Reply to 3 mmc, the late one after IUI, now BFP without planning, what dr should I see?

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Reply to "3 mmc, the late one after IUI, now BFP without planning, what dr should I see?"

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[quote=Anonymous]Hi OP. Congrats on your BFP, and I'm really sorry about your mmcs. There are a few different directions you can go. It depends on what you're looking for over the next few weeks. If having early monitoring (serial betas & multiple ultrasounds) will give you peace of mind--the same process as you would have presumably had at GW IVF after the BFP from your IUI there--then for sure call them tomorrow morning and ask if they will monitor your unexpected natural BFP. My guess is that they likely will...I conceived naturally 2x while a patient there and they followed me (this was right after we completed our fertility testing; unfortunately one was chemical pregnancy, other was mmc, and I actually switched to a different fertility clinic afterward due, in part, to the way my IVF nurse and RE there handled my mmc. I couldn't handle going back.)

GW IVF essentially operates separately from the regular OB/GYN department at GW. You could go to the regular OB/GYN department there as a New OB patient. It is a very big practice. If you go this route, explain to them when you call that you've had 3 mmc, as that might trigger them to check your betas and do early ultrasounds...or it might not. To my understanding, their normal route for new OB patients is to just book you in for a confirmation ultrasound and first OB appointment at 8 weeks. After having 3 losses between 4-7 weeks myself, there is no way I would be ok being told to wait until week 8 for my first ultrasound.

Otherwise, you could (1) go back to your original OB, which sounds like a really bad idea since you've had a bad experience there with your previous mmc, or (2) go to any other regular OB office. I would guess that you may be more likely to get more early monitoring given your history of mmc at a small OB practice compared to a big one (i.e., the OB/GYN Department at GW).

FWIW, I'm 27 weeks pregnant now, and my OB is in the GW OB/GYN Bethesda office. I started with her there at 10 weeks after an IUI at the fertility clinic I switched to after I left GW IVF. If we were to find ourselves with an unexpected natural BFP in the future, I will, without a doubt, be calling my fertility clinic to ask them for early monitoring.[/quote]

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