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12-21-2012 at 9:32 AM
rtv3
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Preconception dr.'s visit?

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Hey all,

I've been lurking on here for awhile as DH and I are looking forward starting TTC in February. We've been married 2 1/2 years, both graduated from college (although DH's work is paying for him to get his master's which he's doing one night class at a time), and we are totally financially and emotionally ready and excited to start trying for a baby :)

So my question is: how many of you had a preconception appt. with your doctor? And if you did, was it worth it? Or am I better off just waiting till I get a BFP and then calling? I've looked over TB's 'preconception checklist' and I think I can answer all those questions myself other than if I'm at risk for any problems. There's nothing in my family history that would make me concerned but I know that just because you have a good family history doesn't mean you're in  the clear...

Thanks in advance for your advice :)
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12-21-2012 at 9:34 AM
tokenhoser
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It's worth it if you can get your rubella immunity checked. It's very dangerous to get it in pregnancy, but can only be vaccinated for before or after (not during) pregnancy. Other than that, not necessary.
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12-21-2012 at 9:45 AM
lindsayann...
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I started charting about 5 months before we began TTC.  After a few months I noticed some things in my charts that I wanted to speak with my Dr about, like low waking temps.  I went for a pre-conception appointment to review my charts.  It was a pretty fast appointment and I felt better about my charting after reviewing it with the Dr.  If I hadn't had specific questions, I probably wouldn't have gone.
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12-21-2012 at 10:47 AM
Alicia0817
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I had one with my primary for bloodwork and to check on immunizations and a preexisting condition, and one wih my OB to follow up on cysts and a previous LEEP procedure just to make sure everything was clear.


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12-21-2012 at 10:51 AM
PrimRoseMa...
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I had my annual. Just said I was gonna try for number two. Doc just said take your prenatal and see me in a year if you aren't pregnant.

IMHO, a "preconception" appointment by itself/separate is unnecessary.
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12-21-2012 at 10:55 AM
notquitebl...
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I asked questions at my annual.  I don't think you need a while different appointment.
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12-21-2012 at 11:19 AM
mainerocks
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I didn't have one. I stay up to date on my vaccinations and see my GYN annually so I felt ready. I think it depends on your healthcare routine and health.
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12-21-2012 at 12:38 PM
QueSyrah
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tokenhoser:
It's worth it if you can get your rubella immunity checked. It's very dangerous to get it in pregnancy, but can only be vaccinated for before or after (not during) pregnancy. Other than that, not necessary.

Ditto. I had some questions that I wanted answered as well so I went ahead and made an appointment and she was more than happy to see me and answer all my questions even though I wasn't already an established patient yet.

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12-21-2012 at 3:35 PM
CaterinaC
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tokenhoser:
It's worth it if you can get your rubella immunity checked. It's very dangerous to get it in pregnancy, but can only be vaccinated for before or after not during pregnancy. Other than that, not necessary.


This. We started TTC in October and I went in to my doctor for a PreC appt. He tested for rubella immunity and we talked about the medication I use for sleep. It turned out that the med I was taking was not safe for pregnancy so we ended up switching. I feel like it was totally worth it.
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12-21-2012 at 4:35 PM
Audaciousa...
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Go over the Aug BM board and read the post from the chick who's been around a pertussis outbreak.  If she'd had a preconceptions dr's visit and gotten her vaccines tittered, she wouldn't be having this problem know.  What's your KU it's too late for vaccinating.  
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12-21-2012 at 5:53 PM
Joy2611
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You've been getting annuals with Pap smears - right?

As long as you're healthy and haven't had any problems, then I wouldn't go for any other "preconception" visit.

 
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12-21-2012 at 9:35 PM
mainerocks
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Audaciousarica:
Go over the Aug BM board and read the post from the chick who's been around a pertussis outbreak.  If she'd had a preconceptions dr's visit and gotten her vaccines tittered, she wouldn't be having this problem know.  What's your KU it's too late for vaccinating.  

Or she could have just kept up with her pertussis vaccination.

Also, it's not true that it's too late once you are KU. 
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12-22-2012 at 1:54 AM
RussianMom...
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i called and asked for a preconception appt and the receptionist thought I was insane. She had no idea what it was. I ended up just going in for a PAP test. I don't think it's really necessary TBH.
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12-22-2012 at 10:01 AM
rtv3
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Thanks for all your input ladies!

I got my annual checkup and pap smear in May so I think I'm good there. BC is just condoms so no issues with going off a pill. And I'm not on any meds or anything so I think I'll just call my regular doc and make sure all my vaccinations are up to date and then call the OB when I get a BFP :)

 
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12-22-2012 at 10:06 AM
tokenhoser
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The issue with rubella isn't being "up to date", it's that some people don't keep immunity as long as others. Only a blood test (which they will very unhelpfully run after you get pg) can tell you if you need a booster.
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12-22-2012 at 11:44 AM
GhostMonke...
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Audaciousarica:
Go over the Aug BM board and read the post from the chick who's been around a pertussis outbreak.  If she'd had a preconceptions dr's visit and gotten her vaccines tittered, she wouldn't be having this problem know.  What's your KU it's too late for vaccinating.  

Wrong. You really need to learn to shut your mouth about things you have no clue about. 

http://www.cdc.gov/vaccines/pubs/downloads/f_preg_chart.pdf

The Pertussis is included in the Tdap which can be given at any time. They will generally wait until after 20 weeks unless there is an outbreak.

And what exactly is she dealing with? She has had one in the last 5 years, so she is covered. Again- shut up. Or maybe read the whole post. There is already a plethora of misinformation out there- stop spreading it. You are doing everyone a disservice. 

 

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12-23-2012 at 5:32 PM
Audaciousa...
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I'm glad you trust the CDC and the study that was done by glaxo-smith-kline, who happens to make vaccines.  Of course they say it's safe to use in pregnant women.  The FDA consider TDaP a Class C drug: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans

So maybe YOU should do a little research.  Additionally, if the other girl had a pre-conception visit, she would know she'd had one in the last 5 years and would have no reason to worry at all.

Furthermore, the bigger concern in pregnant women is rubella, which should definitely be tittered at a preconception visit.  Do your research: even the CDC strongly advises against MMR during pregnancy. 
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12-23-2012 at 7:23 PM
GhostMonke...
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Audaciousarica:

I'm glad you trust the CDC and the study that was done by glaxo-smith-kline, who happens to make vaccines.  Of course they say it's safe to use in pregnant women.  The FDA consider TDaP a Class C drug: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans

So maybe YOU should do a little research.  Additionally, if the other girl had a pre-conception visit, she would know she'd had one in the last 5 years and would have no reason to worry at all.

Furthermore, the bigger concern in pregnant women is rubella, which should definitely be tittered at a preconception visit.  Do your research: even the CDC strongly advises against MMR during pregnancy. 

God you are obnoxious.

 

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