Clomid/monitoring and RE vs OBGYN

Anonymous
Not sure if this should go here, infertility, or expectant moms, but in any event... I know a lot of people have strong feelings about the need to a. get clomid from an RE, not an OBGYN (as someone on another tread pointed out, your OB's job is to take care of you once you're pregnant, not get your pregnant), and b. have monitoring when you're on it. I thought I saw somewhere, however, that ACOG says it's not necessary.

So, what I'm wondering- are there people who took clomid from an RE and did NOT have monitoring?
Anonymous
I would go to an RE only because you can just keep the process going to the next aggressive treatment if the clomid doesn't work. I personally stated with my ob on clomid, went to RE and took more clomid with an IUI, and then "graduated" to IUI. Btw, clomid made me crazy with hot flashes and mood swings to boot
Anonymous
Why on earth would you not want monitoring?! Trying to get your own reality show?
Anonymous
An RE will not let you go unmonitored.
Anonymous
Go to an RE. Get monitoring.
Anonymous
Why on earth would you not want monitoring?! Trying to get your own reality show?


DCUM mom plus 8
Anonymous
New poster. Do you know of any OB/GYNs who do it with monitoring? My insurance doesn't cover anything related to infertility and I have heard from others that anything through an RE triggers that and isn't covered but that the same treatments with an OB/GYN can slip under the radar.
Anonymous
Anonymous wrote:New poster. Do you know of any OB/GYNs who do it with monitoring? My insurance doesn't cover anything related to infertility and I have heard from others that anything through an RE triggers that and isn't covered but that the same treatments with an OB/GYN can slip under the radar.


My insurance covered it at the RE. I think it counted as treating my PCOS rather than fertility treatment. So check your insurance.
Anonymous
This is not the popular answer, but I had a fine experience with clomid through my OBGYN --- got pregnant twice on either the second or third month of clomid (first pregnancy ended in miscarriage). My OBGYN told me that it would raise my risk of multiples (most likely twins) from about 4% to 8%; risk of higher order multiples was much lower.
Anonymous
Anonymous wrote:
Anonymous wrote:New poster. Do you know of any OB/GYNs who do it with monitoring? My insurance doesn't cover anything related to infertility and I have heard from others that anything through an RE triggers that and isn't covered but that the same treatments with an OB/GYN can slip under the radar.


My insurance covered it at the RE. I think it counted as treating my PCOS rather than fertility treatment. So check your insurance.


Thanks, this is helpful to know. I will check it out.
Anonymous
Anonymous wrote:This is not the popular answer, but I had a fine experience with clomid through my OBGYN --- got pregnant twice on either the second or third month of clomid (first pregnancy ended in miscarriage). My OBGYN told me that it would raise my risk of multiples (most likely twins) from about 4% to 8%; risk of higher order multiples was much lower.


Will most OB/GYNs do Clomid at all?
Anonymous
Anonymous wrote:
Anonymous wrote:This is not the popular answer, but I had a fine experience with clomid through my OBGYN --- got pregnant twice on either the second or third month of clomid (first pregnancy ended in miscarriage). My OBGYN told me that it would raise my risk of multiples (most likely twins) from about 4% to 8%; risk of higher order multiples was much lower.


Will most OB/GYNs do Clomid at all?


My OB was willing to do it, but I wasn't comfortable taking it without monitoring. I started seeing the RE she recommended and he said she didn't prescribe the correct cycle days to take it. Plus at that point we hadn't done much testing - RE also soon after found my TSH too high. Anyway, I was relieved to finally get the comprehensive care (testing, diagnosis, treatment) from a specialist.
Anonymous
Anonymous wrote:
Anonymous wrote:This is not the popular answer, but I had a fine experience with clomid through my OBGYN --- got pregnant twice on either the second or third month of clomid (first pregnancy ended in miscarriage). My OBGYN told me that it would raise my risk of multiples (most likely twins) from about 4% to 8%; risk of higher order multiples was much lower.


Will most OB/GYNs do Clomid at all?


My OBGYN would prescribe it but said he didn't feel comfortable giving it to me without monitoring, which he couldn't do, because he was concerned I would over respond. Which I did on my first cycle with an RE and a low dose of Clomid. So, I'm a firm believer in monitoring and very happy I had a responsible OBGYN who knew his limits.
Anonymous
I wasted an year and a half with my OB trying to "figure out" my unexplained infertility. Go to an RE...
Anonymous
My OBGYN with Kaiser wouldn't prescribe Clomid.

Monitoring costs really add up though!
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