Sexual and Reproductive Health

General Concerns

We provide a full range of services, including those listed below. Urgent concerns are seen on a same-day basis in our Walk-In Clinic. Students can make an appointment for non-urgent concerns. The Center for Awareness, Resources and Education (CARE) at Tufts also provides a wide range of educational information about Sex Health on their website.

Visit the Center for Awareness, Resources and Education (CARE)

  • Care for people who’ve experienced sexual assault
  • Birth control/Contraception
  • Emergency contraception
  • Evaluation and treatment of acute or chronic vaginal, anal, testicular or penile concerns/symptoms/trauma
  • Screening, treatment, and prevention of sexually transmitted infections
  • Annual examinations including breast/chest exam and Pap test
  • Counseling regarding both planned and unplanned pregnancy
  • Evaluation and treatment of testicualr pain or lumps
  • Treatment for urinary tract infections, genital warts, and many other issues.

Birth Control and Emergency Contraception

What methods of Birth Control are available to me?

We provide consultation about various contraceptive methods including pills, the NuvaRing (vaginal contraceptive ring), IUDs (Intrauterine Devices) and Nexplanon (the implantable rod).  While we don't insert Intrauterine Devices (IUDs) or Nexplanon (the inplantable rod) in our office, we can give you information on local providers who do.  

What is Emergency Contraception (also known as EC)?

Emergency Contraception (EC) is a safe way to prevent pregnancy after unprotected sex. EC is available whenever Health Service is open by coming to our Walk-In Clinic. Two types of EC are available at Health Service: Plan B and Ella.

If you have questions about EC when Health Service is closed, call our nurses advice line: 617-627-3350.

For more information and resources related to birth control, contraception, and gynecologic health, visit the CARE website.

Visit the CARE website

HIV Testing and Prevention

HIV Testing

We provide confidential HIV testing. We do not share test results with anyone, not partners or parents, except as mandated by state law.

Make an appointment for routine screening or utilize our Walk-In Hours any time if you are worried about a symptom or have been exposed to someone diagnosed with HIV.

About Post-Exposure Prophylaxis (PEP)

PEP is medication that should be taken as soon as possible AFTER a high-risk exposure to reduce the chance of acquiring HIV. It needs to be started within 72 hours of a possible exposure, and ideally within 24 hours. Typically you will need to take a combination of three medications for 28 days.

Most insurance, including Tufts student health insurance, covers the cost of PEP. You will be responsible for the co-pays.

If you are concerned about a risky sexual exposure, come to our Walk-In Center as soon as we open the next day. If the next day is a Sunday (when Health Service isn’t open), you can call 617-627-3350 and follow the prompts to reach our nurse line.  The nurse can connect you with the clinician on call, if needed. 

About Pre-Exposure Prophylaxis (PrEP)

HIV PrEP is a medical treatment to protect you from HIV infection. PrEP is for people who are not HIV positive but are at high risk of infection. PrEP combines two medications in a single pill that is taken once a day for a period of months or years to prevent HIV. It is highly effective if taken very consistently.

Most insurances, including Tufts student health insurance, cover the cost of medications for PrEP.  We will help you connect with patient assistance programs that will cover the co-pays, so that PrEP will be available to you without any out of pocket expense.

If you are interested, make an appointment at Health Service to speak with one of our clinicians. Tell the appointment secretary that you want to discuss PrEP.

Fees and Insurance

Fees vary for different tests. Student health insurance and many private health insurance policies cover STI testing. We will work with you to see if your lab charges can be billed directly to your insurance company.

For more information and resources related to HIV Testing and Prevention, visit the CARE website.

Visit the CARE website

LGBQ Healthcare

Health Service welcomes and affirms students of all gender identities, expressions, and sexual orientations. Our medical staff has been trained in LGBTQ health issues. Our approach to health and sexual health is inclusive. Please come and see us!

Transgender Health Care

Health Service offers a range of services for transgender, non-binary, and/or gender non-conforming students. Our staff are trained on transgender issues, and our forms and electronic medical records offer you the opportunity to self-identify gender identity and preferred pronouns.

