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Residents of Idaho seeking a non-hormonal contraceptive option might find the CAYA diaphragm to be an excellent choice. This guide outlines the steps and state-specific requirements to help you obtain the CAYA diaphragm in Idaho.

Step 1: Schedule a Visit with an Idaho Healthcare Provider

To get the CAYA diaphragm in Idaho, start by scheduling an appointment with a licensed healthcare provider. Idaho law requires a prescription for the CAYA diaphragm, so you'll need a healthcare professional to assess your suitability for this contraceptive method. During the consultation, your provider will review your health history and explain how the CAYA diaphragm works.

Step 2: Idaho Prescription Guidelinescaya diaphragm

In Idaho, obtaining the CAYA diaphragm requires a prescription. Once your healthcare provider determines that the CAYA diaphragm is suitable for your contraceptive needs, they will issue a prescription. If your usual provider is unfamiliar with the CAYA diaphragm, you may seek out a clinic or provider specializing in non-hormonal contraception within the state.

Step 3: Where to Obtain the CAYA Diaphragm in Idaho

With your prescription, the next step is finding a pharmacy in Idaho that carries the CAYA diaphragm. Not all pharmacies stock it, so calling ahead or searching online for availability is recommended. You can also opt to order the CAYA diaphragm from an online pharmacy that ships to Idaho.

Step 4: Understanding Insurance Coverage in Idaho

Idaho health insurance plans, including those under the Affordable Care Act, often cover contraceptive devices like the CAYA diaphragm. Before purchasing, confirm with your insurance provider if the device is covered. If you're uninsured, Idaho's Medicaid program or other state-assisted health plans may cover the CAYA diaphragm.

Step 5: Proper Use of the CAYA Diaphragm

Using the CAYA diaphragm correctly is essential for its effectiveness. Your Idaho healthcare provider should offer you detailed instructions on how to use the CAYA diaphragm, and online resources are available to help ensure proper usage for maximum contraceptive benefits.

My Virtual Physician offers telehealth appointments for patients interested in the CAYA diaphragm. Schedule your appointment with us today! BOOK HERE

If you're in Florida and considering home insemination with fresh frozen sperm, this guide provides an overview of the steps and state-specific requirements you need to follow. Home insemination is a growing trend for individuals and couples hoping to conceive, and using fresh frozen sperm can improve your chances of success. Here’s how you can access fresh frozen sperm for home insemination in Florida.

Step 1: Understand Florida’s Regulations on Sperm Donation and Insemination

In Florida, home insemination is legal, but the sperm used must come from a licensed sperm bank to ensure it has been properly screened. Florida mandates that sperm donors undergo thorough testing for infectious diseases, such as HIV, hepatitis, and sexually transmitted infections (STIs), to ensure the safety of both the recipient and any future children.

Step 2: Choose a Licensed Sperm Bank

To get fresh frozen sperm for home insemination in Florida, you'll need to work with a licensed sperm bank. Make sure the sperm bank complies with state and federal regulations regarding donor screening and sperm processing. Many banks provide comprehensive donor profiles that include details such as genetic history, physical attributes, and even personal interests.

Since not all sperm banks deliver to Florida, verify that the bank you choose can ship fresh frozen sperm to your location. The sperm bank will ship the sperm in a specialized container designed to maintain the required frozen conditions during transport.

Step 3: Obtain a Physician’s Prescription

In Florida, most sperm banks require a prescription from a licensed physician before releasing fresh frozen sperm for home insemination. Schedule an appointment with a healthcare provider in Florida to discuss your insemination plans. Your doctor will ensure that home insemination is appropriate for your situation and provide the necessary prescription.

Step 4: Place Your Order and Arrange for Delivery

After selecting a sperm donor and obtaining your prescription, place your order with the sperm bank. When ordering fresh frozen sperm, be sure to coordinate the delivery with your ovulation cycle for optimal results.

The sperm bank will ship the fresh frozen sperm in a container designed to keep it frozen until it reaches you. It’s essential to follow the sperm bank’s instructions for thawing and handling the sperm correctly to ensure the best chances of conception.

Step 5: Perform the Home Insemination

Once your fresh frozen sperm arrives, you can proceed with the home insemination process. Follow the instructions provided, which may include using a sterile syringe or other equipment sent by the sperm bank. For advice on timing and technique, consider consulting your healthcare provider to improve your chances of conception.

Step 6: Understand Florida’s Legal Considerations

In Florida, anonymous sperm donors generally have no legal rights or responsibilities toward children conceived through sperm donation, as long as the sperm is obtained from a licensed sperm bank. However, you should consult with a legal expert familiar with Florida reproductive laws to ensure that you fully understand the legal aspects of home insemination.

Final Thoughts

Home insemination with fresh frozen sperm can be a successful family-building option for individuals and couples in Florida. By following the state's regulations and choosing a licensed sperm bank, you can safely proceed with the insemination process. Always consult a healthcare provider to determine whether home insemination is right for you and to receive guidance along the way.

My Virtual Physician offers telehealth appointments for patients interested in home insemination. Schedule your appointment with us today! BOOK HERE

Unlocking the Future of Healthcare: Join My Virtual Physician's RegCF Campaign

In today's fast-paced world, the importance of accessible and high-quality health care cannot be overstated. At My Virtual Physician, we are committed to revolutionizing the way patients receive medical care, making it more convenient, efficient, and effective. As we continue to grow and innovate, we are excited to announce our RegCF (Regulation Crowdfunding) campaign and we would love for you to be a part of this unique transformative journey.

Who is My Virtual Physician?

Dr. David Howard, the visionary, founder, and sole stakeholder, has remarkably bootstrapped My Virtual Physician while balancing demanding hours in a hospital's labor and delivery department. Over the past four years, Dr. Howard's dedication and strategic growth efforts have propelled the company to achieve sustainable and substantial success.

Dr. David Howard was born in Jamaica and immigrated to the U.S. at eighteen years old. Dr. Howard received his Bachelor of Arts in Psychology from the Johns Hopkins University and then pursued his Md and Ph.D. in Epidemiology through the Medical Scientist Training Program at the Johns Hopkins School of Medicine.

My Virtual Physician is a national, multi-specialty telehealth company that connects patients with board-certified and licensed physicians through its secure, user-friendly virtual platforms. Our services span various specialties, including primary care, pediatrics, women's health (Gynecology), and more, ensuring comprehensive healthcare solutions for individuals and families across the US.

Why Are We Launching the RegCF Campaign?

The healthcare landscape is rapidly evolving, and the demand for telehealth services has never been greater. By launching a RegCF campaign, we aim to:

1. Expand Our Reach: With your support, we can extend our services to underserved communities, providing vital healthcare access to those who need it most.

2. Enhance Technology: Investing in cutting-edge technology will enable us to offer even more innovative solutions and improve patient experiences and outcomes.

3. Grow Our Team: By attracting top talent in the medical and technological fields, we can continue to deliver exceptional care and drive forward our mission of making healthcare more accessible.

The Impact of Your Investment

Participating in our RegCF campaign means contributing to a future where quality healthcare is
within everyone's reach.

This year our goals are to:

1. Develop New Services: Expand our national reach by adding even more specialty services to offer our patients.
2. Improve Patient Experience: Enhancing our virtual platform and website to ensure seamless and efficient consultations.
3. Foster Community Health: Create initiatives and partnerships that promote health and well-being in underserved communities.

How You Can Get Involved

Getting involved in our RegCF campaign is straightforward and accessible. By visiting our campaign page https://netcapital.com/companies/myvirtualphysician, you can learn more about our mission, vision, and growth plan. Your support, whether large or small, will make a significant difference in helping us achieve our goals.

Join Us in Shaping the Future of Healthcare

Thank you In Advance For Your Support,

David L. Howard, M.D., PH.D, CEO, OBGYN

 

Pelvic pain is a common symptom that can have various underlying causes, ranging from menstrual cramps to more serious conditions like endometriosis or pelvic inflammatory disease (PID). Consulting with an online Ob/Gyn doctor can offer valuable support and guidance in managing pelvic pain effectively. Here's how:

Scenario 1: Emily sat at her desk, her face creased with worry as she typed into her laptop, seeking answers to the persistent pelvic pain that had plagued her for weeks.

Emily: Typing furiously "Pelvic pain causes..."

After scrolling through various search results, Emily stumbled upon an online Ob/Gyn consultation service. With a glimmer of hope, she clicked the link and scheduled an appointment for a virtual consultation.

The next day, Emily settled into her cozy armchair, laptop open, awaiting her online appointment. A cheerful chime signaled the start of the consultation.

Dr. Hernandez: "Good afternoon, Emily. I'm Dr. Hernandez. How can I assist you today?"

Emily: Rubbing her temples "Hi, Doctor. I've been having this persistent pelvic pain for a while now, and it's really starting to worry me."

Dr. Hernandez: "I understand, Emily. Can you tell me more about your symptoms?"

Emily: Describing her symptoms in detail "It's this dull ache in my lower abdomen, and it comes and goes. Sometimes it's sharp, and I've noticed some changes in my menstrual cycle too."

Dr. Hernandez: "Thank you for sharing that. Have you experienced any other symptoms, like abnormal bleeding or urinary issues?"

Emily: Nodding "Yes, occasionally. But nothing too severe."

Dr. Hernandez: "Based on what you've described, it's important to conduct a thorough assessment. I'd like to recommend some diagnostic tests, including a pelvic ultrasound and blood work, to help determine the underlying cause of your pelvic pain. Does that sound alright with you?"

Emily: Relieved "Yes, that sounds good. Thank you, Doctor."

 

Scenario 2: Rachel sat in the waiting room of her local gynecologist's office, nervously tapping her foot as she leafed through an outdated magazine.

Receptionist: "Rachel Summers? The doctor will see you now."

Rachel followed the nurse into the examination room, her heart pounding with anxiety.

Dr. Thompson: "Hello, Rachel. I'm Dr. Thompson. What seems to be the problem today?"

Rachel: Fidgeting "Hi, Doctor. I've been having this pelvic pain, and it's been bothering me for a while now."

Dr. Thompson: "Hmm. Can you describe the pain for me? How long have you been experiencing it?"

Rachel: Struggling to articulate her symptoms "It's kind of a dull ache, I guess. It comes and goes. Maybe for a few weeks now?"

Dr. Thompson: "Alright. Let's do a pelvic exam and some basic tests to start."

After a brief examination and some routine tests, Dr. Thompson concluded the appointment.

Dr. Thompson: "Well, Rachel, everything seems fine for now. Keep an eye on your symptoms, and if they persist, come back for a follow-up."

Rachel was about to ask Dr. Thompson another question, but the doctor stepped out of the room, shutting the door behind him. Rachel heard him shout at one of his nurses to be quicker when rooming his next patient.

Rachel left the office feeling uncertain and frustrated, her pelvic pain still unresolved.

In comparing Emily's experience with the online Ob/Gyn to Rachel's experience with the in-person Ob/Gyn, several advantages of seeking help online become evident. Emily was able to schedule her consultation quickly and conveniently, without the long wait times typical of in-person appointments. During her online consultation, Emily had ample time to fully discuss her symptoms with Dr. Hernandez, leading to a comprehensive assessment and appropriate diagnostic recommendations. In contrast, Rachel's in-person appointment felt rushed, and she left feeling uncertain about her next steps.

Additionally, the online consultation provided Emily with a sense of privacy and comfort, allowing her to discuss sensitive issues like pelvic pain from the comfort of her own home. Overall, Emily's experience highlights the benefits of seeking help from an online Ob/Gyn for pelvic pain, including convenience, accessibility, personalized care, and comprehensive assessment. Therefore, individuals experiencing pelvic pain should consider opting for an online doctor as the first step in seeking evaluation and treatment, as it can lead to better outcomes and a more satisfactory healthcare experience.

 


 

The absence of menstrual periods, known as amenorrhea, can be a cause for concern and may indicate underlying health issues. Consulting with an online Ob/Gyn doctor can offer valuable insights and assistance in addressing this condition. 

But why opt for an online doctor over an in-person visit?

Consider the two following scenarios:

 

Scenario 1: Sarah, a 32-year-old woman, noticed that her menstrual periods had become irregular over the past few months, eventually leading to a complete absence of menstruation for the past three months. Concerned about her health, she decided to seek help from an online Ob/Gyn. During her virtual consultation, Sarah discussed her medical history, lifestyle factors, and the timeline of her menstrual irregularities in detail with the online doctor.

The online Ob/Gyn conducted a comprehensive assessment, asking Sarah about any associated symptoms, such as changes in weight, mood swings, or hot flashes. Based on her history, the doctor recommended diagnostic tests, including hormone assessments and thyroid function tests, to identify potential causes of her missed periods. Sarah was able to schedule these tests conveniently at a local laboratory and share the results with the online doctor.

Following the diagnostic evaluation, the online Ob/Gyn developed a personalized treatment plan tailored to Sarah's specific needs. This included lifestyle modifications, such as stress reduction techniques and dietary changes, as well as hormone therapy to regulate her menstrual cycle. Sarah appreciated the convenience of virtual follow-up appointments, where she could easily discuss her progress, ask questions, and adjust her treatment plan as needed without the hassle of scheduling in-person visits.

 

Scenario 2: Emily, also a 32-year-old woman, experienced similar menstrual irregularities and sought help from an in-person Ob/Gyn. After scheduling an appointment, she had to wait several weeks for an available slot, during which time her anxiety about her condition grew. When Emily finally met with the in-person doctor, she felt rushed during the appointment due to the doctor's busy schedule and limited time.

During the consultation, Emily provided her medical history and described her symptoms to the in-person Ob/Gyn. The doctor conducted a pelvic exam and recommended some basic blood tests but did not offer as detailed an assessment as Sarah experienced in her online consultation. Emily left the appointment feeling uncertain about her diagnosis and treatment plan.

Following the initial appointment, Emily had to wait several more weeks for the results of her tests and schedule a follow-up visit with the in-person Ob/Gyn. She found it challenging to coordinate her schedule with the doctor's availability and felt frustrated by the delays in receiving care.

 

In comparing Sarah's experience with the online Ob/Gyn to Emily's experience with the in-person Ob/Gyn, several key differences emerge. Sarah benefited from the convenience, timeliness, and accessibility of virtual consultations, allowing her to receive prompt evaluation and personalized treatment without the delays and scheduling difficulties associated with in-person visits.

The online Ob/Gyn provided a comprehensive assessment, recommended appropriate diagnostic tests, and developed a tailored treatment plan for Sarah's condition. With virtual follow-up appointments, Sarah could easily monitor her progress and adjust her treatment as needed, leading to better outcomes and a more positive overall experience.

Given the advantages of online consultations, individuals experiencing missed or absent periods should consider seeking help from an online Ob/Gyn first. By doing so, they can expedite the process of diagnosis and treatment, leading to better outcomes and improved reproductive health.


Heavy periods, medically known as menorrhagia, can significantly impact a woman's quality of life, causing discomfort, fatigue, and even anemia. But booking an appointment with a medical professional can be a lengthy process, as many Ob/Gyn physicians have full schedules. 

For many people who are burdened with heavy periods, seeking help from a medical professional via telemed services can provide a fast, convenient, and effective solution– more importantly, it can even save you from the extra cost of seeing a doctor in person altogether. 

 

Why Choose Online Help First?

Specifically, How Can an Online Ob/Gyn Help with Heavy Periods? 

 

In sum, seeking help from an online Ob/Gyn doctor for heavy periods offers convenience, accessibility, and personalized care. By addressing your concerns virtually first, you can expedite the process of finding relief and managing your menstrual health effectively.


Why My Virtual Physician is Your Trusted Partner in Women's Health.

In the ever-evolving landscape of telehealth and digital health solutions, MIRA - Fertility Tracker has gained significant attention for its innovative approach to at-home health monitoring. However, it's crucial to shed light on a significant aspect that might be overlooked by users – MIRA doesn't employ doctors. This means that if you find yourself relying on MIRA for health and fertility insights without a reliable OBGYN familiar with MIRA, you might be left with data that are challenging to interpret accurately.

Biological data, especially when it comes to women's health, is complex and nuanced. Attempting to interpret such data in isolation can lead to misinterpretations and unnecessary concerns. Google might be a tempting source for self-diagnosis, but it's essential to recognize the limitations of trying to understand your health without the expertise of a qualified physician. Biological data cannot be properly interpreted so easily, and the guidance of a healthcare professional is invaluable in ensuring accurate understanding and appropriate actions.

In this context, My Virtual Physician stands out as a beacon of comprehensive women's health telemedicine. Unlike many other national telehealth companies that are one-trick ponies with limited scopes, My Virtual Physician offers full-scope gynecology services. Take NuRx, for example – its limitations in service offerings and the exclusion of insurance options make it clear that not all telehealth platforms are created equal.

What sets My Virtual Physician apart is the direct experience its gynecologists have in consulting with MIRA patients. This means that women using MIRA to track fertility can rest assured that the healthcare professionals at My Virtual Physician understand the intricacies of MIRA's data and can provide meaningful insights and guidance.

So, if you're a MIRA user facing the challenge of interpreting your data, consider booking a visit with My Virtual Physician. Our expertise, full-scope gynecology services, and direct experience with MIRA make us the go-to option for comprehensive and reliable healthcare in the era of digital health solutions. Your health is too important to be left to interpretation – trust the experts at My Virtual Physician to guide you through your health journey.

Telemedicine practices are on the rise, revolutionizing the way healthcare is delivered. However, a recent survey reveals that 55% of physicians find a misalignment between their patients’ expectations and what can be achieved through a virtual care model.

 

My Virtual Physician (MVP) stands out as an innovator, sharing the belief that virtual care can accomplish more for patients than ever before. While some providers offer a hybrid care model combining virtual and in-person visits, a hybrid model alone may not provide comprehensive care.

 

Let’s compare My Virtual Physician against Doctor on Demand, another popular telehealth provider, to see where MVP is breaking barriers in virtual healthcare.

What is Doctor on Demand? 

Doctor on Demand is an established telemedicine provider offering virtual visits to treat specific conditions for patients. While they offer some primary care services, their scope of services is limited. Here’s a side-by-side comparison of treatment options:

 

My Virtual Physician Doctor on Demand
Allergies ✔️ ✔️
Earaches ✔️
Cough, Cold, & Flu ✔️ ✔️
Sinus Infection ✔️ ✔️
Skin Rashes ✔️ ✔️
Pediatric Care ✔️ ✔️
Perinatal Care ✔️
STD ✔️ ✔️
Women’s Health ✔️ ✔️
Irregular Periods ✔️
Painful Periods ✔️
Birth Control ✔️
Infertility ✔️
Menopause ✔️
Acne ✔️ ✔️
Mobile Testing ✔️
Medical Marijuana ✔️
Mental Health ✔️ ✔️
Specialty Care ✔️
Wound Care ✔️
Chronic Condition Management ✔️

 

Shared Similarities between MVP and DoD

Doctor on Demand and My Virtual Physician are both complete care providers offering patients access to urgent care, primary care physicians, and pediatricians for online doctor appointments.

 

Another similarity between the two virtual providers is the availability of virtual and in-person visits. Doctor on Demand partners with certain facilities and helps patients find physical care providers.

 

My Virtual Physician, on the other hand, owns two clinics in Las Vegas with a care team employed on-site. They also provide virtual doctor visits to all 50 states offering a range from primary to specialty care physicians.

Where the Line Starts, the Divide

Doctor on Demand and My Virtual Physician appear to go toe-to-toe on paper until you start reading the fine print. That’s where MVP stands apart. My Virtual Physician is staffed with specialists, including:

And they are working to add even more specialist physicians for patients to have direct access to specialized care without a referral.

 

As far as pricing goes, Doctor on Demand comes with a bit of sticker shock. For a 15-minute virtual consultation for primary care, patients can expect to pay $79, while a 45-minute consultation with a Psychiatrist is nearly $300.

 

My Virtual Physician offers patients greater flexibility and a more straightforward pricing model. Visits are broken down into categories of acute, comprehensive, and specialty care. Depending on the nature of your visit, you’ll pay:

 

  1. Acute - $49.99 for a 15-minute consultation
  2. Comprehensive - $99.99 for chronic conditions or diseases
  3. Speciality Care- $115 for a state-specific certified physician

Care that Speaks for Itself

Reviews and ratings of telemedicine platforms provide valuable insights into patients’ experiences. Let’s address the elephant in the room between these two platforms. Doctor on Demand has a 1.5 rating on Trustpilot, indicating a significant number of negative experiences reported by users. Common complaints mention:

 

 

On the other hand, My Virtual Physician stands in stark contrast, boasting over 100 5-star reviews on Google. These positive ratings signify high satisfaction and appreciation from patients who have received care.

My Virtual Physician Breaks Barriers in Remote Care

My Virtual Physician is no doubt the forerunner in revolutionizing healthcare through telemedicine, particularly for those in remote situations. They provide a total care approach for individuals with multiple chronic illnesses, using mobile teams of certified medical assistants (MA) and specialty physicians including OBGYNs, pediatricians, internists, and more.

 

This mobile team coordinates evaluations and consultations using an actual hybrid approach, where a medical assistant travels to the patient’s home with a tablet for video connections with doctors. The MA uses assistive technology to perform physical tasks such as:

 

 

Through the power of telemedicine, doctors can directly observe and supervise critical treatments, such as wound care, from the comfort of the patient’s own home. This convenient and inclusive approach breaks barriers ensuring individuals receive comprehensive care and specialized treatments regardless of their circumstances.

The Bottom Line

Doctor on Demand and My Virtual Physician both offer online telemedicine services, providing a range of treatment options and accessible healthcare services.

 

While Doctor on Demand caters to non-emergency medical conditions, mental health concerns, and general medical advice, My Virtual Physician takes it a step further by offering a more extensive and specialized approach to care.

 

The best thing about telemedicine is that patients can reach more providers now than ever possible before. This gives patients the power to choose from more than one provider for their healthcare needs. If you’re ready to check out what My Virtual Physician can do for you, our doctors are standing by to help.

 

Book Appointment Now Call For An Appointment

 

Women who have dedicated their lives to medicine may have an unsettling common denominator. Infertility in women is on the rise.

 

According to the American Medical Women’s Association, studies show that one in four female doctors struggle with infertility—that’s a whopping 25%. 

 

Infertility is a growing problem. In the general population of the US, 19% of couples spend more than a year trying to get pregnant. For female doctors trying to start their families, the problem seems to be exacerbated.

Fertility Basics and At-Home Testing

If you’re a physician interested in learning more about your own fertility, we have resources for you. Learn more about fertility in our four-part blog series on testing for fertility indicators. For women working in higher-risk careers, it’s important to be proactive about fertility.

  1. Curious about your fertility?
  2. How can I test my fertility at home?
  3. How do I read my fertility results?
  4. What do I do if my fertility test comes back abnormal?

Why Women in Medicine Face Infertility at a Higher Rate

A fertility specialist testing for infertility

The exact reason that women in medicine face higher infertility rates is not clear. It’s likely a combination of factors. Below, we’ll outline a few likely culprits.

Delayed Family Planning

With each menstrual cycle that passes, the chance of getting pregnant decreases. A woman under the age of thirty has a 25-30% chance of pregnancy for each cycle. By a woman’s 40s, her chances of getting pregnant are reduced to 10% per cycle.

 

It’s well-known that age plays a role in women's fertility. It’s also common knowledge that it takes several years of education, training, and focus to become a doctor. Many women in medicine choose to delay starting a family during the years before becoming licensed to practice. The average age of a woman giving birth is 27, but for women physicians—it jumps up to 32 years old.

 

Medical school and residency often take up a dozen or so of a woman’s precious child-bearing years. By the time a woman reaches physician status, she’s likely already in her thirties and her ovarian reserve begins diminishing. We encourage women in medicine to see a fertility specialist. This is especially important for women over 30 who are trying for a baby.

 

It’s simple to see how it happens. Settling down to start a family often gets put on the back burner while your career launches, and before you know it, you’re nearing forty and still without a child. All this time, you may not have considered that your fertility may be compromised.

 

Related: Infertility: When is it Time to See a Doctor?

Lifestyle

Who has time to settle down and find a mate when you’re busy trying to get trained on how to become a doctor? Busy schedules are another common reason that female doctors aren’t having babies as much as their non-physician counterparts. By the time you get back into the dating scene, your fertility has likely already peaked.

 

Other lifestyle factors that may play a role might include working in high-stress environments (although the relationship between stress and infertility is not well-understood), poor diet, lack of exercise, alcoholism, and more. The answer to the exact cause of the correlation between female physicians and infertility is still being studied.

What Can Female Physicians Do to Promote Fertility Health?

Recognizing that there is a relationship between career choice and infertility is the first step to being proactive. Women in medicine must be informed that they are embarking on a career choice that could put them at a higher risk of infertility.

 

Even though women in medicine struggle more than others with infertility, there are proactive steps that can be taken to combat infertility in women.

 

Below are a few steps you can consider taking now:

 

  1. Test your fertility: Learn how to test your fertility from home.
  2. Naturally boost your fertility: Check out this article for some steps you can take today to naturally boost your fertility.
  3. Conceive earlier: Avoid putting off starting your family and conceive while still in training.
  4. Consult with a fertility specialist: Early intervention can increase your chances of conceiving.
  5. Consider cryopreservation: Freeze your eggs for when you’re ready.

 

If you’re currently struggling to conceive, our online OBGYNs can help with treating infertility.

How an Online OBGYN Can Help

If you’re a female physician who is concerned about this trend of women's infertility in the profession, My Virtual Physician is in your corner. We’re here to consult with you and provide answers. We can assist with regular fertility testing and our online OBGYNs serve patients in all 50 states.

 

If you’ve already received a concerning fertility test result, we’re available to consult with you on the best plan of action to move your fertility forward. Online appointments are available now; book your appointment today to meet with our board-certified OBGYNs.

 

Book Appointment Now    Call For An Appointment

Need to see a specialist? Whether you’re looking for a Las Vegas OBGYN or a pediatrician for your child, getting established with a specialist physician can be an intimidating venture.

 

It used to be a lengthy, expensive, and convoluted process.

 

Luckily—things have changed. Today, there’s a new path available for patients. Now, you can see a healthcare specialist without the red tape.

 

More providers are paying attention to the patient experience, and a clear demand has surfaced: patients need easier access to specialists for healthcare. Healthcare specialist appointments must be easily accessible, swiftly scheduled, and transparently priced. 

 

In this blog, we’ll define what specialists are and when you need to see them. And then, we’ll explore the processes required to see a healthcare specialist, both old and new—letting you in on the secret to seeing a Las Vegas Specialist in a snap.

 

What is a Specialist?

When you call to schedule your appointment for your annual physical or a routine checkup, you’re likely booking with your primary care physician. These doctors can handle a wide range of common medical ailments seen in the general population.

 

A specialist, on the other hand, is a doctor who has expertise in a particular body system.

For example, an OBGYN specializes in the female reproductive system. Read more about the special care focus of an OBGYN below in the related blog at the link below.


Related: What’s an OBGYN: Get to Know Our Las Vegas Gynecology Team

 

An ENT doctor specializes in ailments of the ears, nose, and throat. A pediatrician specializes in the healthcare needs of children.

 

Here are some other specialists found in our healthcare system:

 

This is just a small selection of the many specialty fields out there in the world of healthcare.

 

Las Vegas Specialist - My Virtual Physician

When Should I See a Specialist?

There are many reasons to seek medical care from a healthcare specialist. Here are a few.

Your Primary Care Doctor is Unable to Treat Your Condition

If you’re experiencing a chronic medical condition that your primary care doctor is unable to treat, it may be time to see a specialist. For example, if you’ve been asking your regular doctor to help clear up a skin condition, but it doesn’t seem to be improving—a dermatologist, who specializes in skin conditions, may be more qualified to help. Sometimes your doctor will refer you to a specialist; other times, you may need to seek out the specialist yourself.

You Have a Rare (or system-specific) Condition

Primary care physicians (PCPs) are trained to treat a broad scope of conditions that occur in the general population. If you know that you have a condition that is rare or that a specialist is more qualified to treat, then it may be appropriate to book directly with a specialist rather than a PCP. For example, if you have irregular menstrual cycles, an OBGYN or endocrinologist may be better able to pinpoint a care plan than a doctor with general training.

Your Regular Doctor is Unfamiliar with Treatments

A third reason that patients desire to see a specialist is to find a doctor who is more familiar with treatment options that they have researched. If a primary care doctor is unfamiliar with a treatment that you want to try, seeing a specialist with experience using the treatment is a valid option.

 

So, now that you know when it’s time to see a specialist—let’s look at how to do it.

 

The Traditional Method

First, the long way.

 

Traditionally, the process of seeing a specialist involved making multiple appointments. Ultimately, your primary care physician was the gatekeeper who decided whether patients were permitted to schedule an appointment with a specialist.

 

Sometimes, you’d also need to have pre-approval from your insurance company before seeing a specialist. Insurance companies may deny coverage of specialist visits if the proper referral paperwork is not filed by your doctor’s office.

 

With the traditional method, you had to jump through hoops to see a specialist physician, including:

 

  1. Multiple appointments required
  2. Pre-approval is required for insurance coverage
  3. Primary care physicians must provide a referral
  4. Long waiting list to get an appointment

 

With the shortage of specialists in the Las Vegas area, seeing an OBGYN or other specialists in the area could take months.

 

Luckily, there’s a better way!

 

Bypass the Wait and See a Specialist Today

It’s hard to believe that anyone would follow the long process above to see a healthcare specialist when there’s such a simple shortcut. So, how can you see a specialist physician without jumping through hoops?

 

Schedule directly with your specialist. 

 

My Virtual Physician wants patients to have access to specialists. That’s why we are here. Our patients have the option to visit with our Las Vegas specialists either online or inside our hybrid clinic located on Paradise Road in Las Vegas.

 

Our specialists include:

 

My Virtual physician offers transparent pricing and affordable visits for self-paying patients. Read more about grabbing affordable medications as a self-pay patient below.

 

Related: Guide to Self-Pay Prescriptions: Get the Best Price on Medications

 

If you’re located or visiting the Las Vegas area, walk-ins are welcome at our hybrid clinic. At this clinic, you can visit virtually with our specialists inside a private exam room right on the Vegas strip, making seeing a specialist on your own terms as easy as can be.

 

Ready to Schedule Your Specialist Appointment?

If you’re ready to book your appointment with one of our specialists, click below to self-schedule or walk into our hybrid clinic for an instant appointment. We look forward to serving you by providing a positive patient experience.

 

Book Appointment Now    Call For An Appointment

You’ve been planning this vacation for months and now you’ve arrived—you finally made it to Vegas! Now, the fun begins…

 

You’re full of excitement and ready to experience the Vegas strip and have some fun! But there’s one detail that you probably didn’t plan out while you were booking tickets, packing your bags, and making your way to Nevada.

 

That detail is this—what to do if you need to see a doctor while you’re on vacation. 

 

If you’re insured, seeing an out-of-state doctor may mean that you’ll face steep out-of-network charges that don’t count toward your regular deductible. If you’re uninsured, you might get stuck with hefty out-of-state medical bills.

 

If you’ve just arrived at your hotel in Las Vegas and realized you need to see a doctor ASAP, here’s what to do in order to see a doctor quickly and affordably so that you can turn your focus back to enjoying your vacation.

