Trouble TTC

Hesitation switching from OB to RE

LolaLou1986LolaLou1986 member
edited January 2014 in Trouble TTC
I don't know why I'm hesitating so much to switch to an RE. I checked with RE office and my insurance and I'm all clear to make an appointment. For some reason, though, I'm still hesitant. I think it's because it's just the beginning of all of this for me, since I just had my HSG, and I don't want to switch now that I've started everything with my OB. On the other hand, I also don't want to waste any more time getting things figured out. I know the answer seems clear, to go to an RE, so why am I so hesitant?
TTC since January 2013 HSG January 2014-Fallopian tubes are clear DH S/A was all good Waiting for RE to receive records and then will make appointment with him-everything so far has been done with OB/GYN

Re: Hesitation switching from OB to RE

  • I had my RE referral and insurance clearance all set up for about 3 weeks before I actually called and made my appointment. For me it was a big step to admit that we needed a specialist. If made everything very real. But as soon as the appt was made I felt like a weight was lifted. I felt like we were one step closer to a baby.
    An OB is great for that initial testing. But a RE is going to create a plan specific to your needs and your body that will give you the best chances possible of having a baby. An OB just can't do that for you.
    Good luck!
    Me: 30 DH: 30 ~ TTC #1 Since August 2011 
    BFP #1 2/28/13, Ectopic, Tubal surgery 3/25 
    Began RE testing 8/8, Dx Unexplained, 
    IUI #1 11/1=BFN Moving on to IVF 
    IVF #1 12/2 ER 8R 7M 4 fertilized
    12/7 Transferred 2 "perfect" little blasts 12/17 BFN
    New DX= DOR, I fu*kng hate IF
    1/14 Hysteroscopy, new clean uterus!
    IVF #2: bcp, Lupron, follistim 300, menopur 225. 2/21 8R 4M 3F. 3dt of 2 perfect embryos. 1 little penguin 
     3/10 BFFN
    Regrouping. Seeing reproductive immunologist Dr. Kwak Kim 6/10 
    Kwak Kim protocol: Metformin 1000mg, vitamin D 4000iu, vitamin E 400iu, baby aspirin, Metanx, levothyroxine 75mcgs 
     Surprise BFP 9/21!!! Beta #1 247, Beta #2 630. Miscarried 10/13

  • I think psychologically it is just a really big step and we have to emotionally get used to the idea. The thing is even though you're starting things with the OB there is very little they can do anyway. Like in my case, I did clomid unmonitored (now I know this is dangerous) and when I went to the RE I realized that was a waste of time and even if I miraculously conceived, because of the location and size of the fibroids I found out I had, I would have had a m/c.

    I will say that after my consult and finding out I needed surgery and all (I thought it would be a quick fix) I became very overwhelmed and even though I wanted a baby so bad (I was already behind on the timeline I always had thought I'd follow, lol) it took DH and me a good 2 1/2 to 3 years to decide we were ready to move forward.

    It is just a really big step to prepare for emotionally so I don't blame you for feeling this way. I would be nice to yourself and take time if you need to get used to the idea BUT if you are going to move forward with the OB for treatment then I definitely say at least do a consult with the RE first because you might be surprised with the additional info you'll get.

    Me: 32  DH: 33  Married: March 2004

    July 2006: started TTC
    2008: HSG (normal), couple rounds of clomid through gyno
    2008 - 2010: dragging my feet out of fear and procrastination
    October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
    Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
    January 2013: returned to RE, fibroids grew significantly
    February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
    March 2013: MRI to determine what type of surgery may be necessary

    July 29, 2013: fibroids (5) removed via robotic laparascopy
    August 2013 - Nov 2013 : benched due to recent surgery

    IUI #1, Dec. 24, 2013, BFN 
    IUI #2, Jan. 25, 2014, BFN
    IUI #3, Feb. 25, 2014  BFN
    IUI #4 canceled due to lack of response to letrozole
    IUI #4.1 April 28, 2014, BFN

    May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
    IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

    May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
    June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
    IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
    September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
    October 2, 2014 - started metformin treatment
    November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

    November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
    December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
    December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

    IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

    We are done with treatment unsuccessfully. :(


    PAIF/SAIF/All Welcome!

