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Frequently Asked Questions

What are the hours at Virginia Obstetrics and Gynecology?

Virginia Obstetrics and Gynecology offers you care by two providers and is open for your convenience:
Monday: 8:00-5 pm
Tuesday: 8:00-5 pm
Wednesday: 8:00-5 pm
Thursday: 8:00-5 pm
Friday: 8:00-3 pm
We offer in-office phlebotomy services for our patients.

What insurances are accepted at Virginia Obstetrics and Gynecology?

We accept most insurance currently including Anthem, Aetna, Anthem Blue Cross Blue Shield. Beech street, Blue Cross Blue Shield, Carefirst, Carefirst Blue Cross Blue Shield, Cigna, GEHA, Great West, One Net, Optimum Choice, PHCS, United Healthcare, and United). Currently we are not accepting new patients that carry Medicaid, anthem health keepers plus, or AmeriGroup. We would be happy to check with our billing coordinator to see if your insurance is accepted at our practice. If we are “out of network” with your individual insurance you may be charged more by your insurance carrier, please check with them if this of a concern to you.

Service Area:

We proudly serve patients in Loudoun county VA, Washington D.C. area which includes Northern Virginia, Maryland and West Virginia

Is there any paperwork that needs to be completed before I arrive for my first visit?

We recommend that you complete all paperwork prior to arriving for your first visit at our practice. All new patient paperwork can be found on our website:, under the tab “patient forms” located on the right side of the homepage.

Can I contact my provider after hours or as needed?

Our providers strive to offer the best for our patients and often accommodate their schedules for our patients. New patients and return patients are often added for same day of appointments, if needed on our provider’s lunch breaks, before office hours, or at the end of the day. Dr. Ayoub is available to all patients for urgent matters at all hours of the night and on weekends via his exchange which is forwarded to his personal cell phone. Call coverage is provided by two other physicians when Dr. Ayoub is unavailable or out of town, but he strives to make all of his own deliveries, even if call coverage is being provided.

What is the Essure procedure?

Essure is an in office service that we offer for women who have completed their families, and desire a permanent form of birth control. Essure is much less invasive than prior tubal ligation services offered in the past. The Essure procedure can be done in the office in less than 10 minutes, under mild anesthesia if desired, and women are able to walk out of our office with minimal cramping as the only side effect. Essure is hormone free, surgery free, and the most effective form of birth control available since 2002. After three months, in which time the tubes close, an x-ray is done to ensure that no other birth control or family planning is required. If this procedure interests you, or you would like more information, please do not hesitate to ask at your next visit. Our office staff would be happy to provide you with videos, device examples, and patient education materials. Essure is covered by most insurance, but our office billing coordinator would be willing to check with your individual plan if desired.

I feel like I have a cold or seasonal allergy symptoms, what should I do?

Unfortunately most pregnant women will be affected by either a cold or seasonal allergies during their pregnancy. We recommend increasing your water consumption and increasing your rest. Some medication is ok and can be taken if necessary to improve the symptoms of your cold or allergies. We recommend only plain medications, avoiding any combination allergy or cold medications. See list below:

For allergies: Benadryl, saline nasal spray
For cough and cold: Tylenol, Tylenol extra strength, Sudafed, Robitussin, Vicks vapor rub, Halls cough drops & lozenges, Afrin nasal spray

If fever greater than 100.3 develops at any time you should seek immediate care at the ER to assure you are not affected by the seasonal flu. Should you have any concern or feel that your symptoms are progressing further after increasing your water, rest, and treating the symptoms we encourage you to call your provider to prevent cold turning into an infection.

Can I color my hair or perm my hair prior to pregnancy?

We recommend that you not dye your hair in pregnancy, especially avoiding the first three months of pregnancy. It is not completely understood how much dye is actually absorbed by your skin/hair when you dye it, or the effects it could ultimately have on your baby. If you must have your hair dyed, which we do not recommend, please wait until your second trimester and make sure that it is done in a well-ventilated area by a professional who minimizes chemicals and the type used in pregnancy.

We do not recommend getting your hair permed in pregnancy, as enough data has not been done on the chemical process to cause your hair to curl. It is unknown the quantity of chemical absorbed that could affect your fetus.

Are hot tubs and saunas ok to use in pregnancy?

We do not recommend the use of hot tubs or saunas in pregnancy. The use of hot tubs and saunas increase the body temperature. There are studies that an increased body temperature of over 102 degrees Fahrenheit can lead to birth defects. We recommend if you need a way to relax to fill a well cleaned bathtub with body temperature water and to soak for 10 minutes. Avoid heating the water above 101 degrees Fahrenheit.

Are tanning booths safe in pregnancy?

Tanning booths are not recommended in pregnancy. Tanning booth’s increase your risk for skin cancer, and if not properly cleaned for infection. The booth also has the ability to increase your body temperature over 102 degrees Fahrenheit, which may lead to birth defects. There are some more recent studies that link ultraviolet rays to folic acid deficiency, which could lead to neural tube defects. We recommend that you use sunscreen when outdoors, as pregnancy can make skin more sensitive creating more darkly pigmented areas and patches of skin.

I am experiencing nausea and vomiting, what can I do?

Due to hormone levels, many women experience nausea and vomiting during pregnancy. The majority of women experience these symptoms during the first trimester, although in some women they continue throughout the pregnancy. We recommend battling nausea with small frequent meals and meals high in protein. In addition the use of peppermint or ginger teas and hard candy can reduce the nausea. If nausea is accompanied by vomiting, it is very important to increase your fluid intake to prevent dehydration. If you are unable to tolerate either food or liquids, please call your provider immediately.