 

Step #1: Write Down Your Troubles

Before making any decisions, just pause for a moment. Focus on the reason that you need to see the doctor. If it’s because you forgot your medications at home, then write down the medications that you need refilled in Las Vegas to cover you during your vacation.

 

On the other hand, if you’re having indications of an illness that requires medication for you to feel better, write down your symptoms and how long you’ve had them. Some common illnesses that pop up during vacation include UTIs and bacterial infections.

 

If you feel a urinary tract infection (UTI) coming on or you are experiencing a sudden and extreme sore throat, write down your answers to the following questions:

 

 

In many cases, you’ll continue to feel miserable until you get antibiotics to fight the infection if it’s caused by bacteria. Tracking your symptoms as soon as you notice them can help you evaluate whether things are getting worse.

 

Related: What To Do If You Are Traveling With a UTI on Your Road Trip to Las Vegas

 

Take an account of the facts and assess the urgency of your situation before reacting. Once you’ve got your troubles documented, you can make an informed decision on whether or not you need to see a doctor.

 

Step #2: Determine the Type of Doctor You Need to See

The next step before taking action is to figure out the best type of doctor that can help you. A general practitioner can handle many common health concerns. But local doctors probably won’t have an opening for months and an urgent-care clinic staffed with general practitioners might cost you a small fortune in medical bills.

 

If your medical need requires a specialist, how can you find one in Vegas? Specifically, can you find an OBGYN in Las Vegas? OBGYNs specialize in the female reproductive system and cover anything from contraceptive prescriptions to menstrual problems and infertility. Read more about what conditions OBGYNs treat

Once you’ve narrowed down whether it’s a general practitioner or a specialist that you need to see, you can start looking for a doctor or clinic. The two main places to look are in-person clinics in Las Vegas or online.

 

Step #3: Check Telehealth Options or Find a Local Walk-in Clinic

Telemedicine has provided greater access to healthcare and specifically, to specialists. Today, you can see a doctor in minutes rather than months. Searching for a provider online (who is licensed to practice in Nevada) can be one of the simplest solutions to finding a provider while traveling.

 

Online providers also tend to be more self-pay friendly. Since insurance companies don’t typically cover out-of-network providers, going online can be an affordable alternative. You’ll find a wide selection of specialists online who are taking new appointments.

 

Related: What to Expect During an online OBGYN Las Vegas Appointment

 

If you prefer a brick and mortar visit to the doctor without breaking the bank, My Virtual Physician has created a hybrid clinic to meet that need. Located on Paradise Road in Las Vegas, this clinic offers televisits for walk-ins and same-day appointments. Appointments are available for a flat, affordable price. Get back to the fun after stopping by the hybrid clinic on Paradise Road.

 

Our hybrid clinic is staffed virtually with a variety of physicians and specialists (including pediatricians and OBGYNs) to help you get feeling better faster.

 

Step #4: Pick up Your Prescription & Get Back to Fun!

If you’ve been prescribed medication during your hybrid or telemedicine visit, picking it up is also a simple process. You’ll need to find a Las Vegas pharmacy that is nearby so that you can get your prescription right away. There are several pharmacies within walking distance of our hybrid clinic where your doctor can send your prescription to be filled.

 

For help finding the most affordable local pharmacy, check out our guide to self-pay prescriptions below.

 

Related: Guide to Self-Pay Prescriptions: Get the Best Price on Medications

 

This Hybrid Clinic on Paradise Road Takes Walk-in Visits

My Virtual Physician is proud to provide greater access to doctors and specialists, particularly in the Las Vegas area with our hybrid clinic on Paradise Road. Our board-certified Las Vegas team of OBGYNs, pediatricians, and other specialists are here to help if you find yourself needing to see a doctor urgently while on vacation in Las Vegas or elsewhere.

 

Walk into our hybrid clinic today or schedule your online appointment now by clicking below.

 

Book Appointment Now    Call For An Appointment

Need to get in to see your OBGYN?

There are a lot of reasons to see your OBGYN, including getting contraceptive refills, screenings, and care for menstrual concerns, infertility, menopause, sexual health, urinary problems, and pregnancy.

For most women, scheduling a gyno appointment comes with a feeling of dread. But this Las Vegas OBGYN clinic is making life easier than ever for women in the big city.

 

Find out how you can see your gynecologist in a matter of minutes, right here in Vegas.

 

Don’t Wait to See Your OBGYN if You Have These Problems

There’s a lot that can get out of whack with a woman’s body if left untreated. Here’s a quick list of signs that will grab your attention until treated. Do not delay your visit to the gynecologist if you have any of the following issues:

 

Related: Our Las Vegas OBGYNs Cure Your Bacterial Vaginosis Fast

 

These are all signs that you need to see your OBGYN urgently. But how can you make that happen?

How Can I Get in Sooner for an OBGYN Appointment?

Here’s the secret to getting your OBGYN appointment quicker: forget the traditional appointment model.

In the past, seeing your gynecologist was something that had to be planned well in advance. First, you’d have to get established with a brick-and-mortar healthcare facility before you were allowed to see a specialist at all.

Next, you’d have to call and schedule an appointment. It’s not unusual for specialists like OBGYNS to be booked out for months—especially in Las Vegas. If you’re lucky, your gynecologist might try to squeeze you in between patients if you have an urgent need. But you’ll probably be waiting around for hours to be seen.

 

So, what’s a girl to do? There’s got to be a quicker way for getting in to see a Las Vegas OBGYN. Luckily, there is.

Take This Shortcut to Find A New Way to See Your OBGYN—Urgently

Telemedicine is paving the way for quicker access to your doctor, bypassing the dreadful waiting that accompanies traditional appointments.

Thanks to the increasing availability of telemedicine, you can now see your doctor in a less traditional way: online. And it’s not just your primary care physicians that have moved their practices into the digital space. Specialists, including obstetricians and gynecologists, are making appointments accessible to patients online.

There’s no denying that telemedicine is increasing access to care exponentially. Now, you can see your Las Vegas OBGYN on your terms and from the comfort of your own home. In the digital realm, doctors are able to reach more patients, spread the demand for care over a wider supply of physicians, and complete appointments from start to finish more efficiently. It’s a win-win situation.

 

Related: Telemedicine Improves Access to Prenatal Care, But Can We Improve Access to Telemedicine?

 

But beaming up your doctor on your smartphone or computer doesn’t work for everyone. And for those patients who prefer to come into a physical facility, My Virtual Physician is providing an alternative called a hybrid clinic.

This Las Vegas OBGYN Welcomes Walk-Ins or Appointments

My Virtual Physician has opened a new type of healthcare facility. Their hybrid clinic, located on Paradise Road in Las Vegas, provides patients a way to virtually meet with an OBGYN, pediatric, or primary care physician on a walk-in basis.

Inside the clinic, you’ll find a certified medical assistant who will walk you through the steps to visit virtually with our doctors in a private room. Our assistant can also measure your vitals during your visit. Ultrasounds and other specialist appointments can also be scheduled ahead of time at the hybrid clinic.

 

My Virtual Physician is making Las Vegas OBGYN care more accessible to patients in the city who prefer a healthy mix between traditional visits and speed. Visit us today for a transparently affordable visit with our specialists.

 

Holiday traditions encourage families to get together to celebrate with distant relatives—including aunts, uncles, grandparents, and in-laws. This is an opportunity to catch up with one another and find out how everyone in your family has been doing since you were last together.

Family get-togethers are also a suitable occasion to recognize when something isn’t quite right. This season provides a short window of opportunity for intervention when someone is crying out for help from elder abuse.

In this article, we aim to spread awareness about elder abuse during this holiday season by covering:

What is Elder Abuse?

Elder abuse is when a trusted caregiver knowingly or negligently takes advantage of an elder—it can include physical or sexual abuse—or take another form, such as:

The elderly tend to be more vulnerable to abuse than other adults. That’s because there is a gradual decline in physical strength and mental acuity as we age. Many of our elders also depend on caregivers to help with day-to-day functioning.

According to the American College of Obstetricians and Gynecologists, as many as one in ten adults over the age of 60 may become a victim of elder abuse. And only around 1 in 23 cases of elder abuse are reported to authorities. With such a high incidence, it’s critical to know what to look for to spot elder abuse.

Recognizing the Signs of Elder Abuse

Doctors often screen for signs of elder abuse during regular visits, and the ACOG recommends that OBGYNs screen all patients over the age of 60 for signs of abuse.

But doctors are not the only ones who can recognize the signs of abuse. When you meet with your loved ones this holiday season, look deeper at any red flags that grab your attention.

For example, if your grandpa shows up to Christmas dinner with teeth missing from his dentures and unkempt hair, you might begin to look for other signs that he is not receiving proper care. If your aunt, who takes care of grandpa, has a shiny new car out of the blue and a bad attitude toward grandpa—that’s worth investigating further.

Here are some other signs to look out for:

If you notice any of these signs, it’s worth investigating whether your family member has become a victim of elder abuse. Talking to your loved one directly about the red flags may not be enough to get them the help they need—so what can you do to get real help if you suspect elder abuse?

Getting Help: Freedom from Elder Abuse

Our elders deserve protection. If you suspect elder abuse, the best course of action is to report it to authorities, who are trained to investigate this type of situation. You can report suspected abuse to a number of agencies, including:

  1. Local police
  2. Local adult protective services
  3. Local Department on Aging
  4. Local Public Health Department
  5. Eldercare hotline: 1-800-677-1116
  6. Doctors

The National Center on Elder Abuse website has state-specific resources for you to contact the right professionals in order to get help in your region.

If you’re not sure whether your loved one is suffering from abuse, you can encourage your elder to see his or her doctor, who will do an elder abuse screening. Physicians are mandated reporters, which means that they must report suspected abuse to authorities.

Keep Your Loved Ones Safe

Sadly, elder abuse is not an uncommon occurrence. But the good news is that everyone has the ability to do their part to help stop the abuse. Simply reporting any suspicions to the proper authorities may be enough to put an end to elder abuse.

My Virtual Physician prioritizes protecting vulnerable populations and can help with the reporting process. Contact us today if you or a loved one needs help.

 

Imagine a world where you can’t get in to see your doctor for months or even years. Whether you simply need a prescription refill or help diagnosing and managing a chronic medical condition like diabetes, both can produce scary, or even life-threatening, scenarios.

Now, consider that the United States isn’t that far from this reality. In a 2021 report, the Association of American Medical Colleges (AAMC) predicted that a physician shortage is coming to the US. By 2034, the country will fall short of meeting the appropriate physician-to-patient ratios.

