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Hello! I have a few questions that I addressed to my gp who is in Bergen but without appointment in Bergen I cannot get help. 1. I got p-stav in May and since June I am constantly having menstruations and over sensitive vagina which makes the intercourse painful. Therefore I want to take p-staven out but it might be expensive? Is it still charge in the case my body doesn’t accept it? 2. Moreover, I got the results of HPV and cervix cell test which showed changes. My gp in Bergen said that further tests will be done after a year. So I did the same test in my home country because I visited my parents . Gynaecologist there called me and said that we must do colposcopy and perhaps biopsy. Since I am studying everyday in Stavanger now, I cannot travel home, plus it will be expensive since I pay insurance in Norway. Is it possible to get my p-stav out abd the further cervix cell examination here in Stavanger under my insurance? I am feeling frustrated, please help.
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It sounds quite clear that you need to see a doctor both for follow-up of the cervical examination and the irregular bleeding you have had following the insertion of the contraceptive stick. As I understand it, students in Stavanger who do not have a GP can contact Kvernevik medical center for an appointment. Here is a link to the doctor's office: https://www.stavanger.kommune.no/helse-og-omsorg/helsesjefen-i-stavanger/#n-dvendig-helsehjelp-for-studenter-og-andre-uten-fastlege.
It is unfortunately common to experience some irregular bleeding after the insertion of the contraceptive rod, but you can try to reduce this by supplementing the contraception with a 3-6 month course of regular contraceptive pills. This can stabilize the uterine lining so that the bleeding is reduced or stops completely. But of course you can also remove this if you think it gives you dry vaginal mucosa and pain during intercourse. You can of course discuss this with the doctor before you decide what is best for you.
When it comes to cervical screening, we have clear guidelines in Norway on how the various cell changes should be followed up. In your case, a new test in 12 months is recommended. These guidelines are well scientifically based, but I understand that this can cause a lot of concern, especially if you have received a completely different recommendation in another country. You therefore deserve a good explanation of this and your GP can help you with this.
When it comes to payment for the appointment, there are fixed prices that apply to GPs in Norway, but I don't dare comment on how this is covered by your insurance. In this case I have to recommend you to speak directly with your insurance company.
Hope this was helpful!
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