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  • I had my RE referral and insurance clearance all set up for about 3 weeks before I actually called and made my appointment. For me it was a big step to admit that we needed a specialist. If made everything very real. But as soon as the appt was made I felt like a weight was lifted. I felt like we were one step closer to a baby. An OB is great for that initial testing. But a RE is going to create a plan specific to your needs and your body that will give you the best chances possible of having a baby. An OB just can't do that for you. Good luck!
    This sums up my hesitation too.  Totally made it so real and made me feel more helpless than comforted.  I sat on my referral for five months.  Needless to say, I had to have another referral sent over by the time I was ready to make the call.  I felt just the same after making the call and a lot better once speaking to my RE who totally "got it" when I felt like my OB was just going through the motions, ya know?  Good luck!!
    Me: 29 DH: 31 Married: August 2009 TTC: January 2012 Clomid prescribed by OBGYN May & June 2013 both BFN RE first appointment October 2013 Tests: FSH: 8.0 Prolactin: 14.27 TSH: .949 SA: All normal HSG: both tubes clear Dx: unspecified infertility; possible endometriosis (no lap yet) IUI #1 (12/9/13): femera with HCG trigger; CD 13 US 2 follies RO 16mm & 22mm, 2 small follies LO Result- BFN (12/22/13) IUI #2 (1/7/14): femera with HCG trigger; CD12 US 2 follies RO 18mm & 10mm, no follies LO Result- BFN (1/21/14). Still no AF. Trying to keep the faith. All welcome!
  • Thanks ladies! I'm glad I'm not the only one...I thought I was crazy! It makes more sense now after hearing your stories and I think I will call tomorrow to schedule my appointment with an RE.
    TTC since January 2013 HSG January 2014-Fallopian tubes are clear DH S/A was all good Waiting for RE to receive records and then will make appointment with him-everything so far has been done with OB/GYN
  • Hesitation is definitely understandable, for all the reasons PP's noted.  But you will feel SO good having a plan after seeing an RE.  As negative and down as I have felt at times in the last year, I felt the most hopeless and lost before I saw an RE.


    Me 33, DH 37 -- TTC since Jan'12 -- Low AMH (0.78) & endo, SA w/ low motility
    IUI's 1-3 = BFN, IVF converted to IUI 4/13 = BFN
    IVF 1.2: 8R 6M 4F -- 2 blastocysts frozen, FET 8/15 = BFP!!
    Beta #s = 445;1,098; 9,545  -- EDD 5/2 -- Team Pink!
    Camila Josephine arrived 4/30 :)
  • I hesitated in switching to an RE.  My hesitation was this - switching to an RE is admitting that there is a problem ... that we're dysfunctional ... that we need help.  I kept hoping month after month that we would get pregnant on our own and that we'd be ok.  I kept making excuses like 'it took such and such 15 months to get pregnant.'  Seeing an RE would make things real.  Seeing an RE would be admitting that there is a problem with us.  Seeing an RE would force me to deal with the truth. 

    I did not want to deal with the truth.  The women here in TTTC helped me realize that I needed to move on to an RE for peace of mind. Continuing with an RE would not help me get to the root of the problem and sure wouldn't help me get a baby. 

    I'm still new to the RE thing (I have a consultation for my final analysis and plan of attack next week).  Moving to an RE was the best thing that I could have done.  I'll know what is going on and start taking steps next month to starting a family.
    Married on October 20, 2012.  Began trying in January 2013.
    RE appointment & testing December 2013 - February 2014= Unexplained IF, possible endometriosis
    IUI#1- March 22 (100mg clomid, 75 mg of Bravelle, Ovidrel trigger) = BFP!!!



  • I was the opposite I guess... I ran to an RE!  I knew that seeing an RE was moving me hopefully closer to figuring out what was wrong and on to success.  But like previous posters have said... there is a mental and emotional aspect to it.  It is a big step so your feelings aren't unusual.  It is scary seeing a new doctor and while you hope and pray that it is a step in the right direction there are usually no easy answers.  FX that you have a good experience with your RE and that you get a plan that makes you feel good about your decision!  Good luck!
    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
    1st Beta- 641
    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



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  • I had the exact reaction. I didn't want to admit that I was really broken and had to go to a specialist. But my story doesn't have a happy ending, I did not like my 'RE one bit. It seemed like he was only concerned with the money and didn't explain anything to me. The other downside for me is that he is the the only one around and he works at 3 different clinics in the area. I decided yo go back to my OB, I feel more comfortable with her for the time being
  • It took me close to 5 years to go to an RE. I understand. I didn't know what an RE was, my gyn never mentioned one.

    I actually am ridiculous and heard a commercial for my clinic and could not stop thinking about it. I literally couldn't ignore it. I had googled and looked into it prior, but just couldn't go. I was at work and just had to call and take care of it. I made the appointment without even telling my DH and I tell him everything.

    I know I don't have a baby yet, and I know that I am unexplained, but I have more hope now than ever before. I am so happy I went to the RE. You need to do it in your time though. You will know when it's time.
    10/2013 - Initial consult. Started levothyroxine - tsh 2.92
    HSG- showed graying in one spot/Saline Sono- showed 5mm polyp
    DH SA -  abnormal -  36%motility on both SA's (count and morph ok on SA1, a little off SA2)
    1/10/14 - Hysteroscopy to remove 5mm polyp
    1/12/14- Medicated Cycle 1: 50mg Clomid + Ovidrel + TI = BFN
    2/15/14 - Medicated Cycle 2: 100mg Clomid + Ovidrel + TI = BFN
    3/18/14 - IUI Cycle 1: 150mg Clomid + Ovidrel + IUI = BFN
    Upped Levothyroxine to 50mg - tested at 2.62
    4/17/14 - IUI Cycle 2: 150mg Clomid + Ovidrel + IUI = BFN
    Break!
    6/21/14: IUI Cycle 3: 150mg Clomid + Ovidrel + IUI

    *All are welcome*




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