OB too aggressive? (long-ish)

faithita · January 2011

Hey ladies,

Went to the OB today because I was convinced I am not ovulating. We talked a bit about my medical history-- endo, huge ovarian cyst removed via lap at age 20, cervical cone biopsy in '08...

She looked at my charts... says she's not convinced that I'm not O'ing. Advised to keep charting and OPKing, she ordered some bloodwork, ordered a SA for DH, Clomid challenge w transvaginal ultrasound for next cycle, and a HSG for the cycle after that.

I was a little shocked. We did a transvaginal ultrasound today also, and the tech said that she saw a small cyst on my left ovary, and couldn't find my right ovary-- took the results back to the doc, and the nurse came running back into the room telling me to go home and have as much sex as possible b/c they saw follies on the US.

I feel confused. It is all overwhelming. Do you think this is way agressive? In a way I don't b/c of my history, but I just don't know.

Thoughts?? TIA as always.

Eboom · January 2011

I wish my OB would do all that monitoring! I think your OB is doing the right thing! Maybe what she thought was a cyst was a rupturing follicle?! anyway I would be grateful that your OB is wanting to do monitoring! good luck and happy humping!

SkyBee · January 2011

If you are not comfortable with all of it at once, I would let her know. For DH and I, we wanted to get to work immediately on TTC as SOON as we found that there was possibly a problem. I would suggest not taking clomid with an OB though. But all the other stuff, I would personally be all for it!

s.alarie · January 2011

Without knowing your history (age? how long TTC?), I would say that it's moderately aggressive. IMO, that's better than passive, i.e. waiting another few cycles of doing nothing but observing temps and OPKs, no B/W, etc.

It sounds like a lot of diagnostics for the next few cycles, but it sounds like your OB has things pretty well covered. You do have the right to refuse or get a second opinion if you feel that this is not what you and YH need right now.

faithita · January 2011

Thanks... this all made me feel better. I think I am just in shock b/c I expected her to tell me to come back in 6 mos... we have only been really trying for about 4 cycles, and were not using BC for several cycles prior to that. We are both 31.

This is honestly exactly what I wanted to have happen because I have been worried based on temping that we are just wasting time.

dogparkdiva · January 2011

Girl, you should not be posting...you should be humping!!!! J/K! I don't think she is being to aggressive. I think that she is covering all the bases and trying to determine if there is an underlying area of concern. Best of luck this cycle!

[Deleted User] · January 2011

I think that's better than just asking you to come back in 6 mo (assuming your insurance covers all this or you can afford it/want to pay for it). If I end up going to the doctor it will be because I need professional help, and I won't want to hear, "Keep charting and come back in 6 months."

faithita · January 2011

rocknrollfriend:
I think that's better than just asking you to come back in 6 mo (assuming your insurance covers all this or you can afford it/want to pay for it). If I end up going to the doctor it will be because I need professional help, and I won't want to hear, "Keep charting and come back in 6 months."

Right... I think I am just a little scared of clomid. Prob need to do some more reading before I decide whether I want to take it. All of the diagnostics are great. I was just feeling a little owerwhelmed. Thanks for the advice.

macdidlyicious · January 2011

I would probably start with the blood work and the SA for your H. Those two seem pretty non invasive and could give you guys an idea of what is or isnt going on. If everything comes back okay, keep trying on your own. If they find an issue, you can proceed from there. I think most ladies would like that their OB is taking their concerns seriously. I do agree with PP suggestion of doing Clomid w/ an RE not an OB.

Mrs.McIrish · January 2011

faithita:

rocknrollfriend:
I think that's better than just asking you to come back in 6 mo (assuming your insurance covers all this or you can afford it/want to pay for it). If I end up going to the doctor it will be because I need professional help, and I won't want to hear, "Keep charting and come back in 6 months."

Right... I think I am just a little scared of clomid. Prob need to do some more reading before I decide whether I want to take it. All of the diagnostics are great. I was just feeling a little owerwhelmed. Thanks for the advice.

Lurking from TTC over 35-- a clomid challenge is to test your ovarian reserve (aka FSH). You are only taking clomid for 5 days (from Cd5 to CD10). Here's some info on it: https://www.ivf1.com/Clomid-Challenge-Test/

As someone (older) who just found out I have elevated FSH, let them test it. It's better to know if something is wrong early.

faithita · January 2011

Mrs.McIrish:
faithita:

rocknrollfriend:
I think that's better than just asking you to come back in 6 mo (assuming your insurance covers all this or you can afford it/want to pay for it). If I end up going to the doctor it will be because I need professional help, and I won't want to hear, "Keep charting and come back in 6 months."

Right... I think I am just a little scared of clomid. Prob need to do some more reading before I decide whether I want to take it. All of the diagnostics are great. I was just feeling a little owerwhelmed. Thanks for the advice.

Lurking from TTC over 35-- a clomid challenge is to test your ovarian reserve (aka FSH). You are only taking clomid for 5 days (from Cd5 to CD10). Here's some info on it: https://www.ivf1.com/Clomid-Challenge-Test/

As someone (older) who just found out I have elevated FSH, let them test it. It's better to know if something is wrong early.

Ah... that's so helpful. Thank you so much!

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OB too aggressive? (long-ish)

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