TTC Questions and don't know who to ask

SallySS1234 · December 2012

When H and I decided to start TTC I discussed going off birth control with my gyno and at that time found out she no longer works as an OBGYN and is only a regular gyno (sorry I know there is probably a more specific term but Im not sure what it is).

I know we havent been TTC a very long time, but we are having some issues and I dont know who to go to and if my regular doctor can help or if I have to find an OBGYN even though I am not pregnant.

Everyone in my immediate family conceived on their first try practically, so I am kicking myself that we waited to start. I didnt want to get pregnant right away, but even though my doctor said as soon as you go off BC you should be ready to go, I have to wonder. Since stopping birth control, which was in the middle of the summer, I have had very short cycles. I started using an ovulation test right away and my LP was as short as 5 days and increased to 8-9 days after starting vitamin B6. I decided to try progesterone cream this cycle (along with pre-seed, softcups, standing on my head- everything haha). I also started using the Clearblue Fertility monitor this cycle vs just the sticks to see if identifying more fertile days would help.

So today is either day 11 or 12 after ovulation and once I got to day 10 I was SO excited that this would be my month, and I get my period today. My concern is that my LP is still too short and I want to discuss with my doctor options instead of the cream (since it isnt as potent). My other concern is my husband is on a blood pressure medication that may potentially impact fertility in that it can make it hard for the sperm to penentrate the egg. Unfortunatley, they cant test for this, only switch meds if needed, but that would have side effects for him if we have to do that. Right now, I need to figure out if its me first before we switch anything on him,

I know this is really long and I apologize, but can a regular gyno prescribe things like progesterone, clomid, etc or do I need to be seeing an OBGYN? I just dont know who to even make an appt with to discuss my concerns.

Thank you so much for all your help.We arent telling anyone we are TTC yet, so I cant ask my friends/family either.

Thank you!

deelopi9 · December 2012

This is a question better asked in TTGP! The TTGP page has a newbie link at the top of the page which has helpful information. Regarding LP 12 days is pretty normal, keep in mind it can take up to 1 year for a healthy couple to get pregnant. Continue to monitor your cycle and look for patterns, if your LP continues to be very short then I would bring it up to your OB. My hunnie is on Blood pressure medication and my RE wasn't really concerned with that. GL

Unknown · December 2012

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SallySS1234 · December 2012

Thank you so much! I guess my concern is my gyno is not an OB, so can I still contact my regular doctor? I would assume they can still treat a PD. I know 12 days is really good, but that only happened after covering myself with 3 dosages of progesterone cream for the last 12 days, the longest it was before that was 8-9 days at most. I dont mind continuing to use the cream, just though a medication may be better and a little less messy/time consuming haha.

Is your husband on Norvasc or any other calcium channel blocker? That would be great if it isnt a concern, but I did find a lot of research on it which concerns me. We are seeing a nephrologist in a month to discuss this as well since his PCP didnt want to change it wiithout a specialists opinion first, so we'll see.

I really cant thank you enough for your response. I know up to 1 year is normal and I am fine with that, I just want to make sure I know the right direction to turn to to make sure everything is OK on my end so that year of trying is actually getting somewhere.

Thanks again!

jfb29 · December 2012

You need to contact your GYN. If she can't or no longer does it, she should be able to refer you to a new doc. You should not do clomid with anyone but an RE after appropriate testing, but depending on your age, you should start with OBGYN

This is also not the board for you - you need to try TTGP. We all have been trying over a year or more and have diagnosed fertility issues.

SallySS1234 · December 2012

Ok thank you so much! I will call my doctor and see what she says. Thank you all so much for your help and for directing me to the other board. I didnt see that one when I logged in. I wish you all the best of luck TTC and good news to you all soon!!! Thank you again- its so hard not being able to talk to anyone about this

SallySS1234 · December 2012

jfb29- what age should you start with an OBGYN even if not pregnant? After 30?

Unknown · December 2012

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SallySS1234 · December 2012

Right- I go always go for my annual exam, its just my gyno doesn't do pregnancy/labor/delivery anymore so can my regular gyno help with these type of issues (possible LPD) or do I need to see a new doctor who is an OB as well to get any help before I become pregnant?

jfb29 · December 2012

SallySS1234:
jfb29- what age should you start with an OBGYN even if not pregnant? After 30?

If you are wanting to get pregnant - you should establish yourself with an OBGYN. Again, your gynie should be able to refer you to a doc that also does obstetrics if she no longer practices in this arena. Regarding the age thing - if you are under 35 and have no serious health concerns, you should try for a year before moving onto a fertility specialist, also known as a reproductive endocrinologist (RE). If you are over 35, you can ask for a referral to an RE after 6 months of trying with no success.

