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@CupQuakeWalk: I can't give you any advice on what to do intervention wise, but can you call your OB and have a frank talk about getting a referral from her. I know it's hard to confront doctors since they are the ones who are supposed to have the answers, but I feel like you could say that you highly value her as your OB, but that you feel strongly that you need to see a specialist (RE) who will have a vast array of experience and will be able to best guide you in making decