Any Others See a Doctor/RE before the "12 Month" Guideline?

posted 3 years ago in TTC
Post # 3
Member
3989 posts
Honey bee
  • Wedding: October 2011

Could you go and see your regular OBGYN over an RE?  I did that at 7 months trying and they could run all of then necessary tests for me at that point in that office, without having to go to an RE.  I think it’s pretty customary for your OBGYN to refer you to an RE first.

Post # 6
Member
3989 posts
Honey bee
  • Wedding: October 2011

Who do you go to for your annual check ups?  Your GP?  If so, I would start there. I just think that an RE might overlook the more simple issues at hand (such as your thyroid) and instead get to more invasive testing that may not be necessary.

(don’t worry – didn’t sense any snark!)

Post # 7
Member
509 posts
Busy bee
  • Wedding: May 2012

After 10 cycles, if the clinic is willing to see you even though it hasn’t been a year, then go for it. But respect their guidelines and recommendations if they tell you to come back. That way they won’t see you as the “impatient one”.

These practitioners see so much self-diagnosis, they are used to it so bring all the info you have and as long as you keep an open mind, things will be fine.

Post # 8
Member
6270 posts
Bee Keeper
  • Wedding: October 2013

i called my gyn when my 3rd cycle started because strange things happened during the first 2 of TTC and i was concerned.  she had me come in to get my progesterone levels checked at the end of cycle 3.  i am to go back at the end of cycle 4 to confirm they are low, then we are going to take the next steps.

BTW, i am 32 and have fibroids.

so i vote for calling your gyn and see what they recommend before calling an RE.

 

Post # 9
Member
12998 posts
Honey Beekeeper
  • Wedding: June 2011

If it matters to your insurnace, your regular doctor can order blook work to check on thyroid and any other hormonal levels.  I voiced some concern with my PCP 6-7 months after stopping BC, and she started to order a trans vag U/S and blood test to check thyriod, fsh, and some others.  After another few months I went to an OB who ordered the same tests an RE probably would, HSG, and more blood work.  All this happened before the standard year.  If you have docuemnted reason for concern, I’m sure they would look into it and start to try to diagnose you to help get your preg.

ETA: I think a GP/PCP and OB would start out the same as an RE would in terms of diagnostic testing if you haven’t had any yet, so it wouldnt make much of a different imo.  So by the time I saw the RE after over a year, the basic testing had been done, and we’re just moving forward with trying other solutions.  The only thing that would have happen differently for me, is that my OB gave me Clomid without monitoring, and an RE would have monitored.  So if you try any treatment, I would suggest an RE, but for dianostics, either will do.

 

Post # 10
Member
1849 posts
Buzzing bee
  • Wedding: August 2013 - backyard in the woods

I think that if you have a legit concern, with evidence that seeing and RE before 12 months is not only reasonable, but smart. I may be biased though, since I have an appointment soon after 6 months of perfect timing with no luck. I was diagnosed with endometriosis in February, so I know I have a disease that can be a major issue. I think your very low temps are not normal and good reason to seek input, especially with the family history.

Post # 11
Member
1449 posts
Bumble bee
  • Wedding: January 2012

I went to my OBGYN after my 9th cycle. They refered DH to the hospital RE and did blood work for me. Diagnosed on my 10th cycle by blood work, prescribed clomid and a successful pregnancy on my 12th cycle. I think you should start at your obgyn as they will run basic blood tests including thyroid and progesterone. 

Also be careful of your insurance. Most will pay for obgyn visits but few pay for anything fertility related from an RE.

Post # 12
Member
795 posts
Busy bee
  • Wedding: December 2011

I went to my OB/GYN after 5 months of trying and 11 months of charting.  I have PCOS so I wasn’t ovulating regularly, if at all.  She was great and sent me for testing and put me on clomid right away.  I have four cycles with her on clomid then I have to go see a specialist.  I hope you will get the results you want from your doctor!

Post # 13
Member
1943 posts
Buzzing bee
  • Wedding: May 2013

I agree with @KateByDesign  – I had my thyroid tested after a chemical pregnancy and the results came back borderline hypo.  My OB sent me to my normal GP to get my thryoid figured out. 

Post # 14
Member
409 posts
Helper bee
  • Wedding: October 2012

@CookieCreamCakes:  I went in for a regular annual exam and expressed that I have long, irregular cycles. We had been trying 6 months (1 month charting) at that point. My GYNO asked how long ago I had my last period and timing worked out for her to order a blood test. I was diagnosed with hypothyroidism, and put on medication. Just a few weeks ago I found out my level is completely safe (TSH below 2 is considered optimal) to TTC. So we officially have the green light!

Post # 15
Member
284 posts
Helper bee
  • Wedding: May 2012

I also agree with first making an appointment to see your PCP or finding an “in-network” GYN before seeing a RE, due to insurance coverage. I am over 30, so I was told that after six months of actively TTC and having irregular, long periods I should be concerned and be tested. 

My OBGYN was concerned and immediately jumped into high gear and had me continue to consistently chart/temp, ordered bloodwork to test FSH, TSH, etc (test results= normal) and in addition had my DH go for a sperm analysis (all within the last month). I was grateful she had both my DH and I test immediately since 40% of the time infertility is due to the woman, 40% due to the man, and 20% of the time both partners have issues. It turned out that we are the unlucky 20% of couples that both have fertility issues. This is disappointing, but I’m happy we both jumped in feet first, instead of going through several months of me testing to only later find out that the whole time my partner had issues that needed to be addressed as well. I am now taking progesterone and clomid to help me start a normal cyle and also successfully ovulate, while my DH is scheduled to see a urologoist to address his issues. I highly recommend both partners being tested to address any infertility issues that may arise and speed up the ttc process and options!

 

Next stop will be an appt with a RE.

 

Good luck!

Post # 16
Member
1033 posts
Bumble bee
  • Wedding: August 2012

I haven’t read through the responses (sorry) yet, but I did go to an RE before the 12 month mark.  My GYN prescribed clomid for two unmonitored rounds due to the fact that I wasn’t cycling/ovulating and needed provera to induce my periods. Neither of the rounds of clomid worked and also due to some insurance changes, I went to an RE. My RE ran a bunch of tests with both myself and my husband.  Turns out my husbands SA was “borderline” (low in the morphology category) so my RE decided on an IUI+meds round.  My first round with my RE was a monitored clomid/metformin/ovidrel/IUI cycle and it worked! Good luck!!

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