Red flags & when to go in person for Birth Control Consultation

Audience: pediatric

Birth control consultations can often be done safely through telemedicine, offering privacy and convenience for young people. However, there are important signs and symptoms that mean an in-person visit is needed. This guide helps you understand when to seek face-to-face care for birth control advice. Telemedicine can support education, answer questions, and help select appropriate methods, but it cannot replace physical exams or urgent care when serious symptoms occur. Always share your full health history and any concerns during your tele-visit to get the best guidance. If you experience severe side effects or new health problems, see a healthcare provider in person promptly. This information is to help you know when to use telemedicine and when to get in-person care for birth control consultations.

Red flags — go in person / ER

• Sudden leg pain or swelling — seek emergency care immediately as this may indicate a blood clot.
• Severe chest pain or difficulty breathing — go to the emergency room right away.
• Heavy vaginal bleeding or bleeding between periods — see a healthcare provider in person promptly.

What telemedicine can do

• Discussing birth control options and education
• Reviewing medical history related to birth control
• Prescribing certain birth control methods when appropriate
• Answering questions about side effects and usage

What telemedicine cannot do

• Performing physical exams or pelvic exams
• Diagnosing or testing for pregnancy or sexually transmitted infections
• Managing severe or urgent symptoms such as chest pain or heavy bleeding
• Providing emergency care

What Telemedicine Can Do for Birth Control Consultation

Telemedicine can help you learn about different birth control options and their use. You can discuss your health history, ask questions, and get advice on which methods might suit you. Many providers can prescribe birth control pills, patches, or rings through a virtual visit if appropriate. Telemedicine offers convenience and privacy, especially for young people who may find it hard to visit a clinic in person.

When You Should See a Provider In Person

Some situations require a physical exam or tests that cannot be done online. You should see a healthcare provider in person if you have:

Common Red Flags to Watch For

While using birth control, watch for these red flags that need prompt medical attention:

If you notice any of these, seek in-person care immediately.

How to Prepare for Your Telemedicine Birth Control Visit

Before your tele-visit, gather information about your medical history, any current medications, and any past experiences with birth control. Find a private, quiet place with good internet connection. Write down your questions or concerns to discuss. Have a list of your symptoms if you have any. This preparation helps your provider give the best advice.

After Your Telemedicine Visit

Follow the instructions given by your healthcare provider carefully. If prescribed birth control, understand how and when to take or use it. Schedule any recommended follow-up appointments or tests. Monitor your health and report any new or worsening symptoms. Remember, if you experience red flag symptoms, get in-person care promptly.

How to prepare for your tele-visit

• Find a private, quiet space with good internet connection for your tele-visit.
• Have your medical history and current medications ready to share.
• Write down any questions or concerns about birth control.
• Be prepared to discuss your menstrual cycle and any symptoms.
• Ensure your device camera and microphone are working properly.

After your tele-visit

• Follow the healthcare provider's instructions on how to use your prescribed birth control method.
• Schedule any recommended follow-up appointments or tests.
• Monitor for any side effects or new symptoms.
• Seek in-person care if you experience any red flag symptoms.
• Keep a list of any questions or concerns for your next visit.

FAQs

Can I get birth control without an in-person visit?

Often, yes. Many healthcare providers can offer birth control prescriptions through telemedicine after reviewing your health history and discussing options with you. However, some methods may require an in-person visit.

What should I do if I have side effects from birth control?

If side effects are mild, discuss them during your telemedicine visit. If you experience severe symptoms like chest pain, severe headaches, or heavy bleeding, seek in-person medical care immediately.

Is a physical exam always needed before starting birth control?

Not always. Many providers can start birth control based on your health history and symptoms. However, some methods or symptoms may require a physical exam or tests done in person.

Can telemedicine test me for pregnancy or infections?

Telemedicine cannot perform physical tests. If pregnancy or infections are suspected, you will need to visit a healthcare facility for testing.

How can I ensure privacy during a telemedicine visit?

Choose a private, quiet location where you won’t be interrupted. Use headphones if needed and ensure your internet connection is secure.

Sources

1. Birth Control Methods — MedlinePlus, U.S. National Library of Medicine.
2. Contraception — Centers for Disease Control and Prevention (CDC).
3. Family Planning: Birth Control — Mayo Clinic.
4. Telemedicine: What You Need to Know — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience any severe symptoms or red flags, seek immediate in-person medical attention.