{"id":18660,"date":"2020-04-16T18:29:51","date_gmt":"2020-04-16T23:29:51","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18660"},"modified":"2023-03-21T14:55:28","modified_gmt":"2023-03-21T19:55:28","slug":"what-can-you-actually-do-during-an-ob-gyn-video-visit","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/what-can-you-actually-do-during-an-ob-gyn-video-visit\/","title":{"rendered":"Get Ready to FaceTime With Your Ob-Gyn"},"content":{"rendered":"

A typical ob-gyn visit might fall somewhere between merely uncomfortable and absurd \u2014 the stirrups, the speculum, the scooching forward with your paper gown open in the front. If you\u2019re getting a routine pelvic exam or you\u2019re due for a Pap smear, there\u2019s just no way to avoid these indignities. But they don\u2019t need to be part of every ob-gyn appointment. In fact, a lot of gynecological and obstetric care can be accomplished through video visits.\u00a0<\/span><\/p>\n

\u201cThis is not replacing in-person care but augmenting it,\u201d says Dr. <\/span>Nathaniel DeNicola<\/span><\/a>, an ob-gyn and chair of telehealth at the American College of Obstetrics and Gynecology. \u201cIt’s a way for doctors and patients to connect between visits or when in-office care isn’t possible. And many kinds of traditional gynecologic care lend itself to this.\u201d<\/span><\/p>\n

Services that can be done virtually include adjusting and refilling prescriptions, following up on existing issues, going over birth control options, managing PMS, talking about vaginal discharge or itching, reviewing lab results and discussing menopause. These types of visits are typically talk-heavy and may not include any type of physical exam. It’s very easy to conduct a thorough history-taking and counseling session over video, DeNicola says, and also to discuss any changes in medication.<\/span><\/p>\n

Obstetrics can be harder to do remotely; during prenatal checkups, the doctor needs to check the fetal heart rate, the baby’s growth and the mother’s blood pressure. But unless any labs are needed, the doctor spends the rest of the visit asking the mother questions \u2014 about issues such as sleep and mental health, whether she\u2019s had abdominal cramping or noticed fetal movement \u2014 and answering any questions she has. So, DeNicola says, \u201cduring this time [with COVID-19], some alterations of prenatal care have been made.\u201d For example, some ob-gyns are encouraging patients to purchase fetal heart rate monitors, which may allow for less frequent in-person care. If a patient has a scale, a blood pressure cuff and a way to take her pulse, she can share these vitals over a video checkup too.<\/span><\/p>\n

Additionally, glucose monitors allow pregnant women with gestational diabetes to avoid coming into the office, and <\/span>research<\/span><\/a> suggests<\/span><\/a> this type of treatment works just as well as in-office care.<\/span><\/p>\n

Once a woman gives birth, a doctor may also do some postnatal video visits, including ones focused on postoperative care. For example, a patient who delivered via C-section could take photos of her scar, or just show it to her doctor onscreen during her visit, to make sure she\u2019s healing properly. A doctor may also ask a postpartum patient if she\u2019s experiencing pain at the surgical site, changes in body temperature or vaginal discharge, adds Dr. Mary Jane Minkin, an ob-gyn and clinical professor at the Yale University School of Medicine.\u00a0<\/span><\/p>\n

Screening for postpartum depression can also take place virtually. \u201cTypically we use a questionnaire with a scale,\u201d explains Dr. Tamika Cross, an ob-gyn at Memorial Hermann Health System in Pearland, Texas. The doctor can ask these questions during a video visit or even a phone call, and use the results to determine if a patient needs further follow-up treatment, which a therapist can also provide remotely.\u00a0<\/span><\/p>\n

Lastly, if a couple wants to get pregnant, now is a great time to use telehealth. \u201cThe first part of a fertility consultation is discussing the woman’s health history and, if the couple is having trouble, laying out treatment options and timelines,\u201d DeNicola explains. Once a doctor is familiar with a patient\u2019s relevant medical history (e.g., health conditions, current medications, previous fertility treatments), <\/span>they can recommend lifestyle changes, such as quitting smoking or taking a prenatal vitamin. If a woman is having problems with ovulation, a doctor may prescribe a drug called clomiphene citrate (Clomid) during a telehealth visit. Lab work and physical exams are required for fertility treatments such as IVF \u2014 but it\u2019s worth noting that <\/span>many doctors are postponing IVF treatments<\/span> for now because it\u2019s considered an elective procedure. In the meantime, a couple interested in IVF could still talk to a doctor about planning ahead and continue trying to conceive naturally.\u00a0<\/span><\/p>\n

