Pregnant Gyno

Pregnant Gyno




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Pregnant Gyno
Talking to Your Doctor About Getting Pregnant

Verywell Family's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

Verywell Family articles are reviewed by board-certified physicians and family healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more .




Medically reviewed by
Leigh Raviv, WHNP-BC


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Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

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Ⓒ 2022 Dotdash Media, Inc. — All rights reserved





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Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. She is a professional member of the Association of Health Care Journalists and has been writing about women’s health since 2001. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles.
Leigh Raviv, WHNP-BC, is a women’s health nurse practitioner serving women in New York City. She has dedicated her career to providing gynecologic and reproductive health care across the lifespan, with a special interest in adolescents and young adults.

You can talk to your health care provider about getting pregnant at any stage of the game. Maybe you're just thinking about getting pregnant and want to have a routine exam. You may have been trying for a year and are concerned. Perhaps you have possible infertility symptoms or risk factors.


Even if you don't intend to get pregnant anytime soon, you may have concerns about family planning and your biological clock.


These are all good reasons to talk to your health care provider. Talking to your gynecologist or midwife before you conceive is an important first step in having a healthy pregnancy —but this discussion can be anxiety-provoking.


Your health care provider wants to help you and is ready to discuss any and all reproductive topics—even embarrassing or sensitive ones. Here are some tips to keep in mind before, during, and after your appointment.


When you call to make your appointment, let the receptionist know you want to talk about family planning and fertility. You might be tempted to schedule your regular Pap smear and sneak in the conception planning questions at your appointment, but your provider's time slots might not be long enough to give you adequate time for a productive conversation.


Another good reason to request extra time is it's that it's not always comfortable to talk while wearing a half-open gown in an examination room. If your provider has an office, ask if you can talk there instead. If you'll be chatting in an exam room, politely request time to get changed into your clothes before your conversation if being fully dressed would make you feel more at ease.


If possible, it can be helpful for both you and your partner to meet with your health care provider if you'll be discussing conception plans. Your provider may want to know more about your partner's health. Your partner might also have questions or concerns that they would like to ask.


Family planning affects you as a couple as well as individually. For example, your partner might also need fertility testing if there are suspected fertility problems.


If your partner can't be there, check-in with them beforehand to see if they have any questions that you can ask. If their schedule permits, you might see if they would be available by phone or text to answer any medical questions your provider has.


If you're taking any kind of birth control , you'll want to talk to your provider about stopping it. This includes finding out how to stop taking it as well as how much time you need to wait before trying to get pregnant.


If you have an IUD or implant, you might want to make an appointment to have it removed. Ask your provider when you can expect your fertility to return and find out if there are any signs or symptoms you should be on the lookout for after removal that could indicate a problem.


Most birth control methods allow you to try and get pregnant quickly after stopping, but others require more time. For those on Depo-Provera , fertility might not resume for several months—sometimes even a year or longer. 1


Vitamins aren't only for people who are pregnant. Some supplements, like folic acid (or folate), should be taken before you even start trying to conceive. How much folic acid you should take is a matter of debate and may depend on your medical history.


Most prenatal vitamins contain sufficient amounts of folic acid for most people who are, or will be trying, to get pregnant. 2


It's also a good idea to ask your provider if there are any lifestyle changes you could make. Examples of questions you might ask include:


More couples are waiting to start families after age 35 . If you're concerned about your future fertility options, talk to your doctor about them now. Fertility does decline as you get older, but not everyone will have difficulty conceiving.


If you are single or otherwise not in a position to start trying to have a family, this is also an important topic to discuss with your health care provider. You might choose to consider egg freezing —though it is expensive and is not without risk. Ask your doctor if egg freezing would be an option for you, given your specific situation.


Some medications are not considered safe to take during pregnancy. For some medications, you might need to stop taking them before you start trying to conceive, while others might be fine to take up until you actually get pregnant. Your provider might also switch you to a different medication.


There are also medications that can interfere with fertility. This is another reason to tell your health care provider about all the medications you are taking—even if it's "only" an over-the-counter product or supplement.


Do not stop taking any medication without discussing it with your provider. Some drugs, like antidepressants, may need to be slowly reduced over time (tapered).


Your provider might decide that the risks of stopping your medication are greater for you than those associated with continuing to take it while you are trying to conceive.


Make sure that your provider knows about any health conditions you have. There are several chronic medical conditions that can affect pregnancy, and it's best that they are optimally managed before you get pregnant.

Ask your provider if there are any travel precautions, testing, and immunizations that you need before you become pregnant.

Unwanted facial hair, seemingly unusual vaginal discharge, erectile dysfunction— some symptoms can be embarrassing to talk about, but you need to mention them. Whether they are related to your fertility or your general health, it's important that you tell your provider about any symptoms you are having. They can't make a diagnosis or recommend treatment unless they have all the pertinent information.


Making a list of your concerns, symptoms, and questions before your appointment can be a big help. Good reasons to write it down include:


If you have irregular periods, bring a least a list of the dates of your last six periods to show your provider. An irregular cycle once in a while is generally not considered unusual, but consistently irregular cycles will often require evaluation and testing.


If you've been fertility charting or keeping a fertility calendar , then bring the information from your last six cycles along too. Fertility charts can show potential problems with ovulation or the luteal phase , something that may not be clear when only looking at the length of each cycle.


