This is topic So frustrated with Doctors in forum After Tubal Reversal at Tubal Reversal Message Board.
Carrie is pregnant with her second TR baby and her local physician is not adhering to the pregnancy protocol recommended by Dr. Berger for pregnancy after tubal reversal. Once a woman has a positive home pregnancy test after a tubal reversal, she needs to start having her quantitative HCG levels drawn every 2-3 days until the level reaches 1500. At that point, she will need a vaginal ultrasound performed in order to determine the placement of the pregnancy. It is always a good idea to print the protocol from our website and take it to your first doctor's appointment to be certain that the doctor agrees to the protocol.
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Posted by Carri (Member # 9673) on January 14, 2008 02:41 PM:
Hi Everyone,
I need to vent a little. I got a BFP on 1/1 and went to my doctor on 1/2. During this visit they informed me that they no longer are members of my medical plan and I would have to switch doctors or pay out of pocket for visits. I paid for my visit that day and went to get bloodwork done. I called back and they did not do quantitative (sp ?) so they could not tell me my #'s. They would scedule an ultrasound, but for 3 weeks later and i would have to pay cash. Fast forward a couple of days. I find a new doctor, explain to them Dr. B's protocol and they said they would follow it but couldn't see me until today (2weeks later). I go in today and they do an exam and tell me not to worry it couldn't be in my tube (my one and only little tube) because I would be feeling pain and since i am not it must not be in there. I insisted on an ultrasound and she gave me a prescription for one to be done at the hospital. I call the hospital and explain about tr and how i need an ultrasound immediately and they tell me that they will sqeeze me in on FRIDAY! Now what?????? I feel like a ticking timebomb. Any advice?
Carrie-36
DH-29
DD-20
DS-19
DTRD-5 months
BFP 1/01/08
EDD 9/07/08
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Posted by chelleshore18 (Member # 8883) on January 14, 2008 02:45 PM:
Carrie, my advice would be to go immediately to the ER... tell them a fib and tell them you are having slight cramps or something. That way they will do an ultrasound. The drs should always follow the protocol because of our increased risk of ectopic. With only having one tube, you need to get checked out. Please go ASAP and let us know.
Good luck to yoU!
Michelle
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Posted by SCMomof4 (Member # 10312) on January 14, 2008 03:01 PM:
sorry to butt in - what is DTRD -
Carrie - I have not had any BFP but have read so much over the past 9 months of woman waiting and not getting the preventative care they needed to go on and not only lose their tube but a few come close to an outcome much worse. This is not something to play the waiting game on - please go to the ER and get the care you need.
Amanda
TR 5/25/07
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Posted by berta8133 (Member # 11188) on January 14, 2008 03:05 PM:
Go to ER! Do not wait. Period. Waiting till friday is not the right way to go.
GL.
Berta
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Posted by Carri (Member # 9673) on January 14, 2008 03:28 PM:
DTRD is my dear tubal reversal daughter
Thank you ladies for responding. i am just about at my wits end with doctors. I just talked to Sarah(nurse at Chapel Hill) and am heading to the ER now. I am going to claim a little pain and see what that does for me. Wish me luck and I will update when i get home.
Thanks again!
Carrie
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Posted by berta8133 (Member # 11188) on January 14, 2008 03:36 PM:
Carri...tell them you are HIGH risk for E/P and having significant pain on your side/abdomen area... they should get you right in.
Prayers with you!
Berta
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Posted by mama12 (Member # 11260) on January 14, 2008 05:12 PM:
ER chicky.
I had an EP that ruptured 4 days before my AF due date....
Go to the ER.
I went through 3 Dr.s in the midst of a MC and EP I know it sucks. I know it's hard and upsetting but do it. Just take care of it. You want to protect that tube!!!!
Hugs to you from TN
Go to the ER. Insist on an US to get your tubes checked. Make sure whoever you get repeats this to double triple check until they see the baby. If you can the next day after the ER sit down with your phone book and start calling Dr.s until you find one that fits your needs. That's what I had to do. It was horrible but I found a great Dr. Tell them up front what you need. If they can't do it, move on.
Hang in there, get yourself to the ER ok?
TR Oct 15 2007
MC Nov 20 2007
EP Friday Dec 14 2007 lost right tube. period was due on Monday the 17th.
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Posted by Simonsen6 (Member # 10172) on January 15, 2008 08:46 AM:
Carrie- any news?
