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What kind of doctor do I go to?
My husband and I have been TTC for about 6 months on and off with no luck. I would like to go get tested for any kind of health issues like PCOS or anything that may be making it difficult to get pregnant instead of wasting more time trying if there's something wrong. What doctor do I go to? Do I go to my family doctor first (which is who does my normal PAP tests) or try to find an OBGYN or what? I have no clue!
9 Answers
- 1 decade agoFavorite Answer
Does your family doctor know that you are TTC? That would be the place to start...ask any questions you like. They may then refer you to an Ob/Gyn for closer following and more knowledge. Most likely, they will encourage you to start charting for your ovulation.
If you have regular cycles it is unlikely that any doctor may refer you to an RE (Reproductive Endocrinologist) because it can take a healthy, "normal" couple up to one year (12 cycles) to conceive.
If your cycles are not regular then your PCP/OB may order some lab/blood tests before the referral.
- 1 decade ago
First of all, most doctors won't do anything until you've been trying for a year.
It can take a couple with no fertility issues up to 12 months to conceive. Each month you only have about a 20%-25% chance of conceiving even when sex is perfectly timed. Trying is considered as having sex at least three times per week.
Do you chart your BBT (basal body temperature) and your CM (cervical mucous)? If not, you might want to consider charting both as they are considered primary fertility indicators. http://www.fertilityfriend.com/ is a very helpful site that offers free charting.
Do you have regular periods?
If you do, then chances are you don't have PCOS, or any other fertility issues for that matter.
I know it may seem like it, but trust me, six months is not a long time to be trying. It takes many couples years before they conceive. (Sorry if this seems mean, but it is reality.)
As for what doctor, you would need to see an OB/GYN. I don't know where you live, but here in Nova Scotia, you must be referred to an OB/GYN by your family doctor. You can't just call one and make an appointment.
Good luck and lots of baby dust!
Source(s): TTC#1 since January 2008 - ღ†Rocker Wife†ღLv 71 decade ago
Hi Sarah,
I'm going to be really frank with you, talk to you like you were a good friend.
They usually recommed a couple try for 12 consecutive cycles before inquiring about a potential fertility problem. That's IF your cycles are regular (a period every month) and there's nothing obvious going on. If you have something obvious, such as cycles that last 50+ days, you should go in ASAP.
The place to usually start is with an OBGYN. He/she will review your history with you and probably start you on a low aggressive treatment such as Clomid. For some women, this is the little boost that they need. The problem is, OBGYNs are NOT fertility experts... even if their business card says "specializing in inferitlity" ... all that usually means is they are willing to prescribe you Clomid.
The REAL expert in fertility is an RE (reproductive endocrinologist). REs do extensive testing on both you AND your partner to diagnose and treat the problem. They can also get real aggressive to get you pregnant. First thing I said to myself when I walked out of my RE's office is "WHY did I wait so long!" working with him versus my OBGYN was like night and day.
Having said all that... REs are not cheap, they are specialists. Your insurance may cover some, none, or all of their services.
My suggestion is for you to see your OBGYN first. Work with him/her for a couple of cycles. If it's not happening, go straight to an RE. If you have to, tell the RE it's already been a year. How would they know that it hasn't? I'm all for being proactive and taking your own fertility in your hands.
Speaking of... have you charted your basal temps? Sometimes it's just bad timing. Charting helps you to know that you've gotten your timing right and it can also help bring to light some fertility issues (late ovulation, no ovulation, a short luteal phase... for example). If you haven't temped you, give it a try for 3 cycles first. If you have temped before, all the more reason to get started with a doctor ASAP.
Good luck.
ETA--if you are in the States you don't need a referral to see an OBGYN or an RE. You can get a recommendation from a friend or your insurance company and make an appt... or of course, your doctor can recommend one.
Source(s): My chart http://www.fertilityfriend.com/home/1c0d00 - Anonymous6 years ago
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infertility can run in the family and one of the first things the doctor asks you when you go to a fertility clinic is your family history regarding cases of infertility or other reproductive issues.
If infertility is caused by genetic disorder then it's not unusual that one of the kids (your mom) doesn't have it and another does (your aunt).
two months of trying is still to early to be concerned about the fact that you might be infertile and it's also quite early to go to a fertility specialist. Go to a regular Obgyb to get a closer insight and see what ways there are are to improve your fertility rate.
Also remove alcohol, caffeine and cigarettes from your life because they might influence your chances too. Stress is also a risk factor when it comes to infertility.
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- compaq presarioLv 61 decade ago
go see a reproductive endocrinologist (RE). they are experts at identifying issues relating to your hormones. depending upon your insurance coverage, however, you may need a referral from your ob/gyn or family doctor (but hopefully not). also, have you had an HSG? sometimes that can reveal clues (i.e., blocked tubes, endometrial growths, etc.) that can hinder TTC; a hysteroscopy/D&C can deal with most of that stuff.
whatever the case, make sure someone tests your cycle 3 FSH and E2 (estradiol) bloodwork; that can reveal more clues. hopefully everything is okay and it's just a matter of tracking ovulation more closely... are you using OPK's or charting your basal body (waking morning) temps?
make sure you buy the book Taking Charge of Your Fertility (if you haven't already): http://www.amazon.com/Taking-Charge-Your-Fertility...
also, one of the best books on how Chinese medicine (herbs, acupuncture, etc.) can help is by Randine Lewis: Infertility Cure:
http://www.amazon.com/Infertility-Cure-Ancient-Wel...
HTH!! GL!!
- 5 years ago
Infertility, like any disease, is simply a sign that something is not right inside the body and must be fixed. How to reverse infertility https://tr.im/Qft03
I have worked with a lot of women on this issue, and have seen very few health related problems that cause such pain and anxiety as wanting to have a child and not being able to. The good news is that all the women who I have worked with who have changed diet and lifestyle factors have eventually conceived.
- Terry OLv 71 decade ago
Fertility issues are treated by fertility specialists, but they will not usually agree to treat patients who have been ttc without success less than a year. Really, the best place to start at your stage to determine the state of your overall physical and reproductive health would be your OBGYN.
- 1 decade ago
have u heard of fertilaid for men n fertilaid for women? they also have other things that might help for concieving. also have u heard of maca? all of that can b ordered online.