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Odd question, but advice needed. Anyone else broken a bone back in school?

Left OB/GYN appointment sad... Long - sorry

posted 1 year ago in Babies
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    1.
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    Sugar bee
    RR    October 2012  

    I want to tell you what happened at my gyno appt that happened about a week ago. Let me start with a quick background.  I'm 36 right now.  My FI is younger than me.  We are getting married in 2012 (April) but may make it earlier since we have not commited on a date yet.  We both do not have any children.  Do we want children?  We may want one, but we are in no way, shape or form ready to start.  1). We want to spend more time with each other, we are not living with each other, we need to look for a place this year 2). FI started a new career in 2010, I'm trying to get out of my industry because it's just gone BAD 3). We are not financially ready.  4).  We are just not ready!

    My OB/GYN is great... or so I thought.  I started seeing her in 2003/04.  She had helped with so many health issues not related to her speciality.  She was always calm & willing to listen.  She also was probably at the start of her career.  Since I had some other health problems/surgeries, I had not seen her since 2006.  I FINALLY went and had my annual exam and to my surprise, the appointment went very different than I anticpated.  After filling out an intense 4 pages, sitting with the nurse for 20 mins while she asked me all the same questions again that I had already filled out along with some really time wasters (do you wear your seat belt?)... I finally saw the doctor.  I wanted to ask her to go over with me some possible pregnancy questions for the future because I was just engaged.  Before I even got a chance, the nurse already told her I was engaged (from the 100 questions I was asked) and she came in and said "Well you need to have a baby now".  "You don't have much time".  "How about when you're 37".  (I'm getting really uncomfortable at this point, but still said that we are not ready, FI had a career change, I'm in a bad occupation, we are not living together yet, and we're not married yet!! Not that there is anything wrong with having a baby prior to marriage, we just want to be married first).  I told her that I wasn't comfortable with it until a few years which puts me at getting pregnant at 39/40 if we decide to.  She was not happy with it at all.  REALLY?!?!?  I understand conceiving is harder at that age and I understand pregnancy would be more difficult.  But I can't help the way that I feel.  I felt like my excitement for our engagement/wedding/future had be momentarliy taken away from me and I began to feel sad/depressed and really didn't go into it with the FI.  I considered switching doctors... it was like she was completely different and was in and out of the room very quickly.  I can wait a year and see her again... but right now, I'm just feeling down.  Bees, have you ever had a difficult situation like this?

    (Btw, I'm completely healthy now and more than capable to have a baby.  My health history does not change anything).

     
    2.
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    Bee Keeper
    crayfish    September 11, 2010   Berkeley, CA

    The questions they asked you are standard - i've been asked the seatbelt question by them a million times. Especially since they had not seen you in over 4 years, they are totally just trying to make sure your file is complete and up to date.

    While I think the way she told you not to wait was less than stellar, she's absolutely correct in what she said. Your risks for complications and birth defects go through the roof in those 5 years between 35-40. It may not be what you want to hear, and it obviously doesn't mean you will have those problems, but it's a harsh reality. It's a bummer that your personal circumstances didn't align with your less risky time frame for child bearing. Just educate yourself on the trade-offs and sit tight. I honestly don't think you're going to find a doctor who will tell you otherwise, but you may find a doctor that has a softer way of delivering the news.

     
    3.
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    Helper bee
    meggyo    September 25, 2010   Chicago, IL

    i haven't had this issue, but it's wrong for the doctor to make you feel that way. plenty of women have babies at age 40! i think she should have said something like, "the older you get, the more risk you have, but anything is possible". obviously you should be "aware" of things, but she shouldn't make you feel like you HAVE to have a baby now, especially if you're not ready!

     
    4.
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    Honey bee
    misspug      

    who tells someone to have a baby? that's just weird. i understand and support that she wanted to make you aware of increasing complications with age, but she was really bad in her delivery. she was *assuming* that you wanted a baby, which i find very judgmental.