Good luck...

jfb29 · December 2012

SallySS1234:
Right- I go always go for my annual exam, its just my gyno doesn't do pregnancy/labor/delivery anymore so can my regular gyno help with these type of issues (possible LPD) or do I need to see a new doctor who is an OB as well to get any help before I become pregnant?

This is a question for your gyno...

deelopi9 · December 2012

SallySS1234:

Thank you so much! I guess my concern is my gyno is not an OB, so can I still contact my regular doctor? I would assume they can still treat a PD. I know 12 days is really good, but that only happened after covering myself with 3 dosages of progesterone cream for the last 12 days, the longest it was before that was 8-9 days at most. I dont mind continuing to use the cream, just though a medication may be better and a little less messy/time consuming haha.

Is your husband on Norvasc or any other calcium channel blocker? That would be great if it isnt a concern, but I did find a lot of research on it which concerns me. We are seeing a nephrologist in a month to discuss this as well since his PCP didnt want to change it wiithout a specialists opinion first, so we'll see.

I really cant thank you enough for your response. I know up to 1 year is normal and I am fine with that, I just want to make sure I know the right direction to turn to to make sure everything is OK on my end so that year of trying is actually getting somewhere.

Thanks again!

My DH is on beta blockers (Toprol), keep in mind some OB may give you the run around since they are not specialist in Fertility/getting you pregnant and some specialist (RE) won't see you unless you been TTC for 1 year. Extremely frustrating. Definitely contact your OB and tell them your concerns. I went to my regular PCP for annual blood work and had them run test to make sure all my levels were in the normal range. GL

SallySS1234 · December 2012

Thanks so much! My gyno had told me to ask my friends who they used for an OB. None of my friends that live near me have kids yet and since we arent telling family we are TTC I can really ask for opinions freely. I will research on my own and find an OBGYN. Thank you all again and I am so happy to hear your RE didnt think the beta blockers with ur husband were an issue.

jfb29 · December 2012

SallySS1234:
Thanks so much! My gyno had told me to ask my friends who they used for an OB. None of my friends that live near me have kids yet and since we arent telling family we are TTC I can really ask for opinions freely. I will research on my own and find an OBGYN. Thank you all again and I am so happy to hear your RE didnt think the beta blockers with ur husband were an issue.

Tell her you don't have friends nearby to recommend one. If she can't, ask your PCP. If still not that, call and ask the local medical society...

Twinkie0612 · December 2012

jfb29:

You need to contact your GYN. If she can't or no longer does it, she should be able to refer you to a new doc. You should not do clomid with anyone but an RE after appropriate testing, but depending on your age, you should start with OBGYN

This is also not the board for you - you need to try TTGP. We all have been trying over a year or more and have diagnosed fertility issues.

This and stop self medicating. You should not be taking vitamin B6 or progesterone without consulting a doctor. Overdosing on B6 can cause neurological damage and over the counter progesterone cream is not designed for lengthening your LP.

Also I would chart for a few more months without the B6 or progesterone cream. It can take a few months for your hormones to regulate after BC. Your unmedicated LP may be longer than you think.

shellyco · December 2012

Twinkie0612:
jfb29:

You need to contact your GYN. If she can't or no longer does it, she should be able to refer you to a new doc. You should not do clomid with anyone but an RE after appropriate testing, but depending on your age, you should start with OBGYN

This is also not the board for you - you need to try TTGP. We all have been trying over a year or more and have diagnosed fertility issues.

This and stop self medicating. You should not be taking vitamin B6 or progesterone without consulting a doctor. Overdosing on B6 can cause neurological damage and over the counter progesterone cream is not designed for lengthening your LP.

Also I would chart for a few more months without the B6 or progesterone cream. It can take a few months for your hormones to regulate after BC. Your unmedicated LP may be longer than you think.

I agree with the bolded. I had a 3-4-5 day LP until started b6, then my LPs got to about ten days. After a year off of BCP, my LPs finally regulated themselves and I now have 12-14 day LPs.

I think you're safe to take vitamin b6 without express permission of your doctor. It takes lots of vitamins to overdose, most of the excess leaves your body when you pee. Don't go over 100 mg a day and you'll be fine. Then when you see your doctor next just tell them you're taking it. JMO.

BlueEyedDreamer · December 2012

I agree with the above. Read the newbie link on TTGP. Chart your BBT/CM for a few cycles to learn more about your O-day and LP. Stop taking B6 and progesterone cream unless you have cleared it with a doctor who knows what she/he is doing. Try for a few more cycles with charting BBT and OPKs and then if there are red flags (ie short LP) then seek a new OB for an opinion. GL!

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