Is it safe to continue to exercise during pregnancy?

Exercise is recommended in pregnancy, as long as your pregnancy is complication free. However, we recommend that you continue to exercise at the level you were prior to pregnancy and not add any new regimens. We would encourage you to eliminate any contact bearing exercise, especially any activities that could hit your abdomen and prevent any extreme workouts. When exercising in pregnancy is important to monitor your heart rate, and prevent it from exceeding 140 beats per minute. Some good ideas to continue in pregnancy are walking, low impact aerobics, swimming, and gentle cycling.

Is it safe to continue to work throughout pregnancy?

As long as you are not exposed to environmental hazards or are in a position of contact to abdomen frequency, working through a normal healthy pregnancy is ok. We would encourage you to increase you fluid and water intake while working. If at a desk, stand up to walk every two hours to keep your blood circulating. We recommend calling your provider if you have any concern or questions if your career choice could impact your pregnancy.

Is it normal for swelling to occur in pregnancy?

Some swelling in pregnancy is normal, due to the increased blood flow in pregnancy. Common sites of swelling in pregnancy are the fingers, ankles, and toes. To decrease the swelling we recommend increasing your water intake, and elevating body parts that are swelling. You should call your provider immediately if your swelling becomes painful, your fingers or toes appear discolored, or if the swelling occurs above your ankles or in your face.

I am pregnant and I or family members have or have been exposed to chicken pox?

If you are pregnant and contract or have been exposed to chicken pox, call your health provider immediately. Further testing may be required and will be something your provider discusses with you.

What can I do for a headache in pregnancy?

If you develop a headache in pregnancy you can take 2 Tylenol Extra Strength, sit down and evaluate if headache resolves. Some women will eat food and ingest a very small amount of caffeine at time of taking Tylenol. If headache persists or worsens, if headache is the worst you have ever experienced, or if visual changes occur your provider needs to be contacted immediately or go to the ER.

What can I do to relieve constipation in pregnancy?

Constipation is very common in pregnancy. The best way to prevent or easy constipation is to increase your water and fiber consumption. If alteration of your intake is not enough a twice daily stool softener, such as Colace, is recommended. Laxatives are not recommended.

Is it normal for my gums to bleed in pregnancy?

Bleeding gums are a common symptom in pregnancy due to the large amounts of circulating progesterone. It is recommended that proper dental hygiene be continued in pregnancy, which includes regular visits to your dentist. Flossing and using a soft bristle toothbrush can prevent excess irritation to gums. If bleeding worsens, pain, masses, lesions, or odor from gums appears contact your provider or dentist.

Are leg cramps normal in pregnancy?

Leg cramps occur frequently in pregnancy. They can be decreased and improved with stretching; reaching over and pulling toes toward you can help. Increasing your potassium with a banana a day, your calcium, and magnesium have all been suggested as helpful in regards to leg cramps. If leg cramps occur multiple times a day please call and inform provider of frequent cramping. If you would notice calf pain, and/or one calf larger than the other, red, swollen, or warm it is very important to call your provider immediately. Call and go to ER immediately if you experience calf pain with shortness of breath, chest pain or palpitations.

Is it safe to paint in pregnancy?

It is safe to paint in pregnancy as long as the paint is water-based and the painting is done in a very well-ventilated area. We would advise that you wait to paint until after the first trimester, and avoid paint strippers and thinners. Avoid using ladder or scaffolding, pregnant can affect your sense of balance and puts you at a risk of falling.

Is it safe to continue intercourse in pregnancy?

Intercourse in pregnancy is ok as long as the pregnancy is progressing in a normal, complication free fashion. We recommend avoiding intercourse until after 8 weeks, to ensure pregnancy is progressing appropriately and to prevent bleeding from cervical irritation. If you develop any spotting or bleeding after intercourse, contractions or develop cramping, please call your provider immediately.

What can I do to prevent or decrease heartburn?

Heartburn is very common in pregnancy. The heartburn is related to hormones in the early part of pregnancy and an enlarging uterus in the later portion of pregnancy. Eating small frequent meals, meals high in protein, meals low in acidity/spice, sitting upright for 30 minutes before meals, and avoid eating before bed can prevent or lessen the degree of heartburn. Tums can be used following meals. If heartburn persists, worsens, or is making you miserable please contact your provider and further treatment options will be discussed with you.

Are hemorrhoids common during pregnancy?

Hemorrhoids are common in pregnancy. Eating meals high in fiber and increasing water intake will help to soften bowel movements. Straining and constipation can make hemorrhoids worse. If needed a stool softener such as Colace can be effective to prevent constipation. If hemorrhoids are uncomfortable or itch apply preparation H or Tucks pads can offer relief. If hemorrhoids are painful or turning black or blue or bleeding please call your provider immediately.

Are yeast infections common in pregnancy?

Yeast infections appear commonly in pregnancy due to alterations in the pH of the vagina. If you are experiencing an increase in discharge, the discharge has thickened or changed colors, or if you are experiencing any itching or irritation please call your provider immediately. Do not attempt to self-treat with over the counter medications.

Lansdowne, VA OBGYN

19490 Sandridge Way
Suite 350
Leesburg, VA 20176
For Maps and Directions click here

Hours Of Operation:

Mon - Thur: 8 AM - 5 PM
Fri: 8 AM - 3 PM
Sat & Sun: Closed
Appointments available at 8 AM

Dulles, VA OBGYN :

StoneSprings Hospital Center
24430 Stone Springs Blvd
Suite 250
Dulles, VA 20166