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When should we leave the care of our Ob/Gyn to seek assistance of a reproductive endocrinologist?

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When should we leave the care of our Ob/Gyn to seek assistance of a reproductive endocrinologist?

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This is somewhat difficult to answer, as the interest and skills of OB/Gyns for infertility vary greatly. Each Ob/Gyn should know the limits of their infertility interests and skills, and suggest referral when they no longer have workable solutions. Each Ob/Gyn should be able to get you through the basic infertility work up (HSG, semen analysis, temperature charts). Some use medical therapy such as Clomid/Serophene well; some do not. If you are uncomfortable with your infertility treatment plan, it is time to move on. If you are comfortable, the Ob/Gyn should be able to take you through the use of Clomid/Serophene. You should not be on the medication for more than 4 months before seeking additional assistance. Most couples who will be successful on these medications will be successful within the first 4 months. Clearly, if the Ob/Gyn finds a major problem, referral is immediately indicated. Also, most Ob/Gyns are not trained to use or monitor the use of injectable medications used to s

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