When telemedicine might not work<\/h3>\n

Some gynecological issues may be diagnosed over telemedicine, but it depends on the doctor. When it comes to diagnosing urinary tract infections and yeast infections, many doctors already rely on patients describing their symptoms on the phone or in a secure email. However, <\/span>research suggests<\/span><\/a> women are only 56 percent accurate at self-diagnosing bacterial infections and 69 percent accurate at self-diagnosing yeast infections, so some doctors will only prescribe antibiotics or antifungal medication after performing a urine culture (for UTIs) or vaginal swab (for yeast infections). But given the extraordinary circumstances, those doctors may be willing to bend their rules for now.\u00a0<\/span><\/p>\n

If the prescribed treatment for any condition doesn’t work \u2014 e.g., if you think you have a yeast infection and get a Diflucan prescription from your doctor, but your symptoms don’t go away \u2014 then you’ll at least need to go into a lab for tests. Afterward, you could make a video visit to discuss your lab results with your doctor and get a treatment plan.\u00a0<\/span><\/p>\n

If you really don’t want to venture out, at-home testing is an option for conditions including UTIs, yeast infections, bacterial vaginosis, and some STDs and STIs. \u201cYou can consider them,\u201d Minkin says. \u201cBut a lot of UTI tests won’t tell the specific organism, only if you have something bacterial or not. And while STI panels look at antibodies and some are reliable, they’re not as reliable as in-office tests.\u201d<\/span><\/p>\n

DeNicola says it comes down to who the patient is and what kind of test they need \u2014 and he\u00a0<\/span>recommends always using telemedicine to discuss test results. “You still want some trusted healthcare professional to walk you through the results,\u201d he says.<\/span><\/p>\n

If you want to try an at-home test, tell your doctor. They may be able to recommend a specific brand of test. If they don\u2019t think a DIY test is a good idea, they\u2019ll explain why. And if you decide to order one anyway, they\u2019ll still look at your results and try to use them. \u201cGetting some information is better than no information,\u201d Minkin says, \u201cso at-home tests can help your doctor advise you.\u201d<\/span><\/p>\n

How to prep for an ob-gyn video visit<\/h3>\n

If you’re interested in using telehealth for an ob-gyn consultation, first check with your insurance to see if they’ll cover it. Many will, but this varies widely from company to company and state to state.<\/span><\/p>\n

Then come prepared: Make sure you have a strong Wi-Fi signal for video calls. Find a quiet space where your doctor will be able to hear you and where you’d be comfortable showing any body parts necessary for a diagnosis. (Or you can take clear photos and send them to your doctor ahead of time via a secure method like a patient portal.)\u00a0 If you had any lab work or at-home testing done, share that with your physician before your visit.\u00a0<\/span><\/p>\n

Consider writing down your symptoms in detail. Since your doctor can\u2019t do a physical exam, they\u2019ll be leaning on you more than usual for information. \u201c<\/span>When did your symptoms start? What do they feel like? What does it smell like? What’s the color? How long does it last? Is it associated with doing a certain activity, or more painful when you do certain things?<\/span><\/i>\u201d Cross says. \u201cBe as specific as possible, because your doctor is going off what you can tell them.\u201d<\/span><\/p>\n

If you\u2019re doing a prenatal visit, it’s ideal to have a fetal heart monitor and blood pressure cuff so you can report those vitals. If it\u2019s a post-op visit, your doctor may want to see the incisions to check for any signs of infection, so wear comfortable clothes that make it easy to view your abdomen.\u00a0<\/span><\/p>\n

Lastly, have your insurance information handy when you schedule the appointment so you don’t get any surprise bills. \u201cEvery insurance company is doing this a little bit differently, and it’s changing day to day,\u201d Cross says. \u201cThat will change how we bill for your visit.\u201d<\/span><\/p>\n

Moving forward, telehealth may be the way to go for healthcare visits that don’t require physical exams \u2014 including some ob-gyn care.\u00a0<\/span><\/p>\n

\u201cPatients who are using this are really enjoying it. They like the convenience and keep asking to do this,” even after office visits become a viable option again.\u00a0 DeNicola says. \u201cI think we’re seeing that healthcare isn’t either-or; it’s a hybrid of in-person and telemedicine. And it’s more beneficial to offer this. It probably reaches more people at the time they need care.\u201d<\/span><\/p>\n

\n

Ready to book a gynecologist’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

Women are seeing doctors virtually for issues from lingering itches to C-section stitches.<\/p>\n","protected":false},"author":40,"featured_media":18664,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[149,150,75],"class_list":["post-18660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-covid19","tag-videovisits","tag-womens-health","reviewer-dr-nassim-assefi","specialist_by_city-ob-gyn"],"yoast_head":"\nGet Ready to FaceTime With Your Ob-Gyn - Guides<\/title>\n<meta name=\"description\" content=\"Women are seeing doctors virtually for issues from lingering itches to C-section stitches.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/what-can-you-actually-do-during-an-ob-gyn-video-visit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Get Ready to FaceTime With Your Ob-Gyn - 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