam visit. At the annual exam appointment, the provider takes a detailed health history and makes an assessment of current health, risk for sexually transmitted infections (STI) and birth control needs.

The annual women's physical exam includes a general physical including an examination of the breasts and, if deemed necessary for your individual needs, a pelvic exam. The decision to do a pelvic exam, STI and pap testing is based on individual risk factors, current symptoms and current pap screening guidelines.

Women can also have screening blood and urine tests ordered as appropriate for her individual concerns. Older women are offered mammograms, bone density testing and colon cancer screening based on her age, risks and current screening guidelines.

For more information about women's health exams, go to:

www.4collegewomen.org/fact-sheets/firstgyno.html

Students can make an appointment for an annual exam by calling UHP Medical Services at 994-2311 or by visiting the Patient Portal.

Many women have questions about their breast health.  There is a wide range of normal breast sizes and shapes, as well as variations from month to month in healthy women.  It is important that all women are familiar with their breasts and are encouraged to perform self breast exams on a regular basis.  The breast exam is part of the woman's annual exam.  If you have concerns about your breast health, such as lumps, nipple changes, breast pain or other problems, please schedule an appointment with a UHP Medical Services provider to address these concerns.

UHP Medical Services offers counseling for and sale of all non-permanent contraceptive options.  We can refer students desiring permanent contraception (sterilization) to local providers who do offer that service.  The range of contraceptive options can be confusing and the decision is an important one.  We are happy to meet with you to discuss any and all of your birth control or contraception questions in order that you can make the best informed decision about your contraceptive needs.  The following chart provides an overview of current contraceptive options available as well their relative effectiveness.  Remember that only abstinence can claim 100% effectiveness, but used correctly, the following contraceptive options can provide safe and effective birth control for the sexually active couple.  Remember that condoms used properly are the only contraceptive method shown to reduce the spread of STI's.

Here is a list of options for contraceptive methods:

 

  • Hormonal methods (pills, patches, rings, implants and shots)
  • Condoms and other barrier methods
  • Diaphragm
  • Cervical Cap
  • Spermicidal
  • IUD (intrauterine device) or IUS (intrauterine system)
  • Withdrawal
  • Fertility Awareness (natural family planning)
  • Sterilization (vasectomy and tubal ligation)
  • Abstinence

 

For more information about Contraception please go the following links:

www.plannedparenthood.org
www.4collegewomen.org

Eating disorders affect many women in the US.  Often these disorders present themselves in the college age woman and pose a significant risk to her health.  If you or someone you know has an eating disorder, University Health Partners (UHP) provides competent and sensitive care for these individuals.  Please contact the UHP for an appointment to discuss your concerns and seek the help you need.  You can access care through UHP Medical Services at (406) 994-2311, UHP Nutrition Services at (406) 994-4380, or UHP Counseling & Psychological Services at (406) 994-4351.


For more information about Eating Disorders click on the following link:

www.nationaleatingdisorders.org

Emergency contraception is a safe and effective option to prevent an un-planned pregnancy.  This method, sometimes referred to as the morning after pill, consists of taking a progesterone hormone birth control pill called Plan B.  Plan B must be taken within 72 hours, or 3 days, after un-protected sexual intercourse.  Plan B is available without a prescription from the pharmacy at UHP and at most private pharmacies. Plan B is not recommended as a regular method of birth control. After using Plan B consider making an appointment to discuss your birth control needs to determine if a more reliable method will be appropriate for you in order to prevent future unprotected intercourse. Students can make an appointment by calling UHP Medical Services at 994-2311 or by visiting Patient Portal.

Plan B is not 100% effective, but if taken as directed within 72 hours of unprotected sex, can reduce the risk of pregnancy by up to 80%.  If you take Plan B and do not have a menstrual period within 4 weeks of taking it, please go to UHP Medical Services for a pregnancy test.  Note: Plan B is a contraceptive only.  It will not harm an already established pregnancy.

An understanding of normal female anatomy can help one better understand her health.  Humans come in all shapes and sizes, with characteristics that make each one of us an individual.  With this is mind, it is helpful to understand the reproductive anatomy of your body to better help you know what is going on with you health and to provide you with the knowledge so that you can better communicate your concerns with your UHP Medical Service provider.  If you have any questions or concerns about your body, please make an appointment with one of our health care providers to discuss your concerns.

The following diagrams provide basic anatomical drawings of the female reproductive organs:

Cross-Sectional View: 

Illustration provided by: Rolin Graphics

Front View

Illustration provided by: DeEtte M. DeVille, M.D.

Women and men can pass HPV to their sexual partners by having vaginal, anal or oral sexual activity. HPV can cause genital warts and almost all cervical cancer is caused by HPV infection. HPV can also cause cancers of the vulvar, vagina, mouth, throat, penis, anus and rectum.

