Preconception visit with OB?

  1. You have chosen to ignore posts from GlitzyCity. Show GlitzyCity's posts

    Preconception visit with OB?

    I've been thinking about possibly finding an OB and having a preconception visit. I mentioned TTC at my last yearly doctor appt in June and she didn't say much except to take vitamins, which I have been.

    But, I've been temping and I seem to have a short luteal phase so I'm wondering about my progesterone levels and if that's something they can or will test for. I also have RH negative blood so I'd like to get some more info on that and possibly get tested for antibodies due to a m/c several years ago. I figure maybe it can't hurt to have the OB be aware of all these things in advance.

    Will the OBs office do a run up of these things? I've read about preconception visits online, but wanted to ask about other experiences, whether you think the visit was helpful, etc.

     
  2. You have chosen to ignore posts from Novembride. Show Novembride's posts

    Re: Preconception visit with OB?

    Glitzy - did your dr have an opinion about whether you should met with an OB?  I only ask b/c I asked at my recent physical, and my dr didn't think it was necessary.  She did bloodwork, and we discussed TTC, and she said she'd refer me directly to an RE or fertility center if/when I wanted to.

    I haven't read up on pre-conception appts... maybe i should?
     
  3. You have chosen to ignore posts from KAM2007. Show KAM2007's posts

    Re: Preconception visit with OB?

    It was a long time ago but I did do a preconception visit with an OB. they took my history but didn't do any blood tests. They gave me a time frame of when to come back if I wasn't pregnant yet.

    It wasn't until after I was pregnant that they did any blood work. 

    If you don't have an ob/gyn that you like, schedule an apt, it can't hurt to go try and find an office you like now.  
     
  4. You have chosen to ignore posts from misslily. Show misslily's posts

    Re: Preconception visit with OB?

    Never heard of a pre-conception visit.  When I couldn't get pregnant we went to the RE.
    Ask your PCP for any tests you may think you need.  The can do a FSH )follicule stimulating hormone) and TSH (thyroid) and anything else you want.
    I don't think the RH negative is a big deal anymore. But you can discuss that with your PCP as well.
     
  5. You have chosen to ignore posts from luckinlife. Show luckinlife's posts

    Re: Preconception visit with OB?

    I am not sure there is a lot of utility IMO.  If you are having difficulty conceiving, I would definitely see an RE (if over 1 year under 35 and over 6 months over) over an ob.  Hope that is helpful!
     
  6. You have chosen to ignore posts from hughkona. Show hughkona's posts

    Re: Preconception visit with OB?

    I would say it is not important.  You should read up on Rh- because it shouldn't have anything to do with an early miscarriage.  You need a Rhogam shot during pregnancy and then after delivery, but otherwise you and your fetus's blood should not be crossing during embryo period.  Also, I am pregnant now with #2 and I hardly have anything done at my OB visits, I cannot imagine what they'd need to test you for if you aren't even pregnant yet. I would just learn how to increase your chances of becoming pregnant and keep tracking your cycles.  If you are not pregnant within a year, or 6 months if you are over age 35 then you can consult a specialist.  Good luck!
     
  7. You have chosen to ignore posts from itsallnew. Show itsallnew's posts

    Re: Preconception visit with OB?

    Last year I went in for my annual exam with my then gyn.  I discussed that I wanted to start trying sometime in the next several months, but I wasn't totally ready just then.  She did some genetic tests (typically there are 3 that they can test for but I don't remember which ones.  You may or may not want or need them based on your family history or ethnic background) and basically told me that I should tell her when I'm pg and she will refer me to an ob.

    I wanted to check out obs myself and I ended up going to my current practice that was recommended by a friend.  I esentially had a "preconception" visit where I asked whether there was anything that I needed to be tested for, etc. because another friend of mine suggested there was a whole lot of tests the other dr. should have done at my preconception workup so she freaked me out a little.  We tested my thyroid because I had some question but otherwise it was mainly a way for me to meet the Dr. and see the practice.

    I think that you have to do what you feel most comfortable with, though I am not sure that a preconception appointment is per se necessary.  I think I felt better having it, knowing that I asked whatever questions I thought I had.  HTH and good luck!
     
  8. You have chosen to ignore posts from momofatoddler. Show momofatoddler's posts

    Re: Preconception visit with OB?

    I highly doubt an OB would explore the question of your progesterone level without evidence that it is a problem (charting is not an exact science). Likewise, most OBs won't explore possible causes of miscarriage until you have had 2-3 (I'm sorry for your loss, by the way).
    With that said, it can't hurt to find an OB that you like before you become pregnant. I basically talked to my regular OB during my annual exam. The timing happened to be right before I was going to TTC. The main takeaways were that I should start taking a prenatal vitamin immediately and to follow-up with her if it took more than 6 months to conceive.
     
  9. You have chosen to ignore posts from GC1016. Show GC1016's posts

    Re: Preconception visit with OB?

    I'll echo above re: the Rh negative thing.  I am and I also had an early MC, and the protocol is the same either way: you get a Rhogam shot during pregnancy and one after delivery.  As part of your initial battery of blood tests during pregnancy, they'll test you for antibodies related to the miscarriage/your blood type.  I didn't get a Rhogam shot after my MC and everythign was fine with DD. 

    You may also find that you have a hard time finding an OB who takes patients who aren't PG -- mine only takes OB patients, and I don't think she does preconception visits.  I think what you're talking about is more the arena of a RE or your PCP, honestly, but good luck!  I also tried to get into my OB's practice prior to getting PG, but had to wait.  It all worked out in the end. 

    I know it doesn't feel very "active," but honestly -- eating right, taking a vitamin with enough folic acid (I think 800mcg, but don't quote me), knowing your cycle and what's normal for you and just maintaining a healthy lifestyle in general -- that's probably the best pre-conception action you can take right now.  Assuming you're not actively TTC, of course.  I can't tell for certain from your post. 

    Good luck!

     
  10. You have chosen to ignore posts from thistleflower. Show thistleflower's posts

    Re: Preconception visit with OB?

    I (wrongly) convinced myself at one point during TTC that I had a luteal phase defect, and still couldn't get my gynecologist to test my progesterone--she said that the results of one test really aren't meaningful in isolation and that it really isn't a test that they do.  And told me if I hadn't gotten pregnant in a year to come back and they'd refer me to an RE.
     
  11. You have chosen to ignore posts from GlitzyCity. Show GlitzyCity's posts

    Re: Preconception visit with OB?

    Thanks everyone for the really helpful, informative advice. Interesting.

    Novem--My PCP didn't have an opinion about meeting with an OB, she said she could refer me to some offices, but that's it. They did take blood (without me asking) and tested my thyroid and everything checked out OK.

    Good to know that they don't typically explore m/c causes unless multiple and for progesterone.

    GC--very heartening to know of the m/c and that you didn't get the shot but things were OK.

    I went off BCPs in Feb and beleive it or not, DH and I haven't even been in the same COUNTRY during my ov time due to a project overseas for his work. Was just kinda thinking maybe I ought to be doing something kinda proactive. Very frustrating. Thanks again! 
     
  12. You have chosen to ignore posts from GC1016. Show GC1016's posts

    Re: Preconception visit with OB?

    Yeah, I didn't even KNOW that was an issue until I was PG with DD, and I had an absolute meltdown while Googling (the cardinal sin) the Rhogam shot.  I think it's a doc-by-doc decision to give the shot if you have an early (before 12 weeks) MC b/c the thinking is there's no blood exchange -- I know people whose doctor have given it, and others who haven't. 
     
  13. You have chosen to ignore posts from ALF72. Show ALF72's posts

    Re: Preconception visit with OB?

    My 'preconception visit' was a regular visit w/ my PCP for a pap, to tell her I was TTC, to get an RX for prenatal vitamins and to get my shots updated. I got a tetanus, TDAP and an MMR boster. Other than that, there was nothing unusual or special about it.  And I was 'old' - 35+ at the time. 
     
  14. You have chosen to ignore posts from LCGCmomma. Show LCGCmomma's posts

    Re: Preconception visit with OB?

    I agree with GC about the Rhogam shot and miscarriages. For the early ones, I think each doc is different and there isn't necessarily a universal standard. One more note about the RH stuff - when you do get pregnant, the first round of blood tests will confirm your blood type as negative again and will test for RH antibodies. It is when the antibodies are present that their is an increased risk for the current pregnancy. Your body develops antibodies after exposure to blood or RH + cells (presumably from a prior pregnancy), and the Rhogam targets those antibodies to take them out of circulation. If the initial testing for the antibodies is negative, then there is no concern about an increased risk b/c of the previous miscarriage. If they are positive, then they might give you an early Rhogam shot and watch the antibody levels going forward.

    Hopefully your DH is back in town soon and you can have some fun TTC! Good luck :-)
     
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