     
    5.
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    Sugar bee
    RR    October 2012  

    @crayfish: I'm not waiting to hear that there are no risks, I definately am very well aware of all my risks.  I'm just never been approached like that.  I felt like I never got a word in and it was just a number game of 37 vs 39 and she was out of the room.  That's not how any doctors appointment should go, IMO.

    @meggyo: I agree, it was wrong.  I shouldn't leave in tears.  I understand that I am "older".  However, take 10mins and sit me in your office so we can talk especially when I'm not even clothed, in a gown, and you're preforming an exam on me.  Not really at all how I expected it.  I felt like they took sooo long to go through all these questions with me and I never got my an opportunity.  In the past, my doctor would always come in prior to my changing into a gown, so we could talk. 

     
    6.
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    Sugar bee
    RR    October 2012  

    @misspug: Thank you!  I'm seriously in tears right now that you know where I'm coming from.  I felt like it was a crazy whirlwind of an appointment and odd. I never said "We want a baby!".  She didn't even know how old I was, she's like "Have it at 37".  I was like "That's 6 months away".   I didn't even get a chance to tell her that we would also consider adopting because the FI and I are open that that as well. But right now, we are not ready for a baby and don't know if we will be for sure.  We have so many other things ahead of us right now. Oh my, I just don't know what to say.  I KNEW my appointment would consist of going over risks, ect.  But I never ever thought this would be how it would go. 

     
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    Honey bee
    Jenn23    April 17, 2010   Philly suburbs

    I'm so sorry about your experience. What a jerk! Can you get a recommendation from a friend possibly? Maybe there is a much better doctor nearby? I definitely wouldn't see her again!

     
    8.
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    Honey
    Beekeeper
    ejs4y8    June 20, 2009  

    I had my gyno, when i was 20, tell me that if i didn't have a baby in the next couple of years, i'd have a LOT of trouble having one. I was 20, still in college, not even engaged, and my now-husband was in Iraq. He basically shrugged and said, "i'm just telling you like i see it". I saw a new doctor shortly after and she told me that old man was ludicrous and not to worry at all. She didn't approach it very tactfully.

    But i have always had my conversations with my gynecologists during my exam, in my robe. If you want to have a discussion with her, fully clothed, in her office, you need to probably make a separate appointment. I had to do that once, and the doctor was more than willing to meet with my husband and I at the end of his day. Their time is precious and if you schedule for a yearly exam, you probably only got a 15 minute time slot with her. When i make my appointments, i always mention if there are additional things i want to talk about--this way i get more time if it's more than just an exam. If you don't like the way she runs her office, i highly suggest getting a new doctor. I had to go through a few before i found one i really like that meshes with me best.

     
    9.
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    Sugar bee
    beekiss2      

    A month ago my new gyno (who I'm not planning on seeing again) said that I either could take the pill he was prescribing or get a hysterectomy pronto, and added sarcastically "don't you want babies in the future?"  When I asked him about what sort of diet I should go on, specifically low carb, he replied with "No duh, you need to diet.  It's like asking me if getting a personal trainer would be beneficial to you. *laugh* You need to work hard at losing weight."  Then I asked him how many grams of carbs I should eat in a day, and he said he didn't know!  I've left messages with my GP requesting a referral to another gyno or a Reproductive Endocrinologist.  You should look into seeing a different doctor.

     
    10.
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    Bumble bee
    Miss Sapphire    December 2009   Seattle

    While nothing excuses a doctor for having no bedside manner, the hard truth is a lot of them don't.  Personally, if I were in your shoes, I would do some research and ask around and find a doctor that specializes in late in life pregnancies.  You'll find that they are going to be a little more compassionate than what you have experienced.

