Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Birth control (also known as contraception) helps prevent pregnancy. Choosing the best method of birth control is an important decision. Deciding to have sex is one of the hardest decisions a teen can face. If you decide to have sex, it means you must also take responsibility for protecting yourself and your partner from unplanned pregnancy and sexually transmitted diseases (STDs).
The most effective way to prevent pregnancy and STDs is not having sex at all, also known as abstinence. If you decide to have sex, there are many types of birth control. Your choice may depend on many things, including:
We can talk about what method of birth control is right for you. According to California law, young people who are at least 12 years old can see a doctor or nurse practitioner for concerns about birth control without a parent's permission. All Kaiser Permanente offices have doctors, nurse practitioners, and counselors you can talk with confidentially.
Condoms. Condoms are a barrier method to prevent pregnancy. They also help prevent STDs.
Long-term methods. If you prefer long-term birth control methods that require less regular attention, you may consider an intrauterine device (IUD) or a birth control implant in your arm. These are both placed by gynecologists.
Hormonal methods. The birth control pill and ring are methods that use hormones. Depo-Provera (the shot) is another method of hormonal birth control. Some hormonal methods require that you use them every day; others need to be used only on a weekly or monthly basis. Other hormonal methods include the patch.
Emergency methods. Sometimes known as emergency contraceptive pills or the morning-after pill, emergency birth control is available if you have had sex without using birth control, or if the method of birth control you chose did not work properly.
Always use a condom when you have sex. Using a condom helps protect you against STDs. By themselves, long-term methods, hormonal methods, and emergency methods of birth control do not protect against STDs.
It's important to understand that when you become sexually active, you can be at risk of getting a sexually transmitted disease (STD). This is true for all forms of sexual activity – vaginal, oral, and anal intercourse.
Sexually transmitted diseases are caused by different bacteria or viruses that are passed between partners during sexual activity. Some STDs are easily treated with no long-term effects, while others can be carried for life or cause serious or life-threatening consequences.
You may not have noticeable STD symptoms in the beginning. Get tested for STDs any time that you are concerned or if you have a new sex partner. You should be tested at least once a year.
Except for not having sex (abstinence), there is no sure way to avoid contracting an STD. You can reduce your risk of getting STDs by limiting the number of your sex partners and using condoms correctly every time you have sex.
Did you know that about half the pregnancies in the United States are unplanned? Getting pregnant when you are not ready can seriously affect your health. Preventing an unplanned pregnancy is a very important reason to choose a birth control method that is right for you.
Being pressured or forced to have sex is common, but it's not OK. It can happen even in long-term relationships. It's also not OK for someone to refuse to wear a condom to protect against pregnancy or STDs, or to otherwise interfere with your birth control. If this is happening to you, you can get help by talking to us or:
Condoms keep you from getting pregnant by stopping the sperm and the egg from joining.
Unlike other methods of birth control, condoms are used only when you have sex. There are certain advantages to this: You don't have to remember to take a pill every day or change a patch every week.
On the other hand, thinking about birth control before and during sex can be a disadvantage as well. Some teens feel like stopping to put on a condom is an interruption – but remember that it's better to practice safer sex than to get a sexually transmitted disease.
The condom is the only kind of birth control that can protect you against STDs like HIV. This is very important. You can get an STD and pass it on to others. You can get or cause a serious or even life-threatening disease.
Condoms are easy to get at almost any drugstore or supermarket. Many health centers, family planning clinics (such as Planned Parenthood), and some schools distribute them free of charge.
Long-term birth control methods are the most effective means of preventing pregnancy for teens. They are convenient and easy to use. There are several types of long-term birth control, including the implant (Implanon) and the intrauterine device (IUD).
Long-term birth control is best for teens who want to prevent pregnancy for a long period of time. With these birth control methods, you do not have to think about birth control every day or every time you have sex. However, keep in mind that you might see changes in your menstrual cycle. This could mean unpredictable bleeding patterns, having lighter periods, or not having periods at all.
If you are considering long-term birth control, we should discuss this option. It will fit your needs if:
Birth control pills use hormones to prevent pregnancy. Most birth control pills contain two hormones: estrogen and progesterone.
Hormonal birth control methods are highly effective. They work by stopping your ovaries from producing an egg once a month. The hormones can also thicken the mucus made by your cervix (the narrow, lower end of the uterus), making it harder for sperm to reach the egg.
Some hormonal methods require that you use them every day; others need to be used only on a weekly or monthly basis.
If you have sex without using any protection, emergency birth control can prevent you from becoming pregnant. You should consider emergency birth control if:
Sometimes emergency birth control is called emergency contraceptive pills (ECPs) or the morning-after pill. This name is confusing since you can take emergency birth control up to 5 days after you've had unprotected sex, not just the morning after. One type of emergency birth control is known by the brand name Plan B.
The sooner you take ECPs, the more effective they are in preventing pregnancy. If you would like more information about how to get ECPs, please call my office or the Appointment and Advice line.
If you are having sex and do not want to get pregnant, it’s important to choose a birth control method that you will use regularly and feel comfortable with. If you aren’t sure which type of birth control is best for you, you and I can discuss your options and make a birth control plan.
If you’d like to start using a new method of birth control, your next steps depend on which type of birth control you’re interested in using.
No matter what type of birth control you choose to use, you should also know about emergency birth control. It can prevent pregnancy after you have had unprotected sex or if birth control fails (the condom breaks, you miss pills).
If you are sexually active, it’s good idea to have emergency birth control before you need it, just in case. Call our Appointment and Advice line 24 hours and day, 7 days a week, to request a prescription. Then you can pick up your pills at our pharmacy. Review the information on emergency birth control for more information and let me know if you have questions.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Teens 13 and older can reach any medical professional without parental permission for these confidential services. Make an appointment to talk with me privately if you:
You can make your own appointments for confidential services by calling our Appointment and Advice Line.
What we talk about is private. In most cases I cannot tell your parents or guardians anything about your visit if you’re seen for any confidential service. One important exception: I do need to tell them if you are in danger or are thinking about hurting yourself or someone else.
If you have signed up to be able to e-mail me, keep in mind that your parent/s or guardian/s may have, too, using our Act for a Family Member feature. This means that anyone who is legally entitled to manage your healthcare can read the e-mails you send to me, and that I send to you. If you want to discuss something private, please call me or make an appointment to see me in person instead of sending a secure e-mail.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting care easier.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed.
Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically, in advance.
If refills are needed in the future, you can:
Order them online or by phone. Order future refills from my home page or by phone using the pharmacy refill number on your prescription label.
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, such as X-rays, we will schedule an appointment with the Radiology Department.
When the results are ready, we will contact you with the results by phone. We may ask you for a phone number where you can receive your results confidentially. If you do not have a cell phone, we may ask you to call us for the results instead, to ensure that we protect your privacy.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
My goal is to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available to help you manage your care at any time that is most convenient for you. From my home page you can sign up for kp.org and:
*Secure means e-mail communication between you, me, and other members of your health care team is behind our firewall and password protected. Anyone who can act on your behalf (for example, your parents) will have access to this e-mail box. If you want to talk confidentially, l encourage you to call me or make an appointment to see me in person, instead of sending a secure message online.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.