We work closely with community partners to ensure everyone has access to judgement-free testing and treatment resources.
Your primary care provider and most doctors are happy to sit down with you to discuss your reproductive and sexual health, including family planning, birth control options, pregnancy options as well as treatment, testing and prevention options for sexually transmitted infections.

Common Sexually Transmitted Infections (STIs)
Sexually transmitted infections (STIs) are infections that are spread from one person to another, usually during vaginal, anal and oral sex. They’re common and many people who have an STI may not know or be aware of symptoms.
High Risk Behaviors
High-risk behaviors can increase your chances of contracting HIV and other STIs. If you engage in the following, you may want to get tested for STIs more frequently:
- Illicit drug use
- Sex without a condom
- Exchanging sex for money or non-monetary items
- Sex with multiple partners or anonymous partners
Safer Sex
Methods you can use to reduce the risk of HIV and other STIs:
Condoms and dental dams
When used correctly every time, condoms and dental dams (for oral sex) are very effective in preventing sexual transmission of HIV and reduce the risk for many other STIs. Always remember to use condom safe lubricant!
Testing
Getting regular testing and treatment, especially if you engage in higher risk sexual behaviors, will reduce the chance of getting and spreading STIs. Often, a person may have an STI and have no symptoms, so regular testing and getting treated right away will help stop the spread of STIs.
Preventive medicine
Ask your healthcare provider if PrEP or DoxyPEP (a medication that helps prevent gonorrhea, chlamydia and syphilis infections) is right for you.
Communicate
Have an honest and open talk with a healthcare provider about ways you can reduce your risk. It’s also important to speak openly with any sexual partner(s) about safer sex practices and about STIs.
Get Tested
Anyone who is sexually active should get tested regularly for STIs, which can easily be diagnosed and treated. If you or your partner have an STI, you both need to be treated at the same time to avoid reinfection.
- STI, HIV and hepatitis C testing with CAP
- HIV and hepatitis C testing with Outside In
- Free at-home STI testing kits delivered to Oregon residents
- Free HIV and syphilis testing at a lab convenient for you at STDcheck.com (testing for other STIs is also available for a fee)
- How to Prevent Sexually Transmitted Diseases
Resources for People Living With HIV
Clackamas County Public Health Division is committed to ensuring that all individuals who are HIV-positive are connected to the supports, services and resources that they need. If you have questions or need information about HIV prevention services and resources, please contact Clackamas County Public Health Division at 503-742-5300.
We also partner with the following organizations to provide services to HIV-positive individuals in our community:
STI Rates in Clackamas County
Each year, thousands of Clackamas County residents contract bacterial sexually transmitted infections (STIs), such as syphilis, gonorrhea, and chlamydia. In just over five years, rates of syphilis, gonorrhea, and chlamydia have peaked. The rise of STIs in Clackamas County mirrors national, statewide and regional trends. In 2016, the Centers for Disease Control and Prevention (CDC) identified approximately 2 million cases of chlamydia, gonorrhea, and syphilis in the United States – the highest number ever recorded.
While rates of STIs are increasing across all populations in Clackamas County, certain groups, such as young people ages 15 to 24, women, people of color, and LGBTQ+ individuals – particularly gay, bisexual, and men who have sex with men– are disproportionately impacted by STIs.
Clackamas County Public Health and our partners have a role to play to stop the transmission of STIs and has created a report to outlines our initial steps. As the local public health agency, Clackamas County provides STI surveillance and monitoring, health education, and partner notification services.
Additional STI Resources

Where to Find Reproductive Health Resources
Birth Control Methods
There are a variety of birth control options available. We recommend you take some time reading about the different methods. As you do, think about which methods will be the best fit for you.
Pregnancy Tests
If you have a positive test, it is important to seek medical care even in the earliest stages of your pregnancy. It’s especially important to start taking a prenatal vitamin with folic acid as soon as you can.
See our list of clinics above to find services, including where to get a free or low-cost pregnancy test, or get follow-up care.
I'm pregnant. What additional resources are there?
- Abortion Access in Oregon
- Get nutrition assistance, breastfeeding support and supplemental food at WIC.
- Get medical insurance at Oregon Health Plan (OHP).
- Get support from a professional public health nurse to improve child health and development at Maternal Child Health.
Relationship Safety
Everyone deserves to feel safe. If you or someone you know experiences domestic abuse, sexual assault, verbal and emotional abuse, coercion or stalking, we encourage you to seek help.
Recursos en español
Sexual Reproductive Health Coalition
Clackamas County’s Sexual Reproductive Health Coalition started in January 2019 as a community response to rising Sexually Transmitted Infections.
The goals of the coalition are to:
- Decrease number of STIs in Clackamas County
- Increase access to Reproductive Health Services
We focus on advocacy, access, shared resources, data and research. Interested in joining the coalition? Send us an email at srhcoalition@clackamas.us.
We meet on the third Thursday of every month from 2 p.m. to 3 p.m.
Want to learn more about Gender Affirming Care? We recently had a panel of experts discussing this emerging topic at one of our large group coalition meetings. Watch the panel.
Read about the coalition’s work with the Oregon City School Board to increase access to reproductive health services.