     
    11.
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    Sugar bee
    RR    October 2012  

    @Jenn23: I am asking my close girlfriends of recommendations, thanks! :)

     

     

    @ejs4y8:  I told my friend what happened and she is 38, and she said her doctor was never like that (she's never had a baby as well). I would be fine with asking for a seperate appointment, but honestly I've seen her 3+ times and this is the first time it ever went like that.  Btw, her and the nurse was talking so loud, I could barely get a word in.  The nurse said "You need a tetnus, it's been awhile".  I was like "Okay?".  I said, "Is that something I need to do today??". She's like YES, you have insurance!!!! And then my doctor talked about potentionally switching my thyroid hormone medicine around... I was like, it's perfect!!!  My endo and I worked 2 years to get it where it needs to be!! Don't touch it!!  Actually I saw my Endocrinolgist in October and she congratulated me on the engagement and asked me nicely if we were thinking of having a baby and I said we weren't sure yet and she said so tactfully "Just let me know if you do, we will adjust your meds right away".  Dear doctors, bedside manners + educating the patient = going a long way.

    I'm so sorry to hear of your experience, I'm so happy to hear to hear that you switched.

     
    12.
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    Blushing bee
    FinallyMarried82      

    Please, don't take this the wrong way, but she was telling you the truth. Yes, she has NO bedside manner and the reason I switched from my last gyno was because she was rude as well. But, I think it's common knowledge that when you get in your late 30s or 40s, it's pretty hard to even have a baby. It's a personal choice when or when not to have a baby, but if your career and other circumstances in your life are preventing you at this stage to have a baby, would you have liked her to sugarcoat it or lie to you by telling you that having a baby at 40 is guaranteed and there will be no complications? I would have rather heard the truth, but that's me. I would def. suggest you find another doctor because if she's like this now, I can't imagine her being more sensitive when you are actually pregnant.

     
    13.
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    Sugar bee
    RR    October 2012  

    @FinallyMarried82:  I think I've put in this post a couple times that I was well aware of all risks.  I never asked for anything sugarcoated.  I never asked her to lie and would never want that.  I'm well aware... I'm well aware!!! :)  But I would never tell a patient to have a baby NOW, without even finding out if they really want one or if they are considering adopting or really what my take on it was.  She's also a GYN.  Not everyone has the same views on having a baby.  I'm not 100% sure of it.  I would much rather wait till we are 100% sure and if it doesn't happen for us, we'll look at adoption.  I never even got a chance to get that out of my mouth.  And I considered the same thing, I have lost interest in having her as my doctor if I ever did have a baby.

     
    14.
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    Buzzing bee
    Mrs Green Grass    August 14, 2010  

    @RR: i would totally switch doctors!  You doesn't have to say "you need to do it now" instead she could say the risks and complications get exponentially worse so the sooner the better.  Huge difference.

    My last OB told me that I shouldn't get the breast cancer genetic test unless I willing to have a preventative double mastectomy.  Umm no.  I should get the test because my mom and aunt have the gene and then figure out what to do next.  I have read tons on the issue and prophylactic surgery is not necessarily the best idea (although it is definitely one option).

    I want my doctor to be honest yes, but also open-minded and sensitive at the same time.

     
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    Newbee
    kadeeblake    October 29, 2011  

    i'm sorry to hear about your bad experience. =\ the information she gave you was definitely very important to hear because the closer you approach the age of 40, the higher the probability of having a child with birth defects is. Chromosomal birth defect (e.g. down syndrome) probabilties at the age of 40, are approximately 1 in 100 and at 45, 1 in 30 -- at least that is what I learned in graduate school. The statistics might have changed since then. Non-chromosomal birth defects also increase. This should definitely NOT be a reason to not conceive though! It's important to know the risks, but it is also important to make choices that are best aligned with your and FI's future. 

    Case in point - someone very close to me has 3 children. Two she adopted because she was told she could never conceive. One of these children has autism, a chromosomal birth defect that stunts his growth, and is mentally retarded. Then after the age of 40, she conceived a child and he is completely happy, healthy, and a brilliant child! She loves her children all exactly the same. 