In fact, the AAMC believes that the US will fall between 40,000 to 124,000 doctors short in the next decade or so.

An Ideal Physician-to-Patient Ratio

It makes sense that densely-populated areas require more doctors in order to meet healthcare needs. That’s where the physician-to-patient ratio comes in. If you can measure this ratio, it tells you whether you have enough doctors to meet a geographical area’s healthcare needs.

Most states within the USA fall below the ideal physician-to-patient ratio. An ideal number is around 270 physicians per 100,000 people. This equates to about 370 patients per doctor. Many states hover around a rate closer to 200:100,000.

The governmental agency known as the Health Resources & Services Administration (HRSA) works to increase healthcare access to vulnerable populations (geographically isolated, economically or medically vulnerable). Reports are available on their website. These reports show where vulnerable populations are located and where physicians are needed the most.

How Las Vegas Stacks Up

Nevada has been experiencing a physician shortage for some time. Currently, the state’s ratio remains around 200:100,000. Read more here about the OB/GYN Physician Shortage in Las Vegas.

HRSA reports displaying Health Professional Shortage Areas (HPSA) show regions where there is a shortage of providers. Nevada shows 75 areas with a primary care physician shortage, plus numerous dental and mental health areas where there is a shortage of specialists to serve these populations.

A search on medically underserved areas from HRSA shows 25 regions within the state have underserved areas and populations. Specifically, these areas in Las Vegas are underserved:

My Virtual Physician is Increasing Access to Doctors & Specialists

It is My Virtual Physician’s mission to provide access to healthcare for men, women, and children. That’s why we offer online telemedicine visits for patients in any US state. This helps break down geographical barriers in order to increase the real physician-to-patient ratio. On top of that, we have taken it a step further with our hybrid clinic located in Las Vegas.

Read about our hybrid clinic’s opening here: My Virtual Physician Celebrates Las Vegas Hybrid Clinic Opening.

This clinic helps to serve populations who may not have access to the digital requirements of telemedicine. We provide a private room that our patients can use to meet virtually with our doctors inside the clinic located at 2217 Paradise Road in Las Vegas.

Additionally, the clinic provides immediate access for all populations. Walk-ins are welcome during business hours. Find out more here. Our doctors can provide primary care needs as well as specialty visits. In addition to our primary care doctors, we also have board-certified OBGYNs and Pediatricians ready to meet with patients.

 

My Virtual Physician has an exciting announcement to celebrate: our hybrid clinic on Paradise Road is now open in Las Vegas!

Our Mission

My Virtual Physician’s mission is to provide safe, secure, and convenient access to healthcare for men, women, and children. In other words, we use telemedicine to fill the healthcare access gap that’s left by the reality that many doctors don’t offer same-day services. Patients who need to see a doctor now have the ability to meet virtually with our team of physicians with same-day appointments.

Our online telemedicine services launched during the pandemic, have grown exponentially, and continue strong today—providing quality healthcare access nationwide, online. We credit our growing team of doctors for our success.

Accessing Care in Las Vegas

But My Virtual Physician aims higher than simply providing online access to those who have the right equipment for a virtual visit (such as a smartphone or computer equipped with a camera and mic).

Other limitations exist with providing this type of healthcare solely online, including not having a private or safe place to interact virtually and the lack of medical equipment for taking vitals and collecting labs for diagnostics.

To overcome this challenge, My Virtual Physician opened its first one-of-a-kind hybrid clinic in Las Vegas. We’re excited to announce that, despite some major obstacles, we have successfully launched our first physical walk-in location.

Related: Hybrid Medical Clinics: Expanding OBGYN Access in Las Vegas

Now Open in Las Vegas for Walk-ins or Appointments

My Virtual Physician’s hybrid medical clinic is now open at 2217 Paradise Road in Las Vegas. Walk-ins are welcome. Find out our current hours or book an appointment (if preferred) here.

We are pleased to welcome men, women, and children into the physical clinic for a virtual visit in our private patient room, where our videoconferencing equipment is already set up and ready to go. We provide women’s health, pediatric, and primary care services in our hybrid clinic.

My Virtual Physician is proud to have opened the first clinic in Vegas that offers immediate access to online healthcare for those who may not have access to the equipment or private space. We welcome all to come visit us. Find us on Paradise Road! Get Directions Here.

Related: Now Available: Walk-in STD Testing in Las Vegas at Hybrid Clinic

Inside Our Las Vegas Hybrid Clinic

Take a peek inside our clinic, where our certified medical assistant (CMA) will greet you! We have a comfortable waiting room for busier times. We also have a private room for patient use where our CMA will take your vitals, give you the tools to collect samples if needed for labs, and then you can meet virtually with our doctors with our private and secure videoconferencing setup.

At times, we do staff the clinic with a nurse manager and other medical professionals who can provide additional services such as wound care, vaccinations, ultrasounds, and more. If you’re interested in these services, please call ahead to (888) 224-0804 so that we can make sure the appropriate staff is present for your visit.

Come See Us Today on Paradise Road

My Virtual Physician offers affordable and immediate access to patients at our new hybrid clinic in Las Vegas. Click to find out more about which services we offer. Welcome to our clinic!

 

 

 

 

When was your last STD test? It’s hard to keep up with the latest testing recommendations, let alone make sure you’re in line with them. My Virtual Physician wants to make it easier for patients to stay on top of regular STD screening and testing with our hybrid clinic, which now offers walk-in STD Testing in Las Vegas.

Our hybrid clinic is now open and located at 2217 Paradise Road in Las Vegas.

If you’re unsure about whether you’re due for STD testing or which test to get, continue reading below so we can fill you in on the details.

Should I Get Tested?

Not everyone needs to get screened or tested every year for STDs. But certain populations are at a higher risk of contracting particular STDs. There are different recommendations for men and women.

In general, get screened or tested at least annually if you are under 25 and sexually active, HIV positive, having symptoms, or have multiple sexual partners. Since many people do not experience any symptoms when they have an STD, it’s important to get tested regularly.

If you’re in this higher-risk group, visit our walk-in clinic in Las Vegas today to get a quick and simple STD test done today.

When to Test for STDs

Even if you’re not in the high-risk group, you may be experiencing symptoms that you’d like to confirm are not a sexually transmitted infection. Here are signs to look out for if you suspect you might have symptoms of an STD:

Read more about specific STDs and when to get screened or tested in these blogs:

Related: The Importance of STD Screening with a Virtual Doctor

Which STD Test Should I Get?

Chlamydia and gonorrhea are the two STDs most commonly tested on a yearly basis for higher-risk individuals, particularly women, since these infections can cause severe complications for the female reproductive anatomy if left untreated.

Rule out HIV at least once in your lifetime if you are sexually active and between the ages of 13 and 64 years old.

Other tests specifically recommended for pregnant women include:

Some clinics offer throat or rectal STD testing options if you suspect an oral or anal infection. Call your doctor to find the best testing facility if you need these areas tested.

Walk in Today to Get STD Testing in Las Vegas

If you want to get STD testing done today, visit our hybrid clinic located at 2217 Paradise Road. My Virtual Physician is proud to offer walk-in STD Testing in our Las Vegas location. Alternatively, if you’re outside of the Vegas area or prefer not to leave home, connect with our doctors online to find out how to get an at-home STD test kit sent to your home.

Book Appointment Now    Call For An Appointment

mother breastfeeding baby deciding about getting a diaphragm as birth control

Giving birth to a new baby is an exciting time and a life-changing experience in a woman’s life. This time is filled with sleepless nights and frustrating moments, but the reward is your precious new child who brings endless love and joy.

Over 80% of newborns are breastfed at some point during their infancy. Mothers naturally desire to breastfeed their newborns, and the US Dietary Guidelines for Americans agree that human breastmilk is the best food for newborns and infants.

If you’ve chosen to breastfeed your baby, you want to make sure you’re providing your baby with milk that is safe for your baby to drink. That means you may have to make some adjustments to avoid contaminating your milk supply. Medications are one way that a mother’s milk supply can be adversely affected.

In this blog, we’ll talk about contraceptive options after giving birth. We’ll cover safe birth control alternatives for breastfeeding mothers.

Related: Breastfeeding in the 21st Century: Setting up for Success

Natural LAM Birth Control

Breastfeeding is natural birth control. That’s because of a natural period of infertility follows childbirth. You can use this phase to your advantage; this contraceptive method is called the lactational amenorrhea method (LAM). You can temporarily use this phase as a birth control method for up to six months if you’re a breastfeeding mother.

There are three criteria that must apply in order to know that you’re protected from pregnancy with LAM. They include:

  1. Absence of menstrual periods (amenorrhea)
  2. Baby is breastfeeding full-time (not supplemented with formula)
  3. It has been less than six months since delivery

LAM can be up to 98% effective at preventing pregnancy for the first six months after delivery. However, once the three criteria above are no longer met, you’ll need to switch to another birth control method.

Avoid Hormonal Contraception While Breastfeeding

Many birth control methods, including the pill and the shot, are hormone-based. They work by delivering chemicals internally that alter your body’s normal hormone levels, influencing natural processes like suspending ovulation. Hormonal birth control methods can have negative consequences for breastfeeding mothers and infants, including:

  1. Lowered milk supply for the mother
  2. Hormone-tainted breastmilk for the baby

Several alternative contraceptive methods are compatible with breastfeeding mothers.

Related: Why Women are Switching to the Diaphragm as a Birth Control Alternative

Non-Hormonal Birth Control

While you’re still breastfeeding, your best options for birth control after LAM include barrier methods, copper IUDs, and natural family planning methods. These methods have no adverse effect on your milk supply or quality.

Barrier Methods

Condoms, diaphragms, cervical caps, and spermicides are all methods of birth control that work by creating a physical barrier that blocks sperm from entering the female reproductive system past the cervix. These non-hormonal alternatives work on-demand, as needed before sexual intercourse.

The effectiveness of each method and brand varies, but generally hovers around 80-85%. For example, the Caya diaphragm, which can be used six weeks after childbirth, has an effectiveness of 86% with perfect use and 82% with typical use.

If you’re interested in seeing if a diaphragm is right for you as a breastfeeding mother, My Virtual Physician has partnered with Caya to provide this hassle-free contraceptive option to our patients. Schedule an appointment today to find out.

