Trouble TTC

XP:DH furious and I'm confused...

Hey everyone! I am a pretty regular poster on IF and occassionally lurk/post on 3t as well. I wanted as much advice on this as possible so I will be xp'ing for sure. I'm hoping you can give some opinions and insight...

I went for my annual today with my ob/gyn and we were going through all the updates since I saw him last and what he suggests and etc. We were having a casual converstaion about the meds I'm on when the ob/gyn says: "You've been ttc while on ______ medication?!" To which I answer: "Yes, I have repeatedly kept my RE updated on all medicines I take and have been on this med since last May..." Ob/gyn says: "So she knows about it?!" Me: "Yeah... my regular family doc put me on it and I have been on it ever since updating the RE monthly that I am still on the same meds." Ob/gyn: "You need to stop taking this immediately. This medicine is not appropriate to use while TTC. It can cause birth defects and increases the risk of m/c..." Me: "I was on it while I was pregnant the last time- and I m/c'd..." Ob/gyn: "Well we won't be able to tell now if that had anything to do with it but since you are about to do your first IUI in a few days you need to stop it NOW."

So I come home and tell DH about it when he asks how my appt. went. He is FURIOUS! He can't believe that my RE's office didn't check this out and tell me about it. He wants me to change RE's because of it. He said it's their job to check meds and know what is okay to be on and whats not... I'm just completely caught off guard and confused on what to do. My regular dr prescribed it to me knowing we were TTC and my RE never said it wasn't okay and for my Ob/gyn to be so vehement about it is really concerning. I want to give them the benefit of the doubt and assume that this is just a slip up and human error but DH is not so easily convinced. It doesn't help that he also hates their wait times (which with an appt can still be over 2hrs sitting in the room without seeing anyone).

I'm sure that part of me just doesn't wan tto have to drive an hour away to find another RE (especially in the middle of a cycle) but could you weigh in on this? Is this something you would leave your RE over? I don't know what to do... Thanks for any/all the advice you can spare... and as always GL

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Re: XP:DH furious and I'm confused...

  • Have you called your RE and asked them about the medicine and telling them what your OB said? That's what I would be doing. 

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  • I have an appointment with my family Dr. tomorrow and one with the RE on Saturday so I plan to talk to both of them when I see them...
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  • Did you get all of your meds at the same pharmacy?  I'd be really surprised if it didn't come with a warning if it can cause birth defects.  You can look it up online at drugs.com to get more info tonight before you go in. 
    image 
     image image image
    TTC since 3/2011 Adenomyosis, LPD, hypothyroidism. 
    BFP on 7/20/12 after 4 cycles Clomid + IUI 
    2 large subchorionic hematomas & no heartbeat at 7w6d   
    D&E 8/18/12 Sonohysterography found septum and necrotic tissue.   
    Hysteroscopy to remove both 10/5
    IUI #5-7 50mg Clomid + trigger = BFN  
    IUI #8 Femara + Bravelle + HCG + Progesterone = BFP 3/27/13
    Beta 1 (13dpo) = 169  Beta 2 (17dpo) = 1073  No heartbeat at 9w3d. 
    D & C 5/10/13  Triploidy 69 (paternal inherited)
    IVF #1 with ICSI and PGS 11R 8M 5F 2 biopsied/frozen
    PGS results = 1 with trisomy 13 & 1 good embryo for FET 
    FET #1 EV, estrace, nitro patches.  Cancelled due to thin lining
    FET #1.2 oral estrace, f'ing nitro patches and no delestrogen.  Transfer 12/31. BFN
    PAIF/SAIF welcome
    Surprise BFP on 6/13/14  Our only unmedicated bfp ever.
    Beta #1 339  Beta #2 649 44 hour doubling time
  • yep, all meds come through the same pharmacy... thanks for the link- I will do some research...
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  • imageNeesey:
    Did you get all of your meds at the same pharmacy?  I'd be really surprised if it didn't come with a warning if it can cause birth defects.  You can look it up online at drugs.com to get more info tonight before you go in. 
    I just looked it up and sure enough Ob/gyn is correct... Niiiicccceeeee
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  • what medicine is it specifcially? things like anti-depressants can have varying degrees (and way varying opinions) on harm they can cause a fetus. 

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  • I would definitely talk to you RE first to understand why they did not say anything to you - if it is a simple mistake or full omission then I may really consider switching.  However, it does not sound as though you have a lot of choices if already driving a hour - how quickly can you find another doctor.
    DS 1-31-13 DD 9-3-14
  • imageCousinVicki:
    what medicine is it specifcially? things like anti-depressants can have varying degrees (and way varying opinions) on harm they can cause a fetus


    This....what medicine are you on?  I'm taking an anti-depressant and adderall....both not great to take while pregnant, but after discussion with both my psychiatrist and obgyn, we feel it's still the best choice for me.  Plus, there is something I can take which will counteract whatever birth defect the lamictal may cause....

    DH Vasectomy reversal 06/28/11; Started TTC July 2011; FSH test = normal; Progesterone = normal; Semen analysis shows low count, low morph, and low motility....HSG planned for April followed by IUI image
  • imagejrnelson627:

    imageCousinVicki:
    what medicine is it specifcially? things like anti-depressants can have varying degrees (and way varying opinions) on harm they can cause a fetus


    This....what medicine are you on?  I'm taking an anti-depressant and adderall....both not great to take while pregnant, but after discussion with both my psychiatrist and obgyn, we feel it's still the best choice for me.  Plus, there is something I can take which will counteract whatever birth defect the lamictal may cause....

     I know you are both trying to help in the best way that you can without the specific drug but I just don't feel comfortable posting it... I'm sorry. What I can tell you is that there alternatives and in a worst case scenerio I would just go without it... I'm sorry I don't feel comfortable disclosing more, and like I said before thank you for trying to help despite that.

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  • For me, it would depend on how I felt about the rest of my experience with that RE, as well as research on the specific drug. If I generally liked and trusted the RE, I would talk to them ASAP, explain what the OB/GYN said and what I had read online, and express that I was upset and wanted to know why no one had mentioned this. B/c, honestly, even if it decided that you can take it, you should be informed of the risks. And if there is a safe alternative, why even consider taking a potentially unsafe drug?

    I would want to see how the RE handled the issue before making any decisions on staying with them. I also rely a lot on gut instinct. If you feel you can't trust this RE, I would strongly consider switching. If that isn't the case, I would probably sleep on it for a day or so and see how you feel, and might do the impending IUI with the current RE no matter what I decided. Good luck with everything!

    4 IUIs: Bfn
    Antagonist IVF 7 retrieved, 4 fert w/ICSI&AH, 2 blasts transferred. Beta #1 9/20: 367 Beta #2 9/22: 841
    image image
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