Go directly to RE or see OB first?

posted 5 months ago in TTC
Post # 2
Member
737 posts
Busy bee

If I could do it again, I would have gone straight to an RE as most OBs aren’t helpful in diagnosing infertility issues. However, check your insurance. You might need a referral from your OB for an RE. I didn’t realize until after the fact that I did not need a referral. However, it was helpful to get a recommendation on an RE from my OB. 

Post # 3
Member
7901 posts
Bumble Beekeeper

zstbee84 :  If I did it over again I would have gone straight to the RE. I didn’t have an OB at the time so I just went to the one that works in the same office as my PCP and it was useless. They did the testing and they still had no idea why I wasn’t pregnant so I went to the RE of my choosing. The RE redid most of the blood testing anyways (they did use the HSG results rather than make me do that shit twice) so I would have rathered not waste time doing testing with someone who didn’t know how to interpret the results. Testing is cycle dependent and when you have long cycles like I do it really drags the process out to have to redo it. My husband had the same issue – his PCP did a semen analysis and said “it’s fine” when in fact it definitely wasn’t. Any urologist would have known those numbers were bad but his primary didn’t have a clue. 

Post # 4
Member
935 posts
Busy bee

My RE sent me back to my OB to get my general pelvic exam and pap smear done before I could start testing with my RE. I would just check on their policies before wasting your time.

Post # 6
Member
7901 posts
Bumble Beekeeper

tulipdazey :   zstbee84 :  just to tack on to this – my regular doctor didn’t want to do my pap because I was under the RE’s care. The RE said my regular doctor should be the one to do and send him the results. I ended up crying in the RE’s office out of pure frustration and he just did the pap while they were up there for another test. Most RE’s want to make your life easier and will accomodate you if you ask. 

Post # 7
Member
4509 posts
Honey bee
  • Wedding: September 2012

For my RE, they like you have had an exam and pap smear within the last 12 months from your OBGYN. I’ve had 2 different insurance plans during my IF journey – one required a referral; the other didn’t. It’s not a bad idea to see your OB – in my area, it’s usually a bit of a wait to see an RE anyway, so you might have time.

Post # 8
Member
2188 posts
Buzzing bee

zstbee84 :  Definitely check your insurance. I went straight to an RE, but they did send me back at one point to get my pap updated and my OB could have run many of the preliminary tests that the RE did. 

Not sure where you are, but depending on your state/country, there will be different coverage for infertility. If you live in a place with coverage for diagnosis but not treatment and you want to go to the RE first, I’d double-check that they’d be able to bill it to insurance as diagnostic. I know people who’ve had trouble once they were at the RE to get it covered as anything but treatment.

Post # 9
Member
3674 posts
Sugar bee

My OB didn’t have a clue how to do proper basic hormone testing. Like she did day 21 testing to confirm ovulation on day 21, instead of considering my long cycles with which day I should have the test. I would skip straight to the RE, but check your insurance regarding the referral bit. Some RE’s also require an OB referral first. Hopefully you will not need to do either, bee!

Post # 10
Member
272 posts
Helper bee

OBs can do very little regarding infertility. Go straight to the RE.

Post # 11
Member
9172 posts
Buzzing Beekeeper
  • Wedding: October 2013

i was 32 when i started TTC. i had been off BCP for a few months, but as soon as we started TTC i started spotting 3-5 days before AF.  i called my OB, after the 3rd cycle.  i did progesterone testing and she prescribed progesterone supplements even though testing was fine.  at the 6m mark i saw an RE and we started testing during the 7th cycle.  i knew i had a fibroid which may or may not have been an issue.  my RE was ready to start with IUIs but my husband wanted to wait the full year of trying before starting treatment.

 

Post # 12
Member
1011 posts
Bumble bee

I had to go to the OBGYN to get a referral to go see the RE.  She didn’t give me any grief over putting the referral in or anything so it was pain free.  Just required an additional office visit.  

Post # 14
Member
220 posts
Helper bee

zstbee84 :  i didnt go to the OB when month 12 came and went (I was 29 so the advice was to wait a little longer).  I didn’t need a referral so didn’t see the point.  No one seemed to mind.

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