Patients may request care from a woman obstetrician-gynecologist for various reasons, including privacy concerns, religious or cultural reasons, and in some cases, a history of abuse. They should be given the opportunity to voice their reasons for requesting a woman obstetrician-gynecologist but should not be compelled to do so. Respect for patient autonomy is a compelling reason to consider honoring a patient’s gender-based request. When a patient requests a woman obstetrician-gynecologist, efforts should be made to accommodate the request if possible. However, medical professionals and institutions are not ethically obligated to have a woman obstetrician-gynecologist on call or to make one available at all times. If it is not feasible for a woman obstetrician-gynecologist to provide care because of staffing or other system constraints or patient safety concerns, accommodation is not required, and physicians do not have an overriding responsibility to ensure that patients receive gender-concordant care. Patients have the right to decline care and may choose to seek care elsewhere if their requested healthcare provider type is not available. Institutions and medical clinics should have policies and procedures in place for managing patient requests for women obstetrician-gynecologists, and patients should be made aware of these policies preemptively. These policies and procedures should include information about whom to contact for assistance and how to document the encounter. They should also be accessible and familiar to physicians and trainees. Care should be taken to ensure that adequate educational opportunities in obstetrics and gynecology are available for all medical trainees, regardless of gender.

患者可能出于各种原因要求女性妇产科医生的护理，包括隐私问题、宗教或文化原因，在某些情况下，还有虐待史。应该让他们有机会表达他们请求女性妇产科医生的理由，但不应被迫这样做。尊重患者自主权是考虑尊重患者基于性别的要求的一个令人信服的理由。当患者请求女性妇产科医生时，应尽可能满足该请求。然而，医疗专业人员和机构在道德上没有义务让女性妇产科医生随叫随到或随时提供。如果由于人员配备或其他系统限制或患者安全问题而无法由女性妇产科医生提供护理，则不需要住宿，并且医生没有确保患者接受性别一致护理的压倒一切的责任。如果他们请求的医疗保健提供者类型不可用，患者有权拒绝护理，并且可以选择在其他地方寻求护理。机构和医疗诊所应制定政策和程序来管理患者对女性妇产科医生的要求，并且应提前让患者了解这些政策。这些政策和程序应包括有关联系谁寻求帮助以及如何记录遭遇的信息。医生和受训者也应该可以访问和熟悉它们。