According to the American Society for Reproductive Medicine, if you've been trying to get pregnant for more than a year, even if you have no other symptoms of infertility, you should talk to your doctor about having fertility testing done. If you're over 35 and have been trying for at least six months, you are 40 years old or older, or if at any age you have a condition known to cause infertility, you will need to have prompt testing and treatment. 3


Most doctors will take your concerns seriously and either start testing or refer you to a fertility specialist, but not all doctors are willing to take action when they should. You might be told that you are "too young" for infertility and that you need to try to get pregnant for longer than a year. Some people are told that they are overweight and therefore need to lose weight to conceive and to only return to their doctor if weight loss doesn't help them get pregnant.


The problem with putting off testing is that some causes of infertility worsen over time—even when you're young. You can still decide to lose weight or try a little longer to get pregnant after you have had testing.

Once you've received an order for fertility testing, follow through with it when you are ready. Keep in mind that having a bit of fertility test anxiety is normal.

Some providers will order fertility testing while others prefer to refer you directly to a fertility specialist . If you have a male partner, ask if they need to have a semen analysis .


Male infertility is present in about 40 to 50% of all infertile couples—either as the sole factor or with female infertility. 4 Your provider might refer your partner to a urologist or an andrologist, a doctor that specializes in male fertility. Neglecting to test male fertility can lead to a female partner trying fertility treatments (like Clomid ) that won't succeed.


Your health care provider's job is to advocate and care for your health. Most likely, they will be pleased that you've brought up your family planning questions and concerns and be happy to talk about your options.


If your provider does not seem engaged in a conversation about your fertility or family planning goals, or if you are uncomfortable speaking with them, you might want to get a second opinion.


Provider bias isn't unheard of. Patients have been discouraged or turned away from care for a variety of reasons, including socioeconomic status, gender identity and sexuality, and age.


Health care providers are only human and not every provider-patient relationship works out. If you don't feel like your provider is able to support you and your partner on your conception journey, look for someone who will.

American College of Obstetricians and Gynecologists (ACOG). Prepregnancy Counseling .
Diagnostic evaluation of the infertile female: a committee opinion. Fertil Steril. 2015;103(6):e44-50. doi:10.1016/j.fertnstert.2015.03.019
American College of Obstetricians and Gynecologists (ACOG). Infertility Workup for the Women’s Health Specialist .

By Rachel Gurevich, RN

Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. She is a professional member of the Association of Health Care Journalists and has been writing about women’s health since 2001. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles.

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How and Why to Change Your OB-GYN During Pregnancy

Verywell Family's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved

Robin Elise Weiss, PhD, MPH is a professor, author, childbirth and postpartum educator, certified doula, and lactation counselor.


Verywell Family articles are reviewed by board-certified physicians and family healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more .




Medically reviewed by
Rachel Gurevich, RN


Learn about our
Medical Review Board

Learn what's to come during your pregnancy with a personalized guide.

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Verywell Family's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2022 Dotdash Media, Inc. — All rights reserved





Verywell Family is part of the Dotdash Meredith publishing family.



We've updated our Privacy Policy, which will go in to effect on September 1, 2022. Review our Privacy Policy


Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. She is a professional member of the Association of Health Care Journalists and has been writing about women’s health since 2001. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles.

The decision to change doctors or midwives is never easy, particularly during pregnancy. Sometimes, a switch needs to happen due to practical necessity, such as a move or a change in health insurance. Other times, you may simply realize that you aren't happy with your prenatal care and want to find someone who can provide you with the care that you need and deserve during pregnancy.


There are many reasons why you might decide to switch doctors during pregnancy. Some situations that might prompt you to look for another doctor are if your practitioner doesn’t listen to you, has poor communication skills, or makes you feel disregarded. Additionally, you might want a new doctor if you simply don’t like how you are treated, if there are too many doctors in the practice, or not enough time is spent with you at your prenatal visits . 1


Alternatively, you might want a new OB-GYN or another medical provider if you discover you have different philosophies on prenatal care and childbirth or discover disagreements on treatment practices. Sometimes, you might just have found another practitioner you like better.


Practical considerations, such as issues with office staff, your health insurance not being accepted, or if you experience very long waits for appointments, may also make you want to find a new OB-GYN. Also, your provider may leave the practice or no longer do births. Sometimes, you're seeing the person who has been an amazing gynecologist to you for years, but you find you need something different in an obstetrician.

If you have reservations about switching doctors, you might consider trying to resolve the issue with your midwife or doctor. Explain the problem and search for a resolution together. Resolution may not always be possible, but it can be worth exploring if the issue seems fixable to you. What's most important is that follow your heart and find a new provider if that's what feels right to you. 1

If you find yourself in a situation where you have tried and things still aren’t working out, it is time for a change. Regardless of your reason for wanting to get a new care provider, once you make the decision, you'll want to establish yourself with a new medical practice as soon as possible. Follow these steps to find a new OB-GYN, midwife, or another type of practitioner for your prenatal care. 2


Firstly, you'll want to find out which nearby doctors are covered by your insurance plan and are currently accepting new patients. Typically, your health insurance company can connect you with a list of approved providers. You can also look online for the medical practitioners affiliated with your local hospitals or birthing centers.


From there, you can research online or call their offices to ask all the questions you have before making your decision. Consider asking like-minded family, friends, and other medical providers for recommendations as well. Talk to parents who have had experiences like the one you're hoping to have and start there.


Remember to ask specific questions. Questions like "did you like your doctor or midwife?" are subjective and potentially may elicit vague answers. Instead, ask questions that get to the heart of your concerns and desires. Maybe you want to know what doctors in this area are supportive of natural birth or have low cesarean section rates . Or maybe you prefer practices that have an all-women provider team.


Once you've winnowed down potential providers to a smaller group of possibilities, it's ideal to interview them. M
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