The HPV vaccine Gardasil is available at UHP Medical Services. It provides protection from the two types of HPV that cause over 70% of cervical cancers and the two types that cause 90% of genital warts. The vaccine is recommended for women aged 9-26 years, but can also be given to women over age 29 and to men.

 The time in a woman's life after her last menstrual period is called the menopause.  For most women this occurs around age 50.  Some women experience menopause sooner and others later than age 50.  Some women experience symptoms during the 5 to 10 years prior to menopause (the peri-menopause) that can cause them to seek the advice of their health care provider.  Some of these symptoms might include night sweats, hot flashes, trouble sleeping, irregular or changing menstrual patterns, mood changes, vaginal dryness, and breast changes. There are some things you can do to remain as healthy as possible during and after menopause.  Eating a diet that includes 1200 to 1500 mg of calcium per day, avoiding all tobacco, minimizing alcohol use, getting regular exercise and sleeping 8 hours per day can do much to promote optimal health in the menopausal woman.  Annual women's health exams, breast exams and mammograms screen for early disease and allow an opportunity to discuss a woman's individual health concerns.  If you have any concerns or questions about menopause or the peri-menopause, your UHP Medical Services health care provider is available to help you.  Please call for an appointment to discuss your concerns.


The following link provides more information about specific menopausal topics:

 Many women have questions regarding their menstrual cycle.  Health care providers at UHP Medical Services are available to answer and address your concerns.

Knowing what a normal menstrual cycle is can be very helpful.  A typical healthy young woman will have a menstrual period about every 28 to 32 days.  The length of the cycle is counted from the first day of bleeding until the next month's bleeding begins.  The number of days a woman bleeds can range from 1 to 8 days. Some women experience menstrual cramps with their periods.  These cramps can range from mild to severe (dysmenorrhea). Severe menstrual cramps can be very difficult to deal with and pose a significant health concern for women who suffer from them.  Some women also experience significant mood disorders such as depression and anxiety associated with their menstrual cycle or the 2 weeks prior to bleeding.  This condition is sometimes referred to as Premenstrual Syndrome or PMS (Link).  Other menstrual problems can include heavy bleeding, irregular periods, bleeding in between periods and late periods.  In young women the most common reason for a late or irregular period is pregnancy.  It is important that you talk to a health care person if you are experiencing any problems with your menstrual cycle or period.  Your UHP Medical Services health care provider can help you with your menstrual concerns, please contact us for an appointment.

For more information about menstruation you can access this site:

Women's Health

College can be a stressful experience and a time of growth and change. Depression, anxiety and other mental health concerns can occur or worsen during these years.  University Health Partners can help in several ways.  Individual and group counseling is available through UHP Counseling and Psychological ServicesThe VOICE Center provides support and information about sexual violence, relationship violence, and stalking. 
For information about nutrition, please visit the UHP Nutrition Services web site.
Osteoporosis is the gradual thinning and loss of bone that most commonly occurs with aging and menopause. Other causes can be eating disorders, medications, and problems with glands such as the thyroid. If you have questions or concerns contact the UHP Medical Services for an appointment.

Pap Smear screening tests usually are done at the annual women's health exam. The test looks for changes of the cervix caused by Human Papilloma Virus, HPV infection. The first Pap test is recommended for women at age 21. Pap tests are then generally done every two years until a woman is 30 years old. After age 30, Pap testing is individually recommended based on Pap testing history.

Students can make an appointment for an annual exam and Pap testing by calling UHP Medical Services at 994-2311 or by visiting the Patient Portal.

Premenstrual syndrome is a cluster of symptoms that can occur in the week or two before the menstrual period. These symptoms include  bloating, breast tenderness, headaches, irritability, moodiness, food cravings. Sometimes symptoms can be severe and interfere with school or activities. Sometimes lifestyle modification, dietary changes can be helpful. Medications are used for severe cases. If you have concerns or might need treatment, call UHP Medical Services for an appointment.

 

For more information on premenstrual syndrome visit Women's Health

Premenstrual syndrome is a cluster of symptoms that can occur in the week or two before the menstrual period. These symptoms include  bloating, breast tenderness, headaches, irritability, moodiness, food cravings. Sometimes symptoms can be severe and interfere with school or activities. Sometimes lifestyle modification, dietary changes can be helpful. Medications are used for severe cases. If you have concerns or might need treatment, call UHP Medical Services for an appointment.
Testing for pregnancy can be done by blood or urine testing and is available at UHP Medical Services. Call 994-2311 to schedule an appointment.  UHP Medical Services does not provide ongoing pregnancy care but can conduct an initial exam and labs and refer you to a local provider for your prenatal care. UHP Medical Services does provide counseling about options available to students if an unplanned pregnancy occurs.