Educational article

Who Should You Tell About a Change During Pregnancy? Coordinating Endocrinology and Prenatal Care

Endomédicos

Endomédicos medical profile

Published 5 min read

Educational content. It does not replace an individual medical assessment and should not be used for self-medication.

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A pregnant person records the date of a change on their phone and reviews questions before contacting their care team.
Recording when a change began and what treatments you use can help you communicate with the professionals involved in your pregnancy care.

A common question: Who should I tell first about a change?

If you notice a change during pregnancy and are unsure whom to contact, you can start with the professional overseeing your prenatal care. That team knows how your pregnancy is progressing and can guide you on next steps and, if appropriate, coordinate an evaluation by endocrinology. Not every change requires an endocrinology consultation; whether one is needed depends on your history and clinical assessment.

Myth: Every new symptom requires an endocrinology consultation

Not necessarily. Some changes may need to be reviewed by your prenatal care team, while others could be related to a known endocrine condition or its follow-up. Your care team can help determine what kind of care is needed. If you are already in contact with endocrinology, report the change to that team when it relates to the reason for your follow-up or when your team advises you to do so.

What your prenatal care team contributes

Your prenatal care team supports your health during pregnancy, reviews the changes you report, and coordinates care with other professionals when needed. You can share your endocrine history and ask whether the change should be reviewed during prenatal care, also reported to endocrinology, or addressed in another way. Coordination helps ensure that the professionals involved in your care have relevant information.

When endocrinology may be involved

Endocrinology can contribute to the evaluation and follow-up of some hormonal or metabolic conditions during pregnancy. Their involvement depends on the condition, your history, and your clinical needs; not every pregnant person needs a specialist evaluation. If you already have an endocrine condition or are receiving specialty follow-up, tell your prenatal care team and ask whether it would also be appropriate to report the new development to your specialist.

What information to share

Describe what you have noticed, when it began, and how it has changed; mention whether anything seems to make it worse or better. Share any previous endocrine diagnoses, current treatments, and changes recommended by a healthcare professional. You do not need to interpret the symptom yourself: a clear description helps your team assess it in context.

Myth: You have to repeat every test when you see another professional

Not on your own initiative. Share any results and documents you already have, along with their dates, so the professionals can review them and decide whether further evaluation is needed. Whether to order tests depends on your situation and your care team's assessment.

Prepare for the conversation

Before contacting your team, write down when the change began, how it has varied, what treatments you use, and what questions you want answered. In Colombia, you can start with the professional overseeing your prenatal care and ask how to arrange an evaluation if they think endocrinology should be involved. The process may vary depending on your history and the services available.

Do not change treatments on your own

During pregnancy, do not stop, start, or change an endocrine treatment without clinical guidance. If you have questions about a medication or a change that has already occurred, contact the professionals involved in your care. This article provides general information and does not replace an assessment by your care team.

If the change concerns you or gets worse

Contact the team overseeing your pregnancy to ask what to do and when you should be evaluated, especially if the change gets worse or occurs along with other new symptoms. If you think you need urgent care, seek the available health services. Guidance depends on your symptoms and history; it is not possible to determine remotely whether you need a specialist consultation.

When to seek medical care

If symptoms persist, test results are abnormal, or you have questions about medication, arrange an individual assessment. Do not change treatment or doses without medical guidance.

Frequently asked questions

Do I need endocrinology follow-up during every pregnancy?

Not necessarily. Endocrinology involvement depends on your history and clinical needs. Discuss this with the professional overseeing your prenatal care.

What should I do if endocrinology and my prenatal care team have different results?

Share the results and their dates with both teams and ask them to explain how to interpret them together. Do not repeat tests or change treatments on your own initiative.

Can I change my treatment if I notice a new symptom?

Do not change it without clinical guidance. Report the symptom and your history to your care team so they can advise you based on your situation.

Does this topic resonate with you?

Every case is different. Book a consultation to review your history, test results and goals with a personalized plan.

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