TTC after 35

Intro and next steps question

Hi ladies,

 I've been lurking for a while now, and occassionally post on GP.  DH and I are both 35 and have been trying since January, to no avail.  My cycles seem to be of normal length, and I seem to be O'ing regularly.  I see a PA and she suspects I have endo.  It's time for me to move on to next steps, but I'm not sure what those would be.  Do I have my PA refer me to someone?  An RE or OBGYN?  I'm in the DC area--and not sure where to get a good recommendation.

 It is so nice to 'meet' you and thank you for the support of this board!

SB

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Re: Intro and next steps question

  • Welcome to +35. I don't have any recommendations as the system is different up here.

    Just a question - you say you know you o regularily - do you chart?

  • Yep--I chart (in siggy)--FF and TCOYF have been incredible resources!
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  • How did I miss that? Oppsy!

    Welcome again!

  • Welcome & Good Luck!  I wish I could help you with the DC area...
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  • I'm in the DC area too! I'd say it's time to see an RE. I got a lot of crap when I moved to an OB, a lot of "lose weight" and "no, your luteal phase is fine". I was done with that so moved onto an RE. With that being said, it's going to depend on your insurance. Sometimes once you move to an RE it's all billed a certain way. some insurance covers 'diagnosis only' others cover 'diagnosis and treatment'. I'd start by asking what your insurance covers then make a decision.?

    A few of us here are in the DC area, you do have a few options.

    https://www.mcfivf.com/ ? --> he comes highly recommended by someone here as well as my friend.

    https://www.shadygrovefertility.com/ --> a larger facility w/ more satellite offices. good numbers, large though so you may feel like a cog in the wheel. i go here and don't feel like a cog but sometimes have felt that i'm not getting the answers i deserve.

    i've heard crap things about dominion fertility. i know there are a few other centers but i haven't heard about them - one is often advertising in the post.

    ?good luck, let us know what you do and how it goes!?

    ?

  • Welcome to the board.  I also have been TTC since Jan. I am seeing an OBGYN who specializes in fertility because of insurance.  Otherwise, I would probably have gone straight to the RE.  Good luck!
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  • Welcome and good luck! I'm in Indiana, so I can't be of much help with the doctors out in DC!
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  • Welcome to the board.  The girls here are very nice and supportive. 
    I agree with PP that it is time to see an RE.  Generally after 35 if you have been TTC for over 6 months it is time to move on from an OB/gyn.  

    Best of luck to you!

  • Welcome! I love it when folks delurk. As far as what is required, you may want to look at your insurance plan. If you are in an HMO you would likely need a referral to an RE but if you are in a POS or PPO you can usually go without one.  But either way like the other ladies have said it is time for a visit with an RE.

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