Copper IUD

An intrauterine device (IUD) is a small T-shaped medical device that is inserted into the uterus by a doctor. The non-hormonal version of the device, branded as Paragard, prevents pregnancy by making the conditions inside the uterus unfavorable for sperm and therefore preventing fertilization. These devices can be very effective at over 99% and can be left in place for up to a decade. After having a baby, you’ll have two windows of opportunity to have Paragard inserted:

  1. Directly after childbirth
  2. One full month after childbirth or later

Keep in mind, though, that the risk of Paragard becoming embedded in the uterus increases for breastfeeding mothers.

Fertility Awareness-Based Methods

If you’re looking for a completely natural method of birth control while you breastfeed, you do have one more option on the table: fertility awareness. This method, abbreviated as FAM or FAB, involves tracking your menstrual cycles to determine your fertility window. During your fertility window, you can prevent pregnancy by avoiding sex or using a barrier method, such as condoms. Effectiveness is highly variable, ranging from 77% all the way up to 98%.

Related: Natural Birth Control: Fertility Awareness Pregnancy Prevention

Discuss Your Contraceptive Options While You Breastfeed

My Virtual Physician has board-certified OBGYNs and pediatricians on staff to help you navigate your contraceptive options after pregnancy. Connect with our doctors today to discuss your options and plan your post-delivery plan while you breastfeed your baby.

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Dealing with bladder leaks when you cough, laugh, sneeze, or exercise can bring a woman to her breaking point. While stress urinary incontinence, also called SUI, is not uncommon in women, it is also not a normal part of the aging process. Women who have tried it all, from Kegels to pessaries (like Uresta), may turn to more drastic measures to solve the leakage struggle—such as injections or surgery.

Related: Surgical Treatments for Stress Urinary Incontinence in Women: What Are They?

The struggle is real. If you’re considering going under the knife, or have recently undergone pelvic surgery to treat SUI, you’ll need to prepare for the recovery process. My Virtual Physician wants to help make sure your recovery from surgery is as smooth as possible so that you can return to enjoying life to its fullest once again. Here, we’ll cover tips for a successful surgical recovery after pelvic procedures.

Hospitalization

You may or may not require hospitalization after bladder surgery. Your doctor and surgeon will determine what your individual needs are. Injections do not require hospitalization unless there are complications. Sometimes a urethral sling can be completed as an outpatient procedure. If you’re using your own tissues for the sling, though, you’ll likely need to stay in the hospital for recovery for about a week.

Peeing After Pelvic Surgery

Some doctors leave a catheter in place after pelvic surgery while patients recover to ensure that the bladder can empty properly while the patient heals. If you’ve been sent home with a catheter, it can usually be removed by your doctor around one week post-surgery.

If you do not have a catheter, or if you just had it removed, you may have some anxiety about urinating for the first time after surgery. Try to relax and take your time. The first time peeing may be slightly painful or come with a minor burning sensation, but each time afterward will improve until you are peeing normally again. It is normal to experience a slower flow than before surgery.

Along the same lines, you’ll want to be sure you’re taking a stool softener after undergoing pelvic surgery. That’s because you do not want to strain your pelvic muscles to push bowel movements. You may need to continue taking stool softeners for several weeks, depending on your body and your dietary habits.

Pain Management

Your doctor may prescribe some pain medication to help ease discomfort while your body heals. Once you are fully healed, you should no longer experience ongoing pain.

Healing Time

Depending on the type of pelvic procedure you have done, your healing time will vary. Injection therapy has little to no healing time, while pelvic reconstruction surgeries such as slings and bladder neck suspension have a longer recovery period.

Healing time is also dependent upon which method your surgery was completed. When having the procedure completed laparoscopically or vaginally, you’ll recover much faster when compared to those who require surgical incisions.

Activity Restrictions

The pelvic organs can take quite a while to heal after surgery. That’s why it’s critical to restrict your physical activity during your extended recovery period. For about three months directly after surgery, you should drastically reduce physical activity. From there, take it easy for six months, and keep in mind that it can take up to a couple of years for your body to be completely healed after surgery.

Avoid the following during the weeks after surgery:

Signs of Infection or Delayed Healing

While you recover, it’s normal to have some vaginal bleeding for up to a little over a month. But look out for these signs of problems or infections and contact your doctor right away if you experience:

Follow-Up Appointments

After your pelvic surgery, you’ll see your surgeon again about one to three months later, giving your body time to heal. Be sure to write down any questions until this time. My Virtual Physician wishes you a speedy recovery, and if you have any questions about whether or not you are a good candidate for pelvic reconstructive surgery to treat your SUI, reach out to us to speak with our team of board-certified physicians.

Long-Term Recovery from Pelvic Surgery

Your post-surgical appointment is not the end of your recovery. You’ll need to continue to rest and take it easy for up to two years after surgery. In addition, you can incorporate other recovery strategies to keep your pelvic organs where they should be, such as Kegels and proper lifting techniques.

My Virtual Physician Offers Consultations for Patients Considering Pelvic Surgery

Whether you’re weighing your options or you’ve already decided that pelvic surgery is the route to go to treat your stress urinary incontinence, My Virtual Physician is here to help. We offer post-surgical follow-ups and initial surgical consultations to discuss the risks and benefits of gynecological surgery. We have also partnered with Uresta, a different type of pessary, to help women take control over their SUI.

Book Appointment Now Call For An Appointment

Which contraceptive method are you using? Have you explored all of your options? According to the CDC, there are currently six categories of preventative birth control. They include:

  1. Intrauterine (IUD)
  2. Hormonal (Implant, injection, pill, patch, and ring)
  3. Barrier methods (condoms, diaphragm, cervical cap, and spermicides)
  4. Fertility awareness (calendar tracking)
  5. Lactational Amenorrhea (while breastfeeding)
  6. Permanent sterilization (tubal ligation or vasectomy)

Whether you’re shopping around for a new birth control method—or you’re just curious about what else is out there, it’s important to learn about the pros and cons of each type of contraception. One of the lesser-known barrier methods that’s making a recent comeback is the diaphragm. Here, we’ll give you the facts about using a diaphragm for birth control—the good and the bad, so that you can decide if it’s right for you.

Proponents for the Diaphragm Contraceptive Option

There are many benefits to choosing a barrier method for birth control. By checking out the pros listed here, you can see what your sex life would look like if you switch to a diaphragm.

#1 Diaphragms are Non-Hormonal

Diaphragms are a barrier method. Unlike hormonal birth control methods, diaphragms do not contain any hormone-altering chemicals. Diaphragms simply work by physically blocking sperm at the cervix (along with spermicide, which kills sperm at the cervix).

Why is non-hormonal a good thing in birth control? Because it doesn’t alter your body’s natural hormone levels. Hormonal birth control is known to cause unintended side effects for many women, including headaches, weight gain, irregular periods, changes in mood, decreased libido, acne, and nausea. With diaphragms, none of these side effects exist. The only side effects when using diaphragms are limited to an increased risk of urinary tract infections (UTI) or vaginal irritation in some women.

Because diaphragms are non-hormonal, it means they are safe to use while breastfeeding since there are no chemicals from the diaphragm to contaminate breast milk.

#2 Diaphragms are an On-Demand Contraceptive

Another perk of using a diaphragm is that there is no waiting period—they are immediately effective and immediately reversible. Therefore, there’s zero effect on your fertility once you stop using your diaphragm. Diaphragms, like all barrier methods, are an on-demand contraceptive—they only work when you use them during intercourse and cease immediately when you no longer use them.

#3 Diaphragms Don’t Dull Sexual Sensation

While condoms effectively reduce the spread of STDs and the risk of pregnancy, many people still balk at using them because they believe that sexual sensations are dulled. While diaphragms don’t help protect against STDs, they can provide a contraceptive option without affecting sexual sensation. Neither men nor women can feel the diaphragm during intercourse.

Setbacks to Using a Diaphragm for Birth Control

It wouldn’t be a fair assessment if we didn’t cover both sides of the coin. Using a diaphragm for birth control does have a few drawbacks. Let’s cover those now.

#1 Diaphragms Must be Used with Spermicide

The instructions for diaphragms require that spermicide is used together with the device. That means you’ll need to make periodic trips to the pharmacy to pick up more spermicide when you run out. The active ingredient in spermicide, nonoxynol-9, is also known to cause vaginal irritation and increase the risk of contracting HIV.

Another drawback of using spermicide (which is required with diaphragms) is that it is only activated during a window of about two hours. So, if you insert the diaphragm more than two hours before sex, you’ll need to insert more spermicide with an applicator. Spermicide also takes time to work—so you’ll need to wait six hours after sex to remove your diaphragm to ensure all sperm has been immobilized.

#2 Diaphragms have a Lower Effectiveness When Used Alone

Contraceptive diaphragms are around 82-88% effective at preventing pregnancy. This is a lower effectiveness rate than IUDs (99%), implants (99%), hormonal birth control (91-94%), and permanent sterilization methods (99%). On the other hand, diaphragms are more effective at pregnancy prevention than condoms alone (79%). There are ways to supercharge the effectiveness to get much closer to the 99%, such as using a condom along with your diaphragm.

Related: 5 Tips to Supercharge Your Contraceptive Diaphragm’s Effectiveness

#3 Diaphragms Require Some Preparation

Unlike condoms or spermicides, you can’t just run to the store and buy a diaphragm over the counter. First, you’ll need to schedule a doctor’s appointment to get a prescription. Fortunately, there’s now an option available that is one-size-fits-most (Caya Contoured Diaphragm), so you can get a diaphragm prescription during a virtual doctor visit and skip the fitting that traditional multi-sized diaphragms require. Once you’ve got your prescription, you can pick your diaphragm up from a pharmacy or have it shipped to you—and you’ll be good to go for about two years until it needs to  be replaced.

Related: Is it Time to Replace My Diaphragm? Here’s How to Know

Other than a two-year prescription renewal, there is some on-demand preparation required. You’ll need to insert the diaphragm each time you have sex for it to work. Inserting and removing a diaphragm takes some practice and can be messy at times, but after you get the hang of it, you’ll be a pro.

Ready to Try a Diaphragm for Yourself?

After weighing the pros and cons of using a diaphragm for contraception, you might find that you’re curious to try one for yourself. Whether that’s the case or you just want to cover your birth control options, My Virtual Physician is here to support you and provide the tools you need to take care of your reproductive health. Schedule your appointment below to connect with one of our board-certified gynecologists today.

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Ever heard biofeedback? It sounds cool, but what does it even mean? If you’re unsure—but desperate to know if biofeedback can help solve your leaky bladder caused by SUI, then this article was designed for you. We’ll cover what biofeedback is and how it can help with stress urinary incontinence.

What is Biofeedback?

Biofeedback is not a treatment. Instead, it’s a tool that can help you learn more about your body. As a result, biofeedback can aid in treating certain ailments that require your keen attention.

