Should I go see a RE or my GYN for my PCOS and TTC

I was diagnosed many years ago with PCOS. I have been on Metformin to control it, and now FI and I have been TTC for the last couple months with no luck . My OB/GYN is not a fan of metformin, which I totally dont understand, so I have been getting my RX from my family doctor.


Now that I am TTC, should I just skip my OB/GYN and go straight to the RE becasue of the PCOS?

Posted on June 1, 2011 at 7:45 am
shazha1979
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06/17/2011
shazha1979

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(8) Comments

jess143
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I would. I don't know anyone that has gotten pregnant by just seeing an obgyn
Posted on June 1, 2011 at 8:10 am
dana.rw
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dana.rw

You could go either way I guess. I was also diagnosed with PCOS and wanted to see an RE but my insurance would not cover it. So I found an OB that had a special interest in infertility and she treated me as much as she could. She said if we didn't have any luck over a certain amount of time I would have to see an RE but she was able to get us pregnant. If your insurance will cover it or you have the finances available to cover treatment with an RE I would definately go that route.

Posted on June 1, 2011 at 9:01 am
ccia84
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03/05/2010
ccia84

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Hmmmm....Well I have been TTC under the care of my OBGYN ( I have PCOS as well) and I still haven't gotten pregnant.  I just finished 3 rounds of Clomid which all were unsuccessful.  I am now moving on to an RE next week so basically everything I have been doing with my OBGYN  from January on hasn't helped me in the least.


Also, some insurance companies require a prior approval from your OBGYN to go to an RE so you may want to look into that.


Do you know if you have ovulated? 


 

Posted on June 1, 2011 at 9:03 am
ccia84
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I agree with dana- if you are able to afford to go straight to an RE - I would do it.  I personally wanted to give the "milder" fertility drugs a try first and they do work for some - I know Allie had luck on what I believe was her first Clomid cycle and she has PCOS.  Just be prepared that your RE might want to start you out on the milder stuff as well to see how you respond.  I know that when I was filling out all of my RE paper work he asked for detailed information on everything that we have tried and what my blood levels were etc. 

Posted on June 1, 2011 at 9:10 am
Alliesauce
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I used my OB-Gyn, but he did what I thought he should be doing (I had done so much research and pretty much knew what I wanted my game plan to be).  I was very lucky to conceive on my first round of Clomid, my Dr. already told me to expect to be trying for MUCH longer with the next one because what happened with me is super rare.  I was going to consider an RE if I didn't O from Clomid and Provera in 3 months.  If your regular OB isn't on-board with Metformin and other medications you might need, an RE might be your best bet.  You really don't want to waste time with Dr.'s who have any lack of understanding of infertility and PCOS.  Talk with your OB and make a judgement call from there- if you feel any resistance or just don't feel confident in what they are saying, move on.  My Dr. seemed like he had helped a lot of patients with PCOS become pregnant and he's been in practice since the 80's.  But I know there are Dr.'s out there who have no clue what they are doing and don't even know the right tests to order and seem to talk out of their ass when making recommendations. :) 

Posted on June 1, 2011 at 10:06 am
kmack18
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Usually your gyn has to refer you, but if not I think you waste less time with an RE.
Posted on June 1, 2011 at 12:26 pm
shazha1979
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Thanks everyone!! I have an appt with a new OBGYN in a couple weeks. This doctor is one from my old doctors practice. He seemed to me way more understanding about metformin and medication, and just opened up his own practice, so I got in to see him. If things go well, I will stick with him. If not I will see a RE

Posted on June 2, 2011 at 3:44 am
ccia84
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I think that is a good plan :)

Posted on June 2, 2011 at 4:18 am

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