We started with my Ob/Gyn. Some of you already know my position on this (like Missing), but after spending 1 1/2yrs. with my Ob/Gyn and getting no where and then having switched to an RE I highly recommend an RE if you are serious about getting pregnant and, just as important, keeping the pregnancy once it has been achieved.
As Missing already stated–infertility treatments done by Ob/Gyn’s is more or less a hobby. Overall they not only lack the expertise needed to deal with the complications of female hormones, but they are not set up to accommodate the demands of your individual cycle and as a result you may be way under stimmed or over stimmed, not monitored properly, and/or not able to trigger all because your cycle doesn’t fit the convenience of the Ob/Gyn’s schedule. At least this was my experience.
My biggest complaints about my treatment by my Ob/Gyn were as follows…
1.) I had to sit out cycles because my period started while the Doc was on vacation and could not do a baseline ultrasound or I would miss it because he wasn’t going to be there for the mid cycle follicle scan (kudos to him for even monitoring me which many Ob/Gyn’s dont’ bother with).
2.) He thought it was unnessary to do an ultrasound prior to CD 17 on clomid and thus I only had one cycle out of 8 stimmed cycles that actually fit his expectations. (since moving to an RE and being given ultrasounds much earlier in the cycle we have discovered that I was likely ovulating earlier than the scan my ob/gyn was doing). So in otherwords I wasted my cycles with him.
3.) My Ob/Gyn had a tech do the ultrasounds and that tech was never allowed to tell me anything about what she saw so I never know if my follicles were even close to the right size, or how many I had, or if I could have already ovulated. I was kept in the dark. (with my RE he does them himself, shows me the screen, and explains absolutely everything he sees and what it all means).
4.) My Ob/Gyn recommended Ovarian Drilling which isn’t so bad except according to my RE the technique he used was basically useless.
5.) My Ob/Gyn did an HSG during my Lap (ovarian drilling procedure) and told me my tubes were clear, but failed to report it in my records so my RE insisted on having an HSG done which I did, but it was very painful and my tubes turned out to be clear so I felt that it was an unnecessary pain and expense to my insurance all because my Ob/Gyn failed to note it.
6.) I was tested by my Ob/Gyn for high prolactin and was told it came back fine, but after being told by the RE that I needed to be placed on Bromociptin for high prolactin I asked for a copy of my labs from the Ob/Gyn and found that they were indeed high and I also found other lab results to be abnormal that I was never told about.
Okay so having said all of this I want to make it clear that I loved my Ob/Gyn which is why I stayed with him for so long. He is also known in our State as being the best Ob/Gyn for infertility and hormone related treatment so I figure that if he is the best Ob/Gyn and he got all these things wrong then only an RE should really being doing this stuff.
What it came down to is that he did not have the time to really treat me and he lacked the expertise. I believe that of the Ob/Gyn’s that are successful with getting women pregnant it is more likely due to luck than anything else.
My recommendation to all who asks–Don’t waste your time, your emotional energy, your money, and potentially even make your problem worse by being treated by someone who doesn’t truly understand what they are doing–Seek an RE!!!
Hope this helps! :flower: