When to call the DR? (not sure if in right spot!)

iVillage Member
Registered: 12-06-2005
When to call the DR? (not sure if in right spot!)
7
Tue, 10-26-2010 - 8:09pm

*WARNING* This may get long as I tend to ramble!

So we are on cycle #3 of TTAM. I'm supposed to O either tomorrow or Thursday, and praying that this is it. Nov 10th of last year is when I got my IUD out and we started TTC. We tried and tried and finally on cycle #7 we got our BFP, only to m/c at 11wks. So I know the rule of thumb is to usually call your OB after TTC for 1 yr, but does that 1 year start over if you get a BFP and then m/c? I guess I'm just super nervous about having to go see my OB about TTC and IDK if my insurance will pay any of the testing costs and we honestly cant afford it all out of pocket as I'm still in school. Do you think they would just give me Clomid or something or would we have to go through all the testing first? Do you think we should wait a few more cycles before we call the OB? TIA!

Photobucket
iVillage Member
Registered: 07-28-2009
Tue, 10-26-2010 - 8:21pm

Now of course not all dr's are the same but my OB gave me Clomid without any testing at all. It really is a pretty harmless drug so most dr's won't give you the third degree about it. In fact a lot of RE's use it to improve egg quality so they may consider then trying to figure out where your m/c fits in as most m/c are caused by a chromasomal abnormality. I would call your insurance and find out exactly what they cover though. You want to know that in advance. You don't want any surprise bills!

Photobucket

Photobucket
iVillage Member
Registered: 08-16-2007
Tue, 10-26-2010 - 10:09pm

Hi kate. I think you posted in a good place :) And I agree with what Michelle said, that you should check with your insurance about exactly what they will and will not cover. Some cover nothing even remotely labeled as infertility, other companies cover the cost of labs and testing, but no fertiltiy meds... it really depends on your coverage plan and the way your doctor codes the medical billing.

As far as precisely when you are considered "infertile" or in need of fertility testing, this also varies from doctor to doctor. Because it has been a year since you began TTC, they might be willing to do some initial bloodwork and talk to you about using medication (I dont know if clomid would be right for you, again, you'd have to ask) or monitoring your cycles. BUT because you also managed to get pregnant within that year, they may restart the clock when you began TTC again, after your loss. It doesnt hurt to call and ask for an appointment though - the worst they can say is "wait".

PS: I dont know, if you've been charting your cycles or not. But if not, a great resource for getting started is fertilityfriend.com

Photobucket
iVillage Member
Registered: 09-24-2004
Tue, 10-26-2010 - 10:21pm

Like Michelle... my doctor(s) never tested me before giving me Clomid either.

Photobucket
iVillage Member
Registered: 12-06-2005
Wed, 10-27-2010 - 10:38am

Thanks ladies! I'm going to call my insurance co and then my OB and see what they say.

Nicole-No, I havent charted my cycles with temping or anything just using OPK's and checking my CM. Would that be enough or would they want temps? I want to make sure I have "all my ducks in a row" before going in.

Photobucket
iVillage Member
Registered: 10-05-2006
Wed, 10-27-2010 - 10:42am

I agree with the other ladies that each doctor is different in what they recommend. How old are you? I think that would be a factor in my decision. I am going to be 36 next month and if I were you then I would see someone. If you are much younger then it might not be as critical. It boils down to what you want to do. Good luck!

Photobucket
iVillage Member
Registered: 12-06-2005
Wed, 10-27-2010 - 1:50pm

I'm 25. I'm so confused as to what to do! :(

Photobucket
iVillage Member
Registered: 07-28-2009
Wed, 10-27-2010 - 2:17pm

Don’t be confused. I think we often times make things more complicated than they really are because we want so badly to get it right!

I would go to the OB, let them know you have been TTC for a year with a loss in between. Tell them you are using OPK’s and timed intercourse and ask what they think about putting you on Clomid. They may say no because you are O’ing on your own and honestly they’d be right. Most of time Clomid doesn’t help much unless you have trouble O’ing on your own or you O wayyyyyy late but like I said before, it’s a pretty harmless drug to try and as far as I know most dr’s prescribe it without too much hassle.

Photobucket

Photobucket