Secondary infertility - obgyn recommendation
Hello. I would like recommendations of open minded o gyms in PPO healthcare in the East Bay.
I have secondary infertility and would much like to discuss this with an obgyn that takes me seriously and does not dismiss my thoughts. I have regularly timed periods but extremely low uterine lining (confirmed by ultrasound besides the obvious super low periods) and when I have mentioned this to to a couple of doctors they have either dismissed me outright by saying this does not matter at all or suggested IVF.
My first pregnancy was extremely easy so this is proving stressful and energy consuming.
Many thanks for your responses!
Mar 5, 2022
Parent Replies
I don’t really have a recommendation but wanted to say I had the same thing with my first pregnancy. Super light periods and thin lining. I ended up seeing a reproductive endocrinologist at UCSF and they found scar tissue in my uterus which was removed and then I got pregnant about a month later. The only possible explanation for the scar tissue was that I had an IUD and removal was slightly difficult. Anyway, no obg rec but I thought my experience might help!
Generally speaking OBGYNs aren't the people you talk to for fertility stuff. Instead, you'd be looking for a reproductive endocrinologist. You may or may not have insurance coverage for that, but it's usually very different from your regular PPO coverage. Usually an RE will start with a pretty comprehensive workup with bloodwork, ultrasound, semen analysis, etc, then recommend either lower intervention stuff or IVF. There are ways to improve lining -- vaginal estrogen and vaginal viagra are the two I'm familiar with -- but be prepared that sometimes the solution to poorly-explained issues is in fact to give IVF a shot. IVF gives you a lot more information about what exactly is going wrong, and allows the doctor to tweak different things separately.
I like Dr. Aimee in San Ramon. She's expensive and doesn't take insurance, but she's very accessible to patients, takes patient concerns seriously, and is open to pursuing options that work for you, vs the sometimes cookie cutter approach at larger clinics. But if you have PPO insurance that covers fertility you could just get a list of in-network REs in the East Bay and go down it. There aren't so so many of them.