Officially, biofeedback is: observing and measuring the body’s movements—whether it’s your heart’s beat or another muscle contracting—these are simple examples of body parts often used to provide biofeedback.

How is Biofeedback Used in Therapy?

Biofeedback is usually done in a therapeutic setting in order to better understand how a patient’s body responds to small changes, particularly when trying to solve a dysfunction. Special instruments are required to measure and record biofeedback, such as a stethoscope, heart monitor, or other specialized equipment. This equipment can record and analyze your biofeedback data for patterns. Additionally, your therapist may help you interpret the live feedback during your session.

Using Biofeedback to Treat Stress Urinary Incontinence

Biofeedback sounds great—but what’s it got to do with stress urinary incontinence? Kegels.

Kegels are used to strengthen pelvic floor muscles as a treatment for SUI. Some people struggle to know whether they’ve got the right muscles contracted during Kegels, so that’s why biofeedback can be so helpful for therapists to teach proper techniques.

Biofeedback is used to help patients perform pelvic floor exercises properly, ensuring that the target muscle group is engaged. Special equipment is required, including small sticky sensors that are stuck to the patient’s skin near the nether regions where the pelvic muscles are located.

These sensors are hooked up to a machine that gives the patient feedback in the form of graphs and tones. It can not only tell you instantly whether you’re doing your Kegels right, but it can also measure the strength of your contractions. That means that biofeedback can tell whether your pelvic strengthening program is working over time.

Biofeedback can be more effective than doing Kegels on your own at home for several reasons, including:

Related: The Truth About Kegels: Treating SUI Bladder Leaks

What’s a Biofeedback Session Like for SUI?

If you’re considering getting biofeedback to help treat your stress urinary incontinence, then you might be wondering what the process entails. First, you’ll need to speak with your doctor to find a therapist who specializes in urinary incontinence and who has biofeedback equipment. You can expect to set up a series of appointments—usually, a handful of appointments are required over a period of a couple of months.

During your appointment, your therapist will help you place your sensors for the biofeedback device and then walk you through different exercises. A screen or audio tones will provide feedback for your therapist to work with you and tell you whether you’re contracting the right pelvic muscles. After your session, you’ll be asked to continue the exercises regularly on your own.

When you return for your next visit, the biofeedback device will be hooked up again, and your therapist will be able to measure your progress from your last visit. This continues until you achieve the desired results. In order to maintain your new muscle tone and relief from SUI, you’ll need to continue a regular strengthening regimen at home.

Can I Do Biofeedback at Home?

If you’d rather skip the awkwardness of going to a therapist for pelvic strengthening and biofeedback, there are devices that can provide similar feedback from home. A study found that nearly 7 in 10 patients achieved less bladder leakage after using at-home biofeedback devices for 12 weeks.

Where Do I Go From Here?

If you’re not sure where to start, our doctors at My Virtual Physician are here to help. We’ve worked with many patients who face stress urinary incontinence, and we understand how frustrating it can be when your bladder leaks during laughter, coughing, and exercise. We can counsel you, helping you pick the best course of action; whether it’s working with a professional for biofeedback sessions, trying a pessary such as Uresta, or contemplating surgery—we’re here for you.

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Schedule your appointment today so that you can get the treatment that gives control of your bladder back to you once again.

 

If you’ve explored your non-hormonal birth control options, you’ve likely come across spermicide and contraceptive gels as options. Both of these choices can be used alone or together with barrier methods. When added to some barrier methods, like diaphragms, these substances can increase effectiveness and reduce the chance of pregnancy.

Many people assume that spermicide and contraceptive gel are the same thing—but are they? Let’s find out.

What is Spermicide?

Spermicide is a chemical that kills sperm with the active ingredient known as nonoxynol-9, which has been used as a contraceptive for decades. It comes in several forms, including gel, foam, cream, film, or suppository, and it is introduced into the vagina before sex in order to work properly. Some name brands include VCF gel, Conceptrol, and Gynol II.

You can purchase spermicide over the counter without a prescription for around one dollar per applicator. The effectiveness varies depending on the study, type, and brand name, but the failure rate averages 21% when used alone. However, some brands boast a failure rate as low as 6%. Many women use spermicide together with another barrier method, like a diaphragm, to improve effectiveness. The Caya diaphragm used with Gynol II spermicide has a pregnancy rate of 17%.

The active ingredient in spermicide, nonoxynol-9, has some known health concerns. It’s important to be aware that spermicides containing nonoxynol-9 can increase your risk of contracting HIV and may cause vaginal and skin irritation or vaginal infections.

What is Contraceptive Gel?

Contraceptive gel, currently marketed as Phexxi, is a chemical that stabilizes the vaginal pH so that sperm cannot swim throughout the female reproductive system; therefore, blocking fertilization. Typically, when sperm enters the female’s body, the vaginal pH rises, allowing the sperm to travel more easily. Contraceptive gel keeps the vaginal pH more acidic, limiting sperm’s ability to swim. There are three non-toxic active ingredients:

This is a new contraceptive product, receiving FDA approval just a couple of years ago in 2020. The gel is available by prescription only and is inserted into the vagina with an applicator, similar to spermicide. The effectiveness is currently at 86% when used alone; or a failure rate of 14%.

Although the ingredients are labeled as non-toxic, there are still some side effects for some women. Risks of using contraceptive gel include bladder, kidney, and vaginal infections.

The cost of contraceptive gel can be prohibitive. Even coupon sites like GoodRx have the substance listed at $300 to $350 per package of 12 applicators. That means it will cost around $25-$30 per application without insurance. However, insurance may cover the cost if you have it.

Which is Best for My Diaphragm: Spermicide Vs. Contraceptive Gel

So, which one is better for using with my diaphragm: spermicide or contraceptive gel? Right now, the answer is clear: spermicide. That’s because—to our knowledge, only spermicide has been tested with and is currently approved for use with diaphragms.

So you may be wondering—can contraceptive gel be used with diaphragms? The product’s website states that contraceptive gel can be used with diaphragms, but doesn’t specify which diaphragms were tested and deemed compatible. It also noted specifically not to use contraceptive gel with a vaginal ring birth control method.

Before using contraceptive gel together with your diaphragm, check with your doctor, who will be able to determine if it’s ok to combine the use of contraceptive gel in addition to spermicide with your diaphragm. Talk with your doctor to make the decision on which solution is best for your reproductive health.

Comparing Spermicide Vs. Contraceptive Gel

Let’s review what we’ve learned about the similarities and differences between spermicide and contraceptive gel.

Similarities:

Differences:

Conclusion

So the mystery is solved: spermicide and contraceptive gel are two very different chemicals used to prevent pregnancy in different ways. If you’re interested in exploring your contraceptive options, reach out to our online gynecologists today. My Virtual Physician has partnered with Caya to provide the one-size-fits-most diaphragm option to our patients who desire it.

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Only 14 in 100 women of childbearing age (15-49) choose the pill as their birth control method. Many women are looking for non-hormonal alternatives like diaphragms and spermicidal films. But, when deciding which method to use as your primary contraceptive, it’s important to consider all the facts. Here, we compare VCF Films and Diaphragms as birth control methods to find out which one comes out on top.

What is VCF Film?

VCF is short for vaginal contraceptive film. Think of it as those Listerine breath strips that melt in your mouth—but instead of giving you fresh breath, VCF melts inside your lady parts to prevent pregnancy. It’s a paper-thin, flexible square of material containing the active ingredient in spermicide (nonoxynol-9). To use it, a woman inserts the square into the vagina prior to sex. Within 15 minutes, it turns into a gel barrier that covers the cervix, standing by to kill sperm.

What is a Diaphragm?

Diaphragms are reusable contraceptive devices made out of latex, silicone, or other soft materials that are prescribed by a doctor for female birth control. A diaphragm acts as a physical barrier, preventing sperm from getting through. They work best when used together with spermicide.

There are two major categories of diaphragms available today. Traditional diaphragms come in multiple sizes and must be fitted by your doctor, while the Caya Contoured Diaphragm is a one-size-fits-most option that does not require an in-person fitting with your doctor.

Related: Diaphragms as a Contraceptive: What’s It Like to Use One?

Similarities of VCF Film & The Diaphragm

The same woman might consider both options for meeting contraceptive needs. They have a lot in common. Here are some of their similarities:

Both birth control methods can be a great choice for a woman who wants a non-hormonal, fast-acting, reversible birth control that’s 100% under her control. The drawbacks to using these products are also similar, offering no STD protection, both containing Nonoxynol-9 which can be an irritant, and requiring vaginal insertion at just the right time prior to sex to maximize effectiveness.

Spotting the Differences Between The Diaphragm & Contraceptive Film

By now, both options seem like a pretty great choice for some women. And while you can switch between using either method from one day to the next, you should know what the differences are between the two.

Prescription Requirement & Front-Loaded Cost

Your up-front cost for a diaphragm will be higher than VCF film. That’s because a prescription is required for the device, but not for the film. At My Virtual Physician, we try to keep your costs affordable. That’s why we’ve partnered with Caya to provide a hassle-free experience in getting your prescription from us. Sometimes insurance will cover 100% of the cost for your consultation and for the diaphragm as well. If not, you can get your appointment for $49.99 with MVP, and your diaphragm out-of-pocket cost will be under $100.

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Cost Comparison Over the Long-Haul

Diaphragms last about two years, so the initial cost will reoccur every couple of years if you continue to use this method for birth control. Contraceptive films have no device or prescription requirement, so you’ll just need to purchase the films over the counter for around a dollar per film.

A small amount of spermicide gel is also required for the diaphragm, so it will need to be continually purchased while you use a diaphragm. Spermicide that is compatible with diaphragms includes Gynol II, which comes in tubes with a re-fillable applicator, and VCF Gel pre-filled applicators. The cost varies from one to two dollars per application. Keep in mind, though, that less spermicide is required during the initial insertion of the diaphragm—only one to two teaspoons, so your tube of spermicide can potentially last longer than single-use films.

Which is More Effective?

According to VCF’s packaging, they boast a 94% effectiveness and up to 99% effectiveness when used with condoms. That outpaces Caya’s published effectiveness rates of 86% when used perfectly. However, there is no data about how effective the Caya diaphragm is when used together with condoms. Since condoms alone are 87% effective, using them along with spermicide and a diaphragm plummets your chances of unplanned pregnancy.

It’s hard to compare apples to apples, but it seems both methods are quite effective when used together with condoms, and VCF films are slightly more effective than diaphragms with spermicide if not using condoms.

Which One Works Faster?

With both contraceptive films and diaphragms—timing is important, along with following the instructions carefully. For the film to work properly, it needs 15 minutes after insertion to activate. The diaphragm, on the other hand, doesn’t require any downtime, and you can get into the action right away.

When it comes to round two, both diaphragms and films need some attention. Never remove the diaphragm between rounds, but add more spermicide with an applicator before each one. For the contraceptive film, a new film must be inserted every time you have intercourse, plus add the 15-minute waiting period.

Which Option Requires Less Maintenance?

The film may be easier when it comes to managing the after-care because there is nothing more to do once you’re done having sex. The chemicals are naturally removed through bodily fluids. Diaphragms, on the other hand, must be left in place for six hours so that the spermicide works completely, and then removed, cleaned, and put back in the case for next time.

Related: The Do’s and Don’ts of Using a Diaphragm for Birth Control

Which is Easier to Use?

Both methods of birth control have a learning curve when it comes to inserting them. Some complaints about the film include:

The diaphragm can also be challenging to learn how to insert. But, the Caya Contoured Diaphragm was designed with a woman’s body in mind and comes with grips and a removal dome to help with the insertion and removal process.

So, Which Contraceptive Option is Better For You?

Looking at the comparison laid out above, there are definite pros and cons for each method. Deciding which one is best for you is a personal decision between you and your doctor.

There are a lot of options out there when it comes to pregnancy prevention. Luckily, non-hormonal options are becoming more accessible, giving women more control over their reproductive health. If you’re considering a change to your birth control method, contact our doctors to talk about your options.

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Suppose you’ve been dealing with bladder leaks when you cough, laugh, or sneeze. In that case, you’re probably well aware that you’re dealing with stress urinary incontinence, or SUI. And you’re ready to do something about it.

There are many natural remedies that we’ve discussed previously in this article: Why Do I Get Bladder Leaks When I Cough and What Can I Do About it? But if you’ve already given a good try with the Kegels, lifestyle changes, and pessaries like Uresta, only to find that you’re still struggling to keep your bladder in line, then you may be contemplating surgery to fix the problem.

While surgery isn’t for everyone, it is an option on the table for those with persistent stress urinary incontinence that have tried other treatments without success. There are three major types of surgical interventions used to treat SUI. Let’s find out more about each one to find out which option is right for you.

Injections for Treating SUI

Before resorting to full-blown bladder surgery, there is an in-between step that is more drastic than natural remedies—but less invasive than surgery. This option involves injecting synthetic bulking material (similar in consistency to natural collagen) into your tissues around the urethra in order to plump and tighten the bladder neck opening and keep urine inside the bladder when you cough or apply pressure.

These injections are done as a minor, outpatient procedure in your local doctor’s office in less than half an hour. Here’s how it’s done:

  1. A local anesthetic is given to help numb the area
  2. A scope is inserted into the urethra for visual accuracy
  3. The material is injected into the tissues around the bladder

It’s important to note that these injections are not a permanent solution. It may take multiple injections and must be repeated to maintain the results. These injections usually help decrease leaks, but ultimately, they are not a cure. The success rate is around 80% of women showing an improvement after three injection visits, but only 10-30% are cured of leaks for up to a year.

Urethral Sling for Treating SUI

A more invasive surgical operation for treating stress urinary incontinence urethral sling surgery. Think of a sling as a supportive hammock that lifts your pelvic organs, particularly the bladder and urethra, into position for proper alignment. Sometimes with age, childbirth, and other factors, our bladder organs sink and move from their original positions, resulting in incontinence and other issues like pelvic organ prolapse.

Related: Pelvic Organ Prolapse (POP) Explained by Your Las Vegas OBGYN Team

Urethral slings are used to realign your anatomy so that your bladder organs can function properly. The material for the sling can either be made of synthetic mesh (called a mid-urethral sling) or from donor tissue removed from your belly or thigh (traditional or autologous sling).

Surprisingly, mid-urethral sling surgery can be completed as quickly as half an hour and can be done as an outpatient procedure because it has a quick recovery time. However, there are risks to using a synthetic mesh, including mesh erosion which affects 2% of women and leads to long-term problems until removed. It is also not advised for patients who wish to give birth in the future.

While the synthetic mesh is the most common type of SUI sling surgery with a success rate of around 75%, the traditional sling is the solution in the event of a bad reaction with the synthetic version. This surgical procedure is more in-depth and requires a short hospitalization stay during your recovery time. There is a higher risk of UTIs and incontinence after undergoing traditional sling surgery.

Sling procedures can be performed through a variety of methods, from one or more incisions in the abdomen, through the vagina, or even laparoscopically. Your surgeon can guide you through where any incisions will be made for your procedure. Be sure to ask your doctor questions about success rates and risks for the procedure that you’re considering.

See the FDA’s list of specific questions to ask your surgeon before proceeding with a sling surgery, including:

Bladder Neck Suspension for Treating SUI

Colposuspension, also called the Burch procedure, is another surgical option for treating SUI in women. This is a procedure where stitches are used to align the bladder neck (where the urethra meets the bladder) back to its proper place and can be done either through an abdominal incision or laparoscopically as an outpatient procedure.

Complications are usually less severe than sling procedures and include the possibility of having to go back in and loosen stitches if you have trouble emptying the bladder after the operation. The success rate of bladder neck suspension for SUI treatment is around 85%.

Choosing the Best Treatment Option for Your Bladder Leaks

Living with stress urinary incontinence certainly puts a damper on life. If you’ve tried everything and nothing has worked, surgery may be your next plan of action. If you’re considering bladder surgery for your SUI, talk with your doctor about which surgical option is best for your situation. Your doctor will help you consider factors like your age, future plans for childbearing, medical history, and the root cause of the problem in order to come to the best treatment option.

My Virtual Physician supports patients through counseling and patient education when making big decisions like undergoing bladder surgery. We can also see you virtually from the comfort of your own bed in the event that you’re recovering from surgery and have concerns. Please don’t hesistate to reach out to us today.

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If you’re new to using a diaphragm as your chosen method of contraception, you’re not alone. That’s why we’ve crafted this handy list of do’s and don'ts so that you can quickly learn how to handle your new device so that it works best for you. Let’s dive right in…

Do Check With Your Insurance About Coverage

If you have health insurance, don’t forget to check with your provider about covering the cost of your diaphragm. From the initial appointment to the device itself and the spermicide that you’ll need on an ongoing basis, many insurance companies cover these costs in full.

Don’t Fret if You Don’t Have Health Insurance

Diaphragms are relatively inexpensive, costing around $100 for a device that is designed to last a couple of years. My Virtual Physician offers affordable appointments for just $49.99, where you can get your Caya prescription. If this is still unaffordable, talk with your doctor or your local health department; many have outreach programs that will help you attain affordable contraception.

Do Use Spermicide with Your Diaphragm

Diaphragms are more effective when they are used together with spermicide. Spermicide comes in a tube and is a gel that you’ll apply to the rim of your diaphragm (or as instructed by the manufacturer). The diaphragm blocks most sperm from entering a woman’s reproductive system, but the spermicide finishes the job by killing the sperm, which could live for several days, increasing the chances of pregnancy, if it weren’t for the spermicide gel.

Related: 4 Things You Need to Know About Using a Diaphragm for Birth Control

Don’t Give Up if You Struggle to Insert Your Diaphragm

Much like when you used tampons for the first time, there’s a learning curve when it comes to inserting your diaphragm. The first few times, the insertion and removal process will likely be uncomfortable and awkward. But as you learn to finesse it just right, you’ll become a pro at putting it in and taking it out with ease. Give it a couple of weeks of practice before you give up on your diaphragm.

Do Reapply Spermicide

Spermicide gel is most effective within two hours of applying it. So, say you insert your diaphragm (with spermicide gel) at 4 pm and go to dinner but don’t get home until 7 pm, you’ll need to insert another applicator full of spermicide gel before sex for the best pregnancy protection. Don’t remove your diaphragm to do this; instead, simply use the applicator that came with the gel to add spermicide into the vagina.

Don’t Be Absent-Minded About Diaphragm Timing

Using a diaphragm takes a little bit of planning. Think ahead about what time you might have sex and plan accordingly. Make a mental note of the time of diaphragm insertion and after sex so that you can reapply spermicide and remove the device in proper timing.

After sex, your diaphragm needs to remain in place for six hours to give the spermicide time to disable any remaining sperm. Taking it out too soon puts you at a higher risk for pregnancy, essentially opening the doors to live sperm.

But you also don’t want to wear a diaphragm continuously for days on end. Most diaphragms recommend that they be removed at least every 24 hours. Leaving it in longer than a day can lead to vaginal infections such as bacterial vaginosis (BV).

Related: Our Las Vegas OBGYNs Cure Your Bacterial Vaginosis Fast

Do Read, Keep, & Follow The Instructions that Came with Your Diaphragm

It can be tempting to skip reading instruction manuals, patient care guides, and package inserts and jump right into using your new diaphragm. But when it comes to something as important as family planning, we encourage you to thoroughly review these documents before your first use. It’s also a good idea to keep them on hand in case you need to review them later down the road.

Don’t Use Cleaning Chemicals or Boil Your Diaphragm

Taking care of your diaphragm isn’t difficult. Most come with a protective case to store your clean diaphragm in when not in use. After each use, rinse your diaphragm with mild soap and water, let dry, and put in the case. Never use any chemicals on your diaphragm and do not boil or steam it in an attempt to disinfect it. If you feel the diaphragm needs to be disinfected due to odor or staining, contact your doctor about getting a replacement.

Do Check For Damage While You Clean Your Diaphragm

Cleaning your diaphragm is a quick and simple process. Simply wash with mild soap and water and air dry or blot with a clean cloth. While you’re cleaning, you should periodically inspect your diaphragm for any signs of damage, including cracks, wrinkles, or weak spots. You can also fill it up with water and look for drips. Any signs of damage and you should use backup contraception and contact your doctor for a replacement.

Related: Is it Time to Replace My Diaphragm? Here’s How to Know

Don’t Forget to Wash Your Hands!

Our last tip for proper use of a diaphragm for contraception is to always have clean hands when handling the diaphragm. Wash your hands both before and after you insert the diaphragm, as well as before and after removing it. Frequent handwashing will reduce your chances of unintentionally inviting unwanted bacteria to the region, which can lead to infections.

Ready for My Diaphragm!

Using a diaphragm for birth control takes a little bit of extra preparation, but for some, it’s well worth the extra effort. If you’re interested in trying the fitting-free Caya Contoured Diaphragm, book an appointment to speak with our OBGYN team today!

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