(Closed) Am I the only one whose obgyn refused to do a preconception checkup?

posted 7 years ago in Babies
Post # 3
Member
1220 posts
Bumble bee
  • Wedding: November 2009

Yep.  They did all the blood tests once I got pregnant.  To me it wasn’t a big deal.  I talked to my OB when I was just at my annual to let her know I wanted to go off BC.  I have found that WTEWE throws a lot of info at you that is sometimes not on the same schedule as your doctor.  As long as you feel comfortable with your doctor I would just go with the flow.

Post # 4
Member
679 posts
Busy bee
  • Wedding: November 2010

All my blood work was done after I was pregnant.  I think that’s pretty routine.  YOu can always try talking to your primary care doctor and have bloodwork done.

Post # 5
Member
2161 posts
Buzzing bee
  • Wedding: July 2011

My family doctor did some blood work and checked my folate levels, thyroid and CBC.   He said the rest will come after pregnancy.

I wish I would have thought to get my pap done.  I’ll now need to take a morning off to get it done if I don’t get pregnant soon.

Post # 6
Member
5544 posts
Bee Keeper
  • Wedding: December 2011

Hmm… that is interesting, because I am pretty sure you can’t get the vaccine for MMR stuff when you are pregnant. So wouldn’t you want ot know if you need it before then? 

Post # 7
Member
1493 posts
Bumble bee
  • Wedding: October 2009

@Miss Sapphire: I haven’t told my doctor that I went rogue. I went off of my birth control on my own. I hope she isn’t mad when I see her soon for my annual and hopefully when I’m pregnant.

Post # 9
Member
5544 posts
Bee Keeper
  • Wedding: December 2011

@AnotherAnonBee: Honestly, there is not any harm in just going ahead and getting the MMR vaccine again (since it actually isn’t life long like they told us when most of us were little) since the vaccine is WAY safer than the potential birth defects should you get them when you are pregnant. If you have had chicken pox as a child you are still immune so that isn’t a worry. Toxoplasmosis I don’t know about as much. Sorry, I’m a nursing student in mother/baby so we talked about this on Tuesday. 

Post # 10
Member
1220 posts
Bumble bee
  • Wedding: November 2009

I think that if you get the MMR shot you are advised to wait approx. 2 months to TTC again.  

Post # 11
Member
7587 posts
Bumble Beekeeper
  • Wedding: December 2010

@Miss Sapphire: right. It can actually cause brain damage and/or miscarriage if you get pregnant within the first 60 days of the vaccine. 

I had it all done after pregnancy as well.

 

Post # 12
Member
921 posts
Busy bee
  • Wedding: July 2011

@AnotherAnonBee:I had the same experience as you (military doctor).

Post # 13
Member
1993 posts
Buzzing bee
  • Wedding: May 2011

I went for my annual and “preconception” checkup as soon as I got off BC.  My OB did the same as yours, and she ran some bloodwork, but I think it was mainly to check my thyroid levels since I had part of my thryoid removed a couple of years ago, and I have to get my levels checked every 3 months or so.  I think OBs are super-conservative with testing and fertility stuff (in my experience, anyway).  When I went to an RE – Woah! Totally different!  He had me take every blood test know to mankind!  I hardly had any blood left – lol!  

So I formed an opinion that my OB is for my overall everyday Va-Jay health.  As far as ttc, or preconception issues, they err on the side of caution.  I was ovulating erratically, Day 10, then Day 16, the Day 20 on the 3rd cycle so I scheduled an appt to talk to her about it. She told me she wouldn’t do any testing until I had NOT ovulated for 3 months! She said that if you’ve been off BC less than 6 months, your hormones are still regulating, and your body is “re-booting.”  So according to her, you shouldn’t test things like hormone levels bevause they’re not your “real” hormones yet, possibly.  They could and probably will get a little more normal after 6 months, and she would feel like it would be a more accurate read.

And as far as the other non-hormone related blood tests, they just figure you can get it done with everything else when you’re pg.  I just feel like they’re so conservative. 

So I think what your OB did is totally normal:)

Post # 14
Member
679 posts
Busy bee
  • Wedding: November 2010

@MapleBecky:  If you become pregnant before your annual Pap, the doctor will just do one at your first pregnancy appointment.  Usually they do one anyway to check for bacterial infections, dysplasia, STD’s, etc.  So don’t worry about making an extra appointment it’ll be taken care of.

Post # 15
Member
643 posts
Busy bee
  • Wedding: April 2009

My doc is pretty good, but I think I surprised her when I went in for my pre-conception appointment. She was open to talking about TTC and what to do. She gave me some information about TTC, talked about going off BC and when to try during your cycle, etc. I started asking her about blood tests to find out if I needed the chicken pox or rubella vaccine, and she was a little thrown off, telling me that those tests are done once you are pregnant. She’s very thorough, so I explained to her that I wasn’t sure if I had ever been exposed to chicken pox and might want to consider getting the vaccine a few months before starting to TTC. She was great and explained everything, and even (finally) gave me the paperwork to get the bloodwork done. But then my insurance was a little weird because these tests are necessary when are you pregnant, but not necessary BEFORE you get pregnant (go figure!!!!!).

Anyway, she also talked to me and we determined that my risk for chicken pox was relatively low anyway, so we decided not to get the vaccine ahead of time (because you have to get two doses a few weeks apart, and then have to wait a while after the last vaccine before TTC).

So I think that the preconception appointment is a great idea but MANY docs aren’t as open to it or it isn’t as common!

Post # 16
Member
681 posts
Busy bee
  • Wedding: May 2009

@HopingToBeaMama: same here, my doc didn’t do much during my preconception visit besides educating me on nutrtion, exercise, vitamins, etc while ttc, and steps to take once i got a bfp.

perhaps your doctor is also taking into account what typically is covered by insurance these days. they may routinely do those tests after you get pregnant bc thats when insurance covers it, as opposed to you just getting those tests and vaccines “by choice” as a non-pregnant woman (insurance is so ridiculous these days…sigh). not sure if thats true, but i always assume its about insurance when docs dont want to run tests, etc cause docs usually have your best interest in mind.

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