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[Sticky] Birth Control


Michael Gray MD JD
Posts: 108
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Yes — birth control care is commonly handled through telemedicine. Many virtual clinicians and women’s-health services can start, renew, or adjust contraception after a history review and safety screening.

✅ What telemedicine can usually do

During a virtual visit, the clinician will typically:

  • Review your medical history and blood pressure history

  • Ask about migraines, smoking, clot risk, and medications

  • Discuss your goals (cycle control, acne, pregnancy prevention, etc.)

  • Review prior birth control experiences or side effects

Based on that, they can usually:

  • Start or refill prescriptions for:

    • Combined estrogen-progestin pills

    • Progestin-only pills (mini-pill)

    • Vaginal ring

    • Birth control patch

    • Emergency contraception (when appropriate)

Prescriptions are sent electronically to your pharmacy.

Some services can also order labs or ask you to provide recent blood pressure readings if needed for safety.

👍 Birth control types well-suited to telemedicine

  • Pill refills or brand changes

  • Starting pills, patch, or ring when you’re medically eligible

  • Counseling about options, side effects, and missed-pill guidance

  • Emergency contraception counseling & prescriptions

⚠️ When an in-person visit may be needed

Telemedicine may refer you for in-person care if you:

  • Want an IUD or implant (these must be placed in-clinic)

  • Have severe migraines with aura

  • Have a history of blood clots, stroke, or certain heart conditions

  • Are a smoker age ≥35 (for estrogen-containing methods)

  • Have uncontrolled high blood pressure

  • Are postpartum or breastfeeding (special considerations)

  • Have pelvic pain, abnormal bleeding, or other exam-dependent issues

In those cases, an in-person exam or additional testing may be safer.

🩺 What to have ready for a telehealth birth-control visit

  • Your age and recent blood pressure reading (if available)

  • Medical conditions & medications

  • Migraine history (with or without aura)

  • Whether you smoke or vape nicotine

  • What methods you’ve tried and how they worked


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