Trouble TTC
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Should I change OBGYNs?

Ok so here is my story with my OBGYN:

The OB that is "technically" my OB is supposed to be a REALLY good one in my area, extremely busy and popular. I have always seen a Nurse Practitioner when I go in for my yearly paps so I have never actually met this DR. When I quit BC and started TTC I told the nurse practitioner and she wrote me a script for prenatal vitamins and said to start taking them because the folic acid would be good to have at conception.

A couple months went by and I was having REALLY irregular cycles.... I would have a 38 then a 28 so I called and asked what to do. When I call the office they put me through to the voicemail of the OBs nurse (totally seperate from the nurse practitioner). I have communicated with her for months as to my cycles etc. I had blood tests 7 days after last ovulation and my progesterone was very low. Last week she suggested I start clomid and that I need to self track with a home kit when I ovulate so we can do a blood test 7 days after I ovulate. From what you girls have told me on here there seems to be a lot of people that get ultrasounds etc. to make sure they ovulate and whatnot.

The nurse did not tell me when DH and I should have intercourse or any details. We have never tested DH'a SA nor have I had an ultrasound to check tubes or ovaries. I also have never talked to or met this OB face-to-face..... should I get a new OB? HELP!? I am not sure what to do but I dont want to be wasting any time here..... Im ready to get this ball rolling if you know what I mean =)

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Re: Should I change OBGYNs?

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    First, it is pretty common to be irregular for several months after stopping BCP -  How long have you been off them?

    Before starting any treatment. you should get blood work and some basic testing before going on to a treatment plan. Clomid is not a fix to all situations, and without proper monitoring there is a chance to cause harm. Unfortunately, that you are experiencing is the norm with gyns - they simply are not knowledgable enough in the specialty of infertility. You may get lucky to find one who does things the right way in the right order, but you should also consider seeing an RE who is a specialist.

    Good luck! 

    A lot of years and a million tears finally led me to you.
    After 7 years trying to concieve, 3 failed IUIs and 2 failed IVFs, my third IVF was a success!
    My Christmas baby turned into a turkey bird! Dillon Richard was born at 34 weeks, 5 days on November 28, 2009 after 10 weeks on bedrest for preeclampsia.
    <a href="http://smg.photobucket.com/albums/v705/arriinthere/PJ/?action=view
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    We did do the blood work first. I just feel like a lot of people get ultrasounds too.

    As for the birth control I was not on pills, I used NuvaRing and have been off of it since january.... started TTC in May.... cycles were normal in may, june, and july then went nuts. Although for the past 4 years or so I have had no period for 3 or more consecutive months at least once or twice a year. I was only on NuvaRing for about a year. I have not taken birth control pills since 2005 probably. 

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    I would switch and not take the clomid.  You should absolutely be monitored by ultrasounds on Clomid, to make sure you do indeed ovulate, see how many follicles, check for lining. Clomid can be dangerous. Also, DH should have a SA because if his numbers are not good, then clomid is useless. You should also have a HSG to make sure your tubes are not blocked.
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    I would definitely switch and if possible see an RE.  I went through the same thing with my OBGYN and was left in the dark.  After lots of advice from other bumpies, I saw an RE and am getting some base line bloodwork done, an HSG, and an ultrasound and then I will start Clomid, with ultrasound monitoring in a couple months.  You should definitely be monitored while on Clomid and I would highly recommend seeing an RE.  I think you would feel much better about the whole process!
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    I echo all that has already been said.  But I recommend changing to a doctor that is going to communicate with you about your body.  Its one thing I think our society has forgotten.  I figure that if it is your body, issues and all, then you should be the one to understand it.  I went through the "no communication from the dr." thing for a couple of months, and then decided it was time to change.  My question to myself was, "if my doctor is so hesitant to communicate with me what is going on with my body now, and if she rarely spends more than 5 minutes with me explaining the steps ahead, what is she going to be like come pregnancy and delivery???" 

    It has been well worth the switch I will tell you that!  If you change, I recommend doing a little research.  I went online and read patient reviews about doctors in the area, based on the type of birth plan I want, our infertility issues, whether others said she takes time with her patients,  etc.  Know what you are looking for and then try to find a doctor that others recommend.

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