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- FAMILY HEALTH CARE
- WOMEN’S HEALTH CARE
- SEXUAL HEALTH
- IUD
- SCHOOL/ WORK PHYSICALS
- TESTING
- FLU SHOTS
- TRAVEL ADVICE
- COMMON ILLNESSES
Whether you have a sore throat, a cough, a sore elbow, or pinkeye, we can help you! Our Family Physician, or Physician’s Assistant is well-trained to diagnose and treat the problem quickly and accurately, without a long wait and time off work! You can walk in without an appointment, anytime during mall hours! Many of the medicines you might need are available right in the clinic, so you’ll be on your way to feeling better in no time. Cost for most visits is $65 (excluding medication). We will give you a receipt, and many insurance companies will reimburse you at least part of the cost.
- Cough, cold, flu, sore throat
- Ear infection, sinus, allergies
- Pink eyes, styes
- Bladder/urine infection
- Sprains, strains, minor low back pain
- Other minor illnesses (children over 2 welcome)
- Boils, sores, infections
- Rashes, Eczema, Psoriases
- Insect bites, dog, cat bites
- Ringworm, jafjaf
- Suture removal, dressings
- Diabetes, High blood pressure
- Sick Notes - We will issue a sick note to you on the day you are sick. We will give parents a note stating that their child was sick, if the child was seen on that day in our clinic. It is our policy not to “back-date” sick notes. The time off work/school we give you is based on a reasonable estimate of how long it will take for you to get well. If you are not better by the time the sick note runs out, you may be suffering from a more serious illness, and we recommend that you see your primary care doctor for further evaluation
- Prescription Refills - Your doctor is out of town and you just ran out of your cholesterol pills. Or maybe you are a visitor to Guam and you forgot your pills on the plane. Perhaps you just don’t have time to sit in a waiting room for hours just for a refill on your blood pressure medication. We can help.
After taking your medical history and doing a quick check, we will gladly prescribe your medicine to tide you over. Usually we will prescribe one month’s supply at a time, to ensure that your own doctor doesn’t lose track of what you are up to! - Sick Kids - It’s late afternoon and the kids have a runny nose, cough and a fever. HELP! We’re there for you. Have peace of mind, and don’t miss work the next day!
- Skin Problems - Funny new rash? Stop wondering and surfing the internet. Come on in, and we can help you. Common conditions we can treat are allergic reactions, eczema, boils, Guam sores, ringworm, jaf jaf, fungal infections, and cold sores. A visit is only $60, and we will suggest soaps, creams, or prescribe medication that will help. One of the most common things we treat is ACNE. Acne can hit teens and adults alike. No need to feel embarrassed, there is a lot of hope that we can clear it up. Walk in today!
WOMEN’S HEALTH CARE
Our female providers will take good care of you! Need a pap smear, breast check or some advice on birth control? When you just can’t take time away from the family, send them to the movies at the mall and take some time to take care of yourself. A pap smear and breast check is just $89 (excluding lab fee, usually less than $30).
- Women’s Special, breast exam, pap smear and birth control advice/prescription
- Pap only
- Depoprovera birth control shot - First visit requires pregnancy test and pap
- Morning after Pill Consult and treatment
- “Female Problems” consult
- Gardasil - HPV cervical cancer vaccine
SEXUAL HEALTH
Are you worried about having a sexually transmitted disease (STD)? Are you starting a new relationship and want to get checked? Or, maybe you need a confidential service to make sure you are OK. Worse yet, maybe you have symptoms: weird discharge, bumps, warts, herpes, whatever.
You can trust us.
We will handle your problem professionally and confidentially. Cost for consultation is $65, but testing may be required. Treatment for most conditions is available in the clinic, you don’t even need to go to a pharmacy.
Get safe. See us today.
Options we offer are:
- Prescriptions for oral contraceptive pills (“the pill”)
- “Patches” depoprovera injections (“the shot”)
- Intrauterine device (“IUD”) insertion.
in 15 Minutes. 99.99% Accuracy
What is it?
Emergency contraception is a way to prevent pregnancy after unprotected sex. Often called
the morning-after pill, emergency contraceptive pills are hormone pills that can be taken up
to 72 hours after having unprotected sex.
Emergency contraception is most effective when it is taken as soon as possible after
intercourse. But some studies have shown that it can still work up to 72 hours (3 days) after
sex.
How does it work?
In high doses, the hormones estrogen and progesterone can prevent pregnancy. The first
dose of pills should be taken within 72 hours of unprotected intercourse followed by a second
dose of pills 12 hours later.
The hormones may work in a number of ways to prevent pregnancy. They may delay ovulation (the release of an egg the monthly cycle), affect the movement and function of the sperm, affect the development of the uterine lining, and disrupt the actual fertilization process. If implantation has already occurred and you are pregnant, emergency contraceptive pills will not interrupt the pregnancy.
How well does it work?
About 1 or 2 in every 100 women who use the morning-after pill will become pregnant even if they have taken them within 72 hours after having unprotected sex.
Emergency contraception is the only type of contraception method that is used after unprotected sex.Emergency contraception is most effective when taken as soon as possible after unprotected sex. Because of this, the name morning-after pill is somewhat misleading: Ideally the pill should be taken immediately after sex, without waiting for the next morning.
Emergency contraception will not prevent pregnancy if a girl has unprotected sex after taking the pills.Because emergency contraception does not prevent all pregnancies, a woman should see her doctor if she doesn't get her next expected period after taking it.
Protection against STDs:
Emergency contraception does not protect against sexually transmitted diseases (STDs). Couples having sex must always use condoms to protect against STDs even when using another method of birth control.Abstinence (not having sex) is the only method that always prevents pregnancy and STDs.
If you have been forced to have unwanted sex , you should see a doctor right away to be tested for STDs. That's because it's important to treat some STDs immediately before they develop into bigger problems.
Possible side effects:
The larger-than-normal dose of hormone causes some side effects in many of the women receiving emergency contraception pills. These side effects include nausea, vomiting, breast tenderness, and headache.
Such side effects are usually minor, and most improve within 1 to 2 days. Your menstrual period may be temporarily irregular after taking ECPs.
Who uses it?
Emergency contraception is not recommended as a regular birth control method. Instead, it is used for emergencies only. If a couple is having sex and the condom breaks or slips off, or if you forgot to take your birth control pills for 2 days in a row, you may want to consider using emergency contraception.
It is also available to teens who are forced to have unprotected sex.
Emergency contraception is not recommended for women who know they are pregnant.
How do you get it?
You must go to the clinic as soon as possible after having unprotected sex.
- Non-Hormonal Birth Control -
Options: - Copper IUD
- Male Condom
- Rhythm Method
- Withdrawal
- Vasectomy
- Tubes Tied
IUD:
99% Effective
- Only for women who have had children already
- Small device shaped in a T placed inside the uterus
- Can stay up to 10 years
- Painless insertion
What is it?
The intrauterine device (IUD) is a T-shaped piece of plastic about the size of a quarter that is placed inside the uterus to prevent pregnancy. Two types of IUDs are available one is covered with copper wire, the other is coated with and releases the hormone progesterone. ExpressCare only offers the copper one.
How does it work?
The copper-coated IUD primarily prevents pregnancy by not allowing the sperm to fertilize the egg.
How well does it work?
Over the course of 1 year, fewer than 1 out of 100 typical couples using an IUD will have an accidental pregnancy. In fact, studies indicate that the IUD is one of the most effective and safest methods of birth control. Although the IUD is an effective method of birth control, it can come out of place and therefore should be checked regularly to be sure it is in place. You can do this at home by feeling inside for the tiny strings in your vagina. These do not hang out, and your partner cannot feel them with his penis.
In general, how well each type of birth control method works depends on a lot of things. These include whether a person has any health conditions or is taking any medications or herbal supplements that might interfere with its use. The IUD allows some flexibility for girls who cannot use a hormonal method of birth control (such as the Pill, ring, or patch). The IUD can also provide a long-term form of birth control.
Protection against STDs
The IUD does not protect against sexually transmitted diseases (STDs). For those having sex, condoms must always be used along with the IUD to protect against STDs. One of the concerns with the IUD is that girls who have multiple partners and do not use condoms can be at greater risk for STDs, and there's the possibility that these diseases could develop into a pelvic infection. This is true, though, for all methods of birth control.
Abstinence (not having sex) is the only method that always prevents pregnancy and STDs.
Possible side effects
The most common side effects of the IUD include:
- spotting in between periods
- heavier periods with more cramps with the copper IUD
- irregular or loss of periods with use of the hormonal IUD
- expulsion, or loss of the IUD. For some IUD users — particularly teens — the IUD can fall out or become displaced and not work properly.
- perforation of the uterus. There is a very minimal risk of the IUD perforating the uterine wall when it is being inserted.
- acne, breast tenderness, headaches, and nausea with the hormonal IUD
In the past, one type of IUD increased a woman's risk of pelvic inflammatory disease (an infection in the upper part of a woman's reproductive system). That early type of IUD has been taken off the market and testing of the current IUDs indicate that the risk of infection is very small.
The other concern that used to exist with IUDs was the possibility of ectopic pregnancies, which is when a fertilized egg implants somewhere other than in the uterus. This is no longer as much of a concern.
Who uses it?
The IUD is often not recommended for teens and women who have not had a baby.
How do you get it?
An IUD must be inserted into the uterus by a doctor. It is often easiest to insert right after your period. Copper IUDs need to be replaced by a doctor about every 10 years.
How much does it cost?
An IUD costs about $250 for the device, plus $110 to insert it. Total is $360, less than 10 cents a day for the next 10 years!! Many health insurance plans cover these costs
- STD consultation (lab fees apply, treatment prices vary)
- Free condoms!
SCHOOL/ WORK PHYSICALS
It’s time for another TB skin test for work, or maybe a sport physical for junior. Starting a new job and needing a form filled out?
No problem, we can do it.
We offer
DOT exams, school physicals, work physicals, sports physicals and FAA physicals.
- Pregnancy test
- Blood glucose (sugar)
- HgbAIC (3 month glucose)
- Strep throat test
- Flu test for Influenza A or B
- Urinanalysis
- Some test require consultation
Flu shots are available for, starting every October. We also offer TB skin tests (PPD), and Tetanus shots for those encounters with a rusty nail or a dirty cut.
Seasonally, we offer childhood immunizations, MMR, Hepatitis B and Gardasil. Call or email us to find out what's available.
TRAVEL ADVICE
Going to Cambodia? Taking an African Safari? You want to know what shots you need and whether you need to protect yourself against malaria. A consultation is only $65. We can give you a prescription for the medicine you need to take with you, many of your shots, and lots of good advice. Stop by today.
COMMON ILLNESSES
Whether you have a sore throat, a cough, a sore elbow, or pinkeye, we can help you! Our Family Physician, or Physician’s Assistant is well-trained to diagnose and treat the problem quickly and accurately, without a long wait and time off work! You can walk in without an appointment, anytime during mall hours! Many of the medicines you might need are available right in the clinic, so you’ll be on your way to feeling better in no time.
