Sexual and Reproductive Health

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.

STI blood test

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.

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Chlamydia is a common bacterial infection that is easily cured with medicine but can be dangerous if not treated.

Symptoms in the genitals may include:

  • Abnormal discharge
  • A burning feeling when peeing
  • Pain and swelling in one or both testicles

You can also get chlamydia in your throat or anus. Symptoms may include:

  • Sore throat
  • Mouth sores
  • Swollen tonsils or lymph nodes
  • Pain, discharge or bleeding from the anus

Treatment: A medical provider will prescribe antibiotics. They may also give you prescriptions to give to sexual partners.

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Gonorrhea is a common bacterial infection that is easily cured with medicine but can be dangerous if not treated.

Symptoms in the genitals may include:

  • Abnormal discharge
  • Painful or burning feeling when peeing
  • Vaginal/front hole bleeding between periods
  • Swelling or redness at the opening of the penis
  • Swelling or pain in the testicles

You can also get gonorrhea in your throat or anus. Symptoms may include:

  • Itchy or sore throat that doesn’t go away
  • Pain, itching, soreness, discharge or bleeding from the anus or pain when you poop

Treatment: A medical provider will prescribe antibiotics. They may also give you prescriptions to give to sexual partners.

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HIV (human immunodeficiency virus) is an infection that breaks down your immune system and can lead to AIDS (acquired immunodeficiency syndrome).

Symptoms may include:

  • Flu-like symptoms 2-4 weeks after infection for some people
  • Otherwise, no symptoms in early stages

Treatment: There is no cure for HIV, but there are medications that can help you stay healthy and prevent you from spreading HIV to others. For almost everyone who starts taking their medication as prescribed, the amount of virus in the body will drop to an undetectable level in six months or less. This means they have effectively no risk of sexually transmitting the virus to their partner.

Prevention:

  • Get tested frequently. If you test positive, get treatment!
  • Talk to a healthcare provider and find out if pre-exposure prophylaxis (PrEP), a medicine that reduces your chance of getting HIV, is a good option for you.
  • If you may have been exposed to HIV, talk to a healthcare provider about post-exposure prophylaxis (PEP), which can help prevent you from getting HIV after being exposed, as soon as possible.
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Syphilis is a bacterial infection that is on the rise in Oregon. It’s easily cured with medicine but can be very dangerous if not treated. Syphilis infections happen in stages.

Primary syphilis is the first stage. Symptoms may include:

  • One or more small, painless sores (chancres) where the bacteria entered your body, which is usually your genitals or anus and sometimes your lips or mouth.
  • Swollen lymph nodes around the area where the bacteria entered the body (groin or neck)

Secondary syphilis is the second stage if primary syphilis is not treated. Symptoms may include:

  • A red or brown rash, often on palms of hands and soles of feet
  • Wart-like bumps on the genitals and areas where skin folds
  • Hair loss, swollen lymph nodes and/or white or yellow patches in the mouth
  • Fever, sore throat, muscle aches and/or headaches

Latent syphilis is the third stage and may not cause any signs or symptoms but can lead to serious health problems like vision or hearing loss, numbness and tingling in limbs, heart disease, memory loss, personality changes and dementia. If a person is pregnant, it can cause birth defects and death for the baby.

Treatment: A medical provider will prescribe antibiotics. More medicine is needed to treat someone who has had syphilis for more than a year.

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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:

Illustration of condoms

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!

Illustration of sti test vials

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. 

Illustration of sti pills

Preventive medicine

Ask your healthcare provider if PrEP or DoxyPEP (a medication that helps prevent gonorrhea, chlamydia and syphilis infections) is right for you.

Illustration of speech bubbles

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 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.

Various birth control methods

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? 

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.

Sexual Reproductive Health Coalition

End HivClackamas 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.

Phone:503-742-5300
Fax:503-742-5352
Email:publichealthdivision@clackamas.us

2051 Kaen Road, Suite 367, Oregon City, OR 97045

Office Hours:

Monday to Thursday
7 a.m. to 6 p.m.

Report a public health emergency or communicable disease 24 hours a day, seven days a week, at 503-655-8411.

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