Will Vaginal Ultrasound Records Appear on Health Insurance Card? - Obstetrics and Gynecology

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Will there be a record of the vaginal ultrasound on the health insurance card?


Hello, doctor.
The last day of my last menstrual period was on October 16, and I haven't had my period for two months now, as it has usually been quite regular.
I had sexual intercourse on November 20 and November 26.
I took pregnancy tests on November 25, December 1, December 13, and December 14, all of which were negative.
Today, I went to the gynecologist and found out I have polycystic ovaries.
I would like to ask, if I had sexual intercourse more than two weeks ago and both the pregnancy test and abdominal and vaginal ultrasound show no signs of pregnancy (although the doctor mentioned that the endometrium is quite thick), can I confirm that I am not pregnant? Additionally, I would like to know if there will be a record of the vaginal ultrasound on my health insurance card.
I am not keen on my family knowing that I have had sexual intercourse, but my mother happens to know a gynecologist.

Niming, 20~29 year old female. Ask Date: 2023/12/14

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you can know if you are pregnant 12 days after sexual intercourse, and there will be no record on your health insurance card.
Wishing you good health.

Reply Date: 2023/12/14

More Info


When it comes to your concerns regarding the possibility of pregnancy and the implications of vaginal ultrasound records on your health insurance card, it's important to address both aspects carefully.

Firstly, regarding your pregnancy concerns: Given that you have had multiple negative pregnancy tests after engaging in sexual intercourse, and considering that you have undergone both abdominal and vaginal ultrasounds which did not indicate pregnancy, it is reasonable to conclude that you are likely not pregnant. The presence of a thickened endometrium can be associated with various conditions, including hormonal imbalances, particularly in the context of polycystic ovary syndrome (PCOS), which you mentioned was diagnosed during your visit. In cases of PCOS, it is common to experience irregular menstrual cycles and thickened endometrial lining due to prolonged estrogen exposure without adequate progesterone to induce shedding of the lining.
However, it is always prudent to follow up with your healthcare provider for further evaluation, especially if your menstrual irregularities persist. They may recommend additional tests or monitoring to ensure that your reproductive health is managed appropriately.

Now, regarding the confidentiality of your medical records, including vaginal ultrasound results: In the United States, medical records, including those related to gynecological exams and ultrasounds, are generally protected under the Health Insurance Portability and Accountability Act (HIPAA). This means that your health information is confidential and cannot be disclosed without your consent.
When you receive medical care, the services rendered, including ultrasounds, may appear on your health insurance statement or explanation of benefits (EOB). However, the specific details of the procedures, such as the nature of the ultrasound (abdominal vs. vaginal), may not be explicitly detailed. It is important to note that while your insurance provider may have access to the billing information, they are bound by confidentiality laws and cannot disclose this information to anyone, including family members, without your permission.

If you are concerned about your family finding out about your sexual activity or the nature of your medical visits, you might consider discussing this with your healthcare provider. They can provide guidance on how to manage your privacy and what information may be shared with your insurance company.
In summary, based on the information provided, it seems unlikely that you are pregnant, but continued monitoring and communication with your healthcare provider are essential. As for the confidentiality of your medical records, rest assured that your health information is protected, and you have the right to keep it private. If you have further concerns, don't hesitate to reach out to your healthcare provider for personalized advice.

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