MEDICAL SERVICES

Pregnancy Symptoms and Testing

Common early pregnancy symptoms include but are not limited to:

Period more than 2 days late
Changes in breasts
Bothered by smells
Exhaustion even with regular sleep
Other symptoms in combination: headaches, nausea, food aversions, cravings

Appointment Flow

Pregnancy testing appointments generally last 1 hour, during this time your registered nurse will:
- Administer a mental health screening
- Take your vitals
- Review your health history and sexual health
- Perform a self-administered urine pregnancy test (results within 3 minutes)
- Optional STI testing
- Options consultation/Patient Education
  - We will provide relevant resources based on your life circumstance
- Schedule Ultrasound, if medically eligible

We understand the issues facing an unexpected pregnancy and are committed to providing you with a warm, safe, and discreet place where you can process your choices. We provide emotional support and factual answers to the questions you may have about pregnancy, abortion, and adoption.

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Options Consultation

If you are experiencing symptoms or have had unprotected sex (or contraceptive failure), we can help!

We provide pregnancy testing free of charge.
We also offer limited obstetrical ultrasounds to confirm a viable intrauterine pregnancy.
Even if you have taken a home pregnancy test, it’s important to have a lab-quality, urine-based pregnancy test at a medical clinic.

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Well Woman Exam

A well-woman exam is an annual preventative wellness visit focused on women’s health. This exam includes a physical exam, screenings, and discussions about various aspects of reproductive and overall health.

Our Well Woman Program has been developed to improve women’s long-term health and longevity across the lifespan, while empowering women to be an advocate in their own health. This is a program that fosters a patient - practitioner relationship to help women be their healthiest, happiest selves.

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Appointment Flow

Well-woman exam appointments generally last 1 hour. Patients will provide a self-collected urine sample for pregnancy testing to ensure the most effective and proper treatment and care.

During your appointment, your nurse or medical assistant will:
- Administer a mental health screening
- Take your vitals
- Review your health history (including menstrual/hormonal, sexual, surgical, familial & social)
- Offer you optional STI testing for common vaginally transmitted STIs
- Provide applicable educational resources and/or referrals

Our nurse practitioner will then discuss any health concerns and perform a physical exam with any indicated testing and treatment which may include:
- General health exam (thyroid, heart, lungs, abdomen)
- Breast exam, if indicated
- Pelvic exam, if indicated
- Cervical cell testing and urogenital pathogen testing and treatment, if indicated

All in-clinic testing and treatments are free, at home treatments may incur outside pharmaceutical costs.

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Cancer-related screenings are one of the most important elements of an annual well-woman exam. We offer routine pap smears (starting at age 21) and HPV testing (starting at age 30) for cervical cancer screening. The pap test helps identify abnormal cell changes in your cervix. The HPV test looks for some high-risk types of HPV that can cause cervical cancer. How often you get a pap test and/or HPV test depends on your age, medical history, family history, when you had your last test(s), and the results of your last pap and/or HPV test(s).

While we don’t offer mammograms or other cancer screenings in office, we can help you understand which cancer screening tests you are due for and help you find where you can have these screenings done.

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Are you suffering from any vaginal or urinary symptoms?

Common symptoms include but are not limited to:

- Abnormal vaginal discharge
- Vaginal itchiness and/or odor
- Pelvic pain
- Pain with urination
- More frequent urination
- Painful intercourse

If you are experiencing these symptoms, we can offer testing and treatment for urinary tract infection and/or vaginal infections including Bacterial Vaginosis (Gardnerella) and Candidiasis (Yeast).

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Initial Obstetric Ultrasound

Confirm your pregnancy with an ultrasound.

If you receive a positive pregnancy test from Cascade Women’s Health, it's important to get an initial obstetric ultrasound to confirm:
- Location of pregnancy (within your uterus)
- Heartbeat
- How far along you are
Ultrasounds can be scheduled once a pregnancy has been confirmed through a urine test taken at Cascade Women’s Health.

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Appointment Flow

Ultrasound appointments generally last 30-45 minutes, during this time your registered nurse will:
- Administer a mental health screening
- Take your vitals
- Review your health history
- Ultrasound (performed by a certified sonographer)
  - Verify viability and gestation of pregnancy
- Following the ultrasound, we encourage you to establish treatment with an ongoing care provider.

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STI Symptoms and Testing

STIs (infections transmitted through sexual contact) often have mild or no symptoms.

Undetected and untreated STIs can lead to long-term health conditions. STI testing can identify infections and prevent the spread to others. 

You should consider testing if:

You are in a new relationship
You or your partner has had sex (vaginal, oral, anal) with someone else
You or your partners are experiencing STI symptoms

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Appointment Flow

Every patient presenting for STI testing will provide a self-collected urine sample for pregnancy testing to ensure the most effective and proper treatment and care. 

During your appointment, your nurse or medical assistant will:
- Administer a mental health screening
- Take your vitals
- Review your health history (including menstrual/hormonal, sexual, surgical, familial & social)
- Provide you education on how to self-collect the vaginal swab to test for Gonorrhea, Chlamydia and Trichomonas
- Provide applicable educational resources and/or referrals

If you are currently experiencing any symptoms, you will then meet with the nurse practitioner to discuss your health concerns and receive a physical exam with any indicated testing and treatment which may include: 
- General health exam (thyroid, heart, lungs, abdomen)
- Breast exam, if indicated
- Pelvic exam, if indicated
- Cervical cell testing and urogenital pathogen testing and treatment, if indicated

All in-clinic testing and treatments are free, at home treatments may incur outside pharmaceutical costs.

Request an appointment

MEDICAL SERVICES

Pregnancy Symptoms and Testing

Common early pregnancy symptoms include but are not limited to:

Appointment Flow

If you are experiencing symptoms or have had unprotected sex (or contraceptive failure), we can help!

Well Woman Exam

Appointment Flow

Initial Obstetric Ultrasound

Confirm your pregnancy with an ultrasound.

Appointment Flow

STI Symptoms and Testing

Appointment Flow

Frequently Asked Questions

I already took a pregnancy test at home. Why do I need to come in and be tested with you?

I went to the doctor and found out I was pregnant, can I come in for an ultrasound at no cost?

I had sex last night and I think the condom broke, can I come in today for a pregnancy test?

Can I walk in or do I need an appointment?

Can I come in for an ultrasound to find out the sex of my baby?

Can I get birth control or the morning after pill at Cascade Women’s Health?

I don’t live in Everett, WA. Where can I go to find pregnancy testing near me?

What do I do if my pregnancy test is positive, and I don’t have insurance?

Disclaimer: We provide education on pregnancy options. We do not perform or refer for abortions or contraceptives.