I'm waiting to hear Hoping all went well and baby is safely tucked in your uterus--
Lots of Love,
Becki
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Posted by Carri (Member # 9673) on January 15, 2008 09:52 AM:
Hi Everyone,
Sorry it took me so long. I waited 10 hours in the ER and they were telling me it would be a couple more and i gave up. I could have died sitting there and no one would have noticed. I am going to my old doctor today and am going to pay for my ultrasound (they no longer take my insurance). I can't believe that it is this difficult. The first time was so smooth. Thank you all for your thoughts and concern. I will keep you updated.
Thanks again,
Carrie
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Posted by Jennifer Okun, R.N. (Member # 1806) on January 15, 2008 10:06 AM:
Hi Everyone,
We know it can be very frustrating when your local OB/GYN doctors do not follow the ectopic pregnancy protocol detailed on our I'm Pregnant page. Your doctors all should really be well aware of this policy and should be following it as closely as possibly.
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Posted by Simonsen6 (Member # 10172) on January 15, 2008 10:57 AM:
Thank You Jennifer!! I agree- we need MORE dr.'s like Dr. Berger who really care and a staff like all of you as well!!!!
Carrie- good luck and keep us posted!!!! I feel just like you do!!!
Lots of Love,
Becki
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Posted by Crystal4ever (Member # 10772) on January 15, 2008 11:38 AM:
I am so afraid this will happen to me. I had a TR on Dec 31. I only have one tube! It is only 3 cm. I am already nervous about this. I am scared I will have a EP and it will rupture my only tube.
How can I prevent this from happening to me? Do I need to start seeking a specialized OBGYN right away?
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Posted by Simonsen6 (Member # 10172) on January 15, 2008 02:38 PM:
Crystal4ever
Yeah, I would find a dr, now that will follow Dr. B's protocol now!!! Before you become PG because by then it is too late to be fighting and demanding treatment!!!!
Jennifer- where can I get a copy of the guideline? I would like to copy it and hand it to my dr!
Thanks so much!
Lots of Love,
Becki
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Tuesday, January 15, 2008
Saturday, January 5, 2008
Polycystic Ovarian Syndrome (PCOS) in Tubal Reversal Patients
Polycystic Ovarian Syndrome (PCOS) can cause ovulation disorders and is more common among overweight women. PCOS is a common disorder and is seen among women undergoing tubal reversal surgery at the same frequency as among women in the general population. For maximizing fertility, PCOS should be treated medically for women after a tubal reversal procedure as indicated.
The following is the topic PCOS in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.
Posted by Patiently waiting (Member # 11777) on January 04, 2008 09:40 AM: Hi everyone...I was just wondering if anyone else has this problem since their TL. I was just diagnosed with this after an ultrasound from my obgyn. I had my TL in 12/04 and I have gained about 50 pounds and now I have this! Im crampy all the time and I dont cycle at all (its been over 7 mths)....will this stop me from getting a TR you think? My dr says its like a cycle...not ovulating is causing the cysts and the cysts are causing me not to ovulate...I dont know much on this subject so if someone could help me on this, that would be wonderful. The only advice my dr gave is for me to lose weight and to not be so stressed!
Posted by Patiently waiting (Member # 11777) on January 04, 2008 09:40 AM: I meant PCOS...sorry
Posted by berta8133 (Member # 11188) on January 04, 2008 09:58 AM: Patiently...you can change the Topic Title by clicking on the little piece of paper with the pencil right above your first post...since you started the topic you can change the title, if done quickly, as there is a time limit for all 'edits'. I personally can't contribute any experience with this... hopefully someone will chime in. Good luck. Berta
Posted by Patiently waiting (Member # 11777) on January 04, 2008 11:21 AM: Thanx, I didn't know that and I felt foolish for not spellind it right...
Posted by berta8133 (Member # 11188) on January 04, 2008 11:41 AM: LOL...it happens!!
Posted by pam mills (Member # 617) on January 04, 2008 02:00 PM: There are varying degrees of Polycystic Ovarian Disease. Some patients have somewhat polycystic looking ovaries, but they are still ovulatory. These patients also do not exhibit the symptoms of true polycystic ovarian disorder. PCOS is an endocrine disorder and a potential cause for infertility. Please read this article from the Mayo Clinic. It describes in good detail the varying degrees of this illness. Feel free to call if you have any further questions. Pam Mills, CRNA
Posted by Patiently waiting (Member # 11777) on January 04, 2008 05:53 PM: OK, I might have to correct myself....I have cysts on my ovaries and I think they said the left one was a little larger than the right....I guess what I want to know is will this affect me from having a TR?
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