    The point is, even if you do conceive a child at an older age and the probability doesn't land in 'your favor,' I would guarantee you would still love your child just as much as you would if your child was without any birth defects. Your child would come from you and your FI and the love you would have would supersede anything diagnostically wrong with your new addition. 

    I hope that helps. In the meantime, perhaps consider switching doctors to find one more accommodating to your emotional needs. It's important to have a doctor that is well-versed and educated, but bed-side manner (in my opinion) is worth just as much. 

     
    16.
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    Sugar bee
    RR    October 2012  

    @Mrs Green Grass: I want my doctor to be honest yes, but also open-minded and sensitive at the same time.

    You hit it on the head!  Totally right.  But as others have said, so many don't have any bedside manners.  I can't believe she through out that serious surgery at you when you just wanted a test. Wow.  That's horrible!  I'm assuming you've switched doctors. I hope you are in much better care right now.

    @Miss Sapphire: You know, I will probably do that.  Thanks :)

    @beekiss2: Your story is kind of like Mrs. Green Grass' in regards to the surgery. And I can't believe he said that to you!  Here's the line with doctors.  They are getting paid to provide a medical service.  We are the customers. They should educate us and there should be a line that they should not cross where they become insulting and sarcastic, ect.  I'm so sorry you had to endure that!  You probably felt horrible after the appointment, too.  I hope you get recommended a great doctor.

     
    17.
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    Sugar bee
    RR    October 2012  

    @kadeeblake: Thank you very much. And honestly, I respect how tactfully you put your first paragraph.  If she would have said it like that, I wouldn't even be posting on the wall today.  It makes a world of difference and would have really liked to hear exactly what you put in that first paragraph.  But I didn't and I know my choices.  I would just feel comfortable if I had a physican (OB/GYN) that approached their patients like that. 

    Seriously, thank you for that reply - it's helped a lot.

     
    18.
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    Sugar bee
    camrie    September 5, 2010   Louisville

    No doctor should tell you whether you should or shouldn't have a baby at a certain time (barring health risks or complications). If anything an OB/GYN should ASK if you are considering children and what your thoughts are on a timeline before giving any medical advice based on age or pre-existing conditions.

    Obviously she should have found a better way to broach the subject, but I'd still change doctors if I were you since this situation makes it seem as if she has preconcieved ideas about patients, rather than getting to know them first.

     
    19.
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    Sugar bee
    PinkMagnolia    November 2011  

    If you really are worried about having a baby later in life and are not ready now, have you thought about freezing your eggs? That way your eggs will stay 36 years old. My aunt did this and it seemed to be a good solution.

    PS I'm sorry your doctor was that abrupt with you!

     
    20.
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    Sugar bee
    RR    October 2012  

    @camrie: Exactly!  Thank you for understanding that!

    @PinkMagnolia: Wow, didn't know about that or never really thought about it from that standpoint. Again, don't you think a doctor should be the one telling me this??  Thank you so much : )

     
    21.
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    @RR:  My doctors said this too at about 36.  You really have to take it with a grain of salt.  They have your best interest at heart, but they are not you and don't realize that this talk might be stressing you out. Personally, this wouldn't be something I'd switch providers over, but everyone has a different threshold.  Good doctors are hard to find... and I for one am super-glad that they actually bothered to ask about seat belts.  It's not a time waster.  It's a screener to find high risk folks!

    I finally got pregnant at 38 and everything was peachy and even though I'd gotten some pressure from my docs prior, they were completely supportive during my high risk pregnancy.

     
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    Buzzing bee
    eeniebeans    October 9, 2010   Baltimore

    I will be 34 in 2 months and at my last visit I got a talk from my OBGYN about the possibility of conceiving another child.  I called it "the sooner rather than later" talk.  However it was not abrupt and she asked questions and really listened to my answers.  It sounds as if you need a new doctor.  There is nothing wrong with discussing the options and risks (in fact I think the doctor would be remiss if they didn't), however it is all in HOW you say it.

     

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