I read a post on social media recently by a young woman who was expressing frustration that she's required to take a pregnancy test every time she visits the ER.
Surprise, I’m not pregnant just like I said I wasn’t before my care was delayed to take the pregnancy test!
Interestingly, the replies were flooded with women sharing similar stories and frustrations of being asked to take pregnancy tests (often when presenting to ed w/ abd pain) despite "knowing" for various reasons they couldn't be pregnant (menses, s/p hysterectomy, etc.). This specific complaint seemed to be compounded by many of the respondents' pre-existing frustrations with reproductive healthcare and a sense of not being believed/listened to by healthcare professionals.
How do you talk to your patients about the pregnancy test you're ordering, especially if they tell you they're not pregnant/can't be pregnant/don't want to take one? Will you add one surreptitiously if you're checking other labs? Other thoughts or ethical concerns?
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