Contact us to:

  • speak with a clinician specially trained in transgender health care
  • initiate or continue the prescribing of hormone treatment
  • receive information on local surgeons who perform gender affirmation surgeries

Call 617-627-3350 to make an appointment.

For questions about insurance and billing, please contact the Health Service Business Office. For mental health care, or to receive support for a letter for a gender affirming medical procedure, please contact Counseling and Mental Health.

Transgender Health Care Specialists

All of our clinicians are committed to meeting the needs of trans, non-binary and/or gender non-conforming students, but three clinicians are especially experienced and trained: Ariel Watriss NP, Stacey Sperling MD, and Margaret Higham MD. 

Gender Affirmation Hormone Treatment

Our transgender health care specialist clinicians can both initiate and continue the prescribing of ongoing hormone treatment for students. For initiation, we require a letter of recommendation from a mental health provider prior to starting hormone treatment, as outlined in the WPATH (World Professional Association for Transgender Health Association) Standards of Care. Clinicians at the Counseling and Mental Health Service are available to meet with you around this issue.

Gender Affirmation Surgery

We have information on local surgeons who perform gender affirmation surgeries: facial feminization surgery, mastectomy (breast removal), augmentation mammoplasty (enlarging breasts), hysterectomy-oophorectomy (removing uterus and ovaries) and orchiectomy and neovaginoplasty (removing testicles and surgical construction of a vagina). We will work with you to find other specialists if needed.

A letter of recommendation from both a medical provider and a mental health provider is required prior to surgery as outlined in the WPATH Standards of Care and by most insurance companies. If you are receiving care at Health Service, your clinician can provide the medical documentation, and the staff at the Counseling and Mental Health Service are available to help with the mental health recommendation.

Insurance Coverage

The Tufts University sponsored student health insurance plan is provided through UnitedHealthcare StudentResources. This policy covers a full range of transgender health benefits including gender affirmation surgeries, hormones and counseling.

Exclusions: The following are not covered:

  • Facial Feminization surgery, including but not limited to: facil bone reduction, face "life", facil hair removal, and certain facial plastic reconstrucction.
  • Reversal of genital surgery or reversal of surgery to revise secondary sex characteristics
  • Cryopreservation of fertilized embryos
  • Sperm banking
  • Voice modification surgery and voice therapy
  • Rhinoplasty (except if criteria is met)
  • Belpharoplasty (except if criteria is met)
  • Abdominoplasty (except if criteria is met)
  • Surgical or hormone treatment on enrollees under 18 years of age
  • Surgical treatment not prior authorized by UnitedHealthcare
  • Drugs for hairloss or growth
  • Drugs for sexual performance for patients that have undergone genital reconstruction
  • Drugs for cosmetic purposes
  • Horomone therapy except as described in the Covered Services section.
  • Other exclusions may apply. Check the plan-specific documents before making a determination.

We recommend you come in to speak with Mary Daley from our Health Service Business Office, or give us a call at 617-627-3349 if you have any questions about coverage.  Although surgeries and hormones are covered, there are co-pays and out-of-pocket costs associated with all medical care (i.e., the coverage limit does not mean you will not incur any costs).

Medical Record Documentation
  • The Tufts Health Service Pre-entrance Health Questionnaire will ask for both sex at birth, and your gender identity.
  • Your medical record however, will reflect the sex that is entered into the Student Information System.
  • If the name you use is different from your legal name, tell your clinician – we can manually enter this name into your medical record. Both names will show up in your medical record. Please review the steps provided here for a Preferred Name Change. We can also enter your preferred pronouns into your medical record.

STI Testing

Screening can be important for anyone who is sexually active and Health Service provides routine STI testing. 

  • Make an appointment for routine sexually transmitted infection (STI). Utilize our Walk-In Hours if you are worried about a symptom or have been exposed to someone diagnosed with an STI. 
  • There are tests for many, but not all, STIs. A Health Service clinician will discuss your sexual history with you as well as symptoms of various STIs.
  • For more information and resources related to STIs and Testing, visit the CARE website.

Visit the CARE website