(547) What is Pushing Physicians Out and the Negative Impact on Women’s Sexual Health

Introduction Women’s sexual health encompasses various areas, including reproductive planning, contraception, sexual dysfunction, the treatment of sexually transmitted infections (STIs), menopause management, and preventive care. Unfortunately, access to these essential services is increasingly jeopardized by a growing national shortage of obstetrician-gynecologists (OB/GYNs), urologists, and sex therapists. This issue is exacerbated locally by physician burnout, declining reimbursement rates, and heightened administrative demands, which disproportionately impact women in underserved communities. Objective The objectives are to analyze the causes behind the increase of withdrawal of women’s health specialists in our area, and to assess the impact of this shortage on the sexual health of women from vulnerable populations. Methods This study reviews national and local-specific data from national and societal organizations, focusing on physician availability, closures of OB/GYN services, reimbursement challenges, and barriers to access. The analysis included trends in demographics and workforce post-COVID, particularly regarding the impact on uninsured women and those residing in rural areas. Results Locally, 91% of rural hospitals lack OB/GYN services. Simultaneously, cesarean section rates have risen above 40%, unplanned pregnancies have increased, and access to menopause and contraceptive care has declined. Post-pandemic migration has increased the patient load, particularly among uninsured populations, with physicians reporting an average of 30+ unpaid work hours weekly. Delays in appointments are leading to worsening outcomes in conditions like sexual dysfunction, endometriosis, and STIs. Administrative burdens (particularly unpaid hours spent on electronic medical records) are a major driver of physician exit. Conclusions OB/GYN, urology, and sex therapist shortages are undermining women’s sexual and reproductive health in the local area. Without systemic changes, access to critical services will continue to decline. Solutions include expanding residency slots, improving physician reimbursement, investing in telemedicine, and integrating sexual health education into training programs. These interventions are vital to preventing further erosion of care. Disclosure No