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Who is an OB-GYN?

An obstetrician-gynecologist, or OB-GYN for short, is a doctor who concentrates primarily on women's sexual and reproductive health issues. These specialists provide prevention, early detection, and treatment plans to women from all walks of life. OB-GYNs also help women make conscious reproductive health decisions, such as averting or encouraging conception, maintaining long-term reproductive health, and implementing healthy lifestyles during pregnancy and postpartum.

OB-GYN is an acronym, where 'OB' stands for obstetrics or obstetrician, i.e., a doctor who delivers babies. Obstetricians also provide prenatal and post-pregnancy care and advise women on nutrition, medication, and other pregnancy-related issues.' GYN', on the other hand, is an abbreviation for gynecology or a gynecologist - a doctor specializing in illnesses of the female reproductive organs. Gynecology (from Greek gynos, meaning woman, and logia, meaning study) also includes screening for cancers of the cervix, breasts, and other reproductive organs, as well as care for the age-related changes in the female body, such as perimenopause or menopause.

Education and training of OB-GYNs in the US

To become an OB/GYN, medical school graduates must complete at least three years of residency programs. They learn about reproductive endocrinology, infertility, family planning, gynecologic surgery, and gynecologic oncology here. Residents are also trained to perform procedures in genetics, genetic counseling, and prenatal diagnosis.

OB-GYNs may practice as generalists or work as gynecologists or obstetricians. Alternatively, they may complete additional training in the form of fellowships - leading to further specialization in subspecialty fields such as urogynecological surgery, maternal-fetal medicine, reproductive endocrinology, infertility, gynecologic oncology, or other areas, such as family planning.

When should you see an OB-GYN?

Doctors recommend women to visit an OB-GYN for the first time around the age of fifteen or whenever they get their first period. After that, getting an annual examination starting from age 21 is considered good practice. OB-GYNs can identify and determine whether a condition is normal or abnormal. Here are a few reasons to visit an OB-GYN near you:

• Painful or abnormal periods: Women experience various issues during their menstrual cycles, such as headaches, sore breasts, and lower-belly cramps. However, you must visit an OB-GYN if you experience more pain than usual or if the period lasts a little longer. Moreover, getting several painful periods, each worse than normal, can point to a severe underlying condition. Other signs of abnormal periods include heavy cramping accompanying or starting before periods, heavier bleeding, or bleeding that comes unexpectedly on other days apart from the menstrual cycle.

• Irregular vaginal bleeding: Women can have spotting or bleeding between periods or when on specific birth control methods. However, they can experience abnormal bleeding, such as after the onset of menopause or while pregnant. OB-GYNs can help identify the cause of the issue and prescribe the necessary treatments. In particular, bleeding after menopause can be a severe issue as it could point to cancer.

• Pelvic pain: Pelvic pain can originate during certain physical activities like sports or sexual intercourse. It can be an indication of ovarian cysts, endometriosis, or pelvic inflammatory disease (PID). Hence, you must visit an OB-GYN as they can accurately identify the condition's cause.

• Breast pain or lumps: Discovering or finding a lump on your breasts is a sign to see an OB-GYN immediately. They will use a breast ultrasound or a mammogram to ensure whether the breast pain or lump is severe or not. Accordingly, OB-GYNs will assess the pain and help you understand the next steps following the diagnosis and evaluation.

Benefits of visiting an OB-GYN

The adolescent phase brings about significant changes in a young woman's body, often accompanied by confusion and apprehension. Seeking the expertise of an OB-GYN can provide valuable assistance as they explain the physiological transformations and address any concerns or inquiries with sensitivity.

OB-GYN specialists play a crucial role in guiding young women on proper self-care practices during puberty. Beyond addressing menstrual concerns, consulting these professionals becomes essential for necessary screenings and tests. For instance, sexually active women benefit from routine pap smears, a vital component of cervical cancer screening.

An OB-GYN can also provide contraception counseling and help women choose the most appropriate method. Additionally, in menopausal women, OB-GYNs help them through menopausal symptoms like hot flashes and prescribe the proper medications for this stage of their lives.

The best time to have your first OB-GYN visit is when you have any concerns about your reproductive health, including infertility problems. In women planning to conceive, OB-GYNs help plan their pregnancy and prescribe the right amount of folic acid and iron supplementation for a healthy conception.

Sexually transmitted infections (STI) in women

Generally, STIs or STDs are transmitted in women via oral, vaginal, or anal sexual contact with an infected person. Most women might not even know that they have a sexually transmitted infection because it does not usually show any symptoms. However, if left untreated, STIs can increase the risk of cervical cancer and even cause fertility issues. The most common sexually transmitted infections in women include:

• Chlamydia
• Gonorrhea
• Human papillomavirus (HPV)
• Genital herpes
• Syphilis

According to the Healthline website, almost 1 in 6 Americans may have genital herpes, but since it doesn't display any symptoms, most are unaware of it. One of the most common sexually transmitted diseases in women and a leading cause of cervical cancer is HPV. In the advanced stages, STIs do show various physical symptoms, such as: 

• Vaginal itching
• Abnormal vaginal bleeding
• Unusual vaginal discharge with a foul smell
• Vaginal or pelvic pain
• Rashes or sores
• Pain or burning sensation during urination
• The presence of blood in the urine
• Pain during sexual intercourse
• Pregnancy and STIs

Sexually transmitted infections can infect the developing baby during pregnancy, childbirth, or post-childbirth. They can even be life-threatening for the mother and the baby. Sexually transmitted diseases such as syphilis can easily pass on to the fetus and cause fatal infections. Untreated syphilis can lead to premature delivery and cause problems in multiple organs of the baby, like the heart, eyes, ears, bones, and skin. Gonorrhea infection, if left untreated, can cause blood infections, joint infections, blindness, or eye infections in the baby. 

