Who this service is for
This women’s health consultation with a general practitioner is indicated for adult women with:
- Questions about contraception — choosing a method, switching, side effects, emergency contraception
- Menstrual irregularity — irregular cycles, changes in flow, absence of menstruation
- Hormonal symptoms — severe PMS, severe premenstrual syndrome, symptoms of menopause or perimenopause
- Urinary tract infection — evaluation and treatment of uncomplicated cystitis
- Vaginal discharge — evaluation of candidiasis, bacterial vaginosis, and other common vaginal infections
- Hormone-related hair loss — evaluation and ordering of tests
- Hormonal acne — evaluation and initial management
- Sexual health — STI screening, guidance, and ordering of tests
- Chronic non-urgent pelvic pain — evaluation and referral to a gynecologist when indicated
- Women’s mental health — anxiety, depression, mood changes related to the hormonal cycle
- Unexplained weight gain — evaluation of a hormonal or metabolic cause
- Family planning — guidance on contraception options and reproductive planning
- Foreign women and expats in Brazil — care in English, Portuguese, and Spanish
What is included in the consultation
Complete clinical assessment of women’s health
The doctor performs a complete clinical assessment — including menstrual and reproductive history, current medications, relevant personal and family history, and evaluation of the main complaint with all the attention it deserves.
Contraception — guidance and prescription at the doctor’s discretion
The doctor provides guidance on the available contraceptive methods — combined pill, mini-pill, patch, vaginal ring, injectable, hormonal and copper IUD, implant — assessing the individual clinical profile to identify the most appropriate options for your case. When clinically indicated, an electronic prescription is issued for oral contraceptives and other methods that require a prescription. Emergency contraception (morning-after pill) is available without a medical prescription in Brazilian pharmacies. The doctor can advise on correct use during the consultation.
Ordering hormonal and laboratory tests
For investigation of menstrual irregularity, hormonal symptoms, hair loss, or other conditions that require laboratory evaluation, the doctor orders the indicated tests — hormone profile, thyroid function, blood count, blood glucose, and others — to be performed at private laboratories of your choice.
Assessment and treatment of common infections
Uncomplicated urinary tract infection, vaginal candidiasis, and bacterial vaginosis are conditions that can be assessed and treated by teleconsultation when the clinical presentation is typical. The doctor evaluates and issues an electronic prescription when clinically indicated.
Referral to a gynecologist — when indicated
When the presentation requires a gynecological physical examination, colposcopy, transvaginal ultrasound, or specialized evaluation that cannot be performed remotely, the doctor refers you to a private gynecologist with complete clinical documentation.
Women’s mental health
Mood changes related to the menstrual cycle, severe PMS, depressive symptoms in the postpartum period or during perimenopause — the doctor evaluates and advises, with referral to a specialist when indicated.
Contraception by teleconsultation
Contraception is one of the main reasons women seek medical care — and one of those that benefits most from teleconsultation, since in most cases it does not require a physical examination.
The doctor can advise and prescribe by teleconsultation:
- Combined oral contraceptives — pills with estrogen and progesterone. The doctor evaluates contraindications — migraine with aura, history of thrombosis, hypertension — before prescribing
- Mini-pill — progesterone-only, indicated for women who are breastfeeding or have a contraindication to estrogen
- Injectable contraceptive — monthly or every three months
- Contraceptive patch and vaginal ring — evaluation and prescription when indicated
- Guidance on IUD and implant — these methods require in-person insertion by a gynecologist, but the doctor explains the options and refers when indicated
Women with migraine with aura should not use combined estrogen contraceptives because of the increased cardiovascular risk — the doctor assesses this risk on an individualized basis during the consultation.
Women’s health in menopause and perimenopause
The symptoms of menopause and perimenopause — hot flashes, night sweats, sleep changes, vaginal dryness, mood changes, difficulty concentrating — have a significant impact on quality of life and often remain undertreated.
The general practitioner can:
- Assess symptoms and confirm whether they are related to the menopausal transition
- Order hormonal tests to assess the current hormonal profile
- Advise on management options — including non-pharmacological and pharmacological measures
- Refer to a gynecologist specialized in climacteric when hormone therapy or other specialized interventions are indicated
Voluntary interruption of pregnancy — important limitation
Voluntary interruption of pregnancy (VIP) in Brazil is permitted by law only in specific cases — pregnancy resulting from rape, risk to the pregnant person’s life, and fetal anencephaly. Outside these situations, it is illegal in Brazil.
This service cannot advise, facilitate, or refer for voluntary interruption of pregnancy procedures outside the cases provided for by law. If you suspect pregnancy and have questions, the doctor can advise on the pregnancy test and the appropriate next steps for your situation.
Women’s health for foreigners and expats in Brazil
For foreign women living in or visiting Brazil, access to women’s health care presents specific challenges:
- Contraceptives with different names — the same pill may have a completely different brand name in Brazil. The doctor identifies the equivalent available in the Brazilian market for your current medication
- Methods not available in Brazil — some contraceptive methods common in Europe or the US are not registered with ANVISA. The doctor advises on the available alternatives
- Tests with different reference ranges — laboratory reference values and the names of hormonal tests may vary. The doctor interprets results from tests performed abroad in the correct clinical context
- Care in English — for women who prefer to discuss women’s health in their own language, care is available in English and Spanish