For this reason, OB-GYNs generally conduct a comprehensive STI panel screening at the beginning of pregnancy to detect and treat any STIs early. If the woman comes into sexual contact with an infected person post initial STI screenings, then they need to get tested again to ensure a healthy pregnancy and childbirth. Most OB-GYNs advocate the need for women to practice safe sex for their overall health and well-being.

How to protect yourself from STIs

Consult a top-rated OB-GYN near you for instructions on safe sex practices during pregnancy. If you are sexually active or are engaged in unprotected sex, get checked for STIs regularly to avoid passing the infection on to the developing fetus. 

See the doctor immediately if you experience STI or STD symptoms and begin the recommended treatment. Avoid any sexual activity until you are thoroughly treated. Follow the doctor's instructions on resuming sexual activity after treatment. 

An OB-GYN visit will help you understand your sexual health and inform you about various sexually transmitted infections and diseases. It ensures early diagnosis and treatment, preventing STIs from transforming into life-threatening complications. 

Considerations for COVID-19 vaccination in OB-GYN care

Following an advisory released by the American College of Obstetricians and Gynecologists, all eligible persons over 12 years, including pregnant and breastfeeding women, should undergo a COVID-19 vaccine or vaccine series. The patient's medical record should note if they did not receive the immunization for medical or non-medical reasons. During following office visits, obstetrician-gynecologists should discuss any remaining concerns or queries and offer vaccination. 

OB-GYNs and other women's healthcare providers should serve as an example by being immunized and encouraging their eligible patients to do the same. COVID-19 immunizations can be given simultaneously with other vaccines and within 14 days of receiving another immunization. This includes vaccines like influenza and Tdap, commonly given during pregnancy. 

Choosing the top-rated OB-GYN near you in San Diego, California

When starting a family or making once-in-a-lifetime decisions about your reproductive health, your OB-GYN plays a vital role. The right OB-GYN provides sound medical advice and creates a friendly and professional atmosphere where you can openly discuss health concerns.

At Zocdoc, we take the doctor-patient relationship seriously. Click on an OB-GYN among the search results to see their profile. All provider profiles include their qualifications, clinical experience, board certifications, and experience. Here, you will also find information about the insurance networks a physician accepts, where their offices are located, and the services they offer (such as Pap smears or STI testing). To get tailored results on providers within your insurance network, you can update your Zocdoc account’s insurance information or choose your plan from the search filters. If you’re searching from a smartphone, you can directly upload a picture of your insurance card on the Zocdoc app. Check out Zocdoc’s patient help center for more insurance-related FAQs.

If you are worried about finances, look for a top-rated ob-gyn near you that accepts your benefits. Consulting an in-network provider can cut down on healthcare costs significantly. In case of doubt, check their provider profile or contact them to know more. You may also contact your insurance provider to learn more about their coverage.

All bookings with Zocdoc are simple, secure, and 100% free!

Statistics on OB-GYN care in California, US

Women's health significantly affects their well-being and their fetus or baby. In 2017 alone, nearly 2,95,000 women died of maternal causes, including pregnancy and childbirth, according to the World Health Organization. Another study states that around 11.5% of women in the States suffer from anemia, per WHO reports. In light of these facts, OB-GYNs play a critical role in providing comprehensive care to women. According to recent estimates, around 22,658 OB-GYNs work in private offices, hospitals, or clinics in the United States.

According to the data collected from the Centers for Disease Control and Prevention and Our World in Data, only 31% of pregnant women in the United States had been vaccinated as of mid-September, in contrast to 64% of the general population at the same time. At six weeks, most mothers said they had received the appropriate postpartum care. 4% of women, on the other hand, received no postpartum care at all.

As per the San Diego Health and Human Services Agency, there were 38,445 births in San Diego County in 2019. This research looked at births based on the mothers' fertility rate, which was 56.2%. Thirty-eight thousand three hundred ninety-six births were recorded where the mother was given prenatal care during their first trimesters.

Sources

American College of Obstetricians and Gynecologists

University of California, Los Angeles

San Diego Health and Human Services Agency

Centers for Disease Control and Prevention

Blue Cross Blue Shield Advisory

TopLine MD Alliance

MedicalNewsToday

Healthline[1]

Healthline[2]

Healthline[3]

Cleveland Clinic

Medline Plus

Houston Methodist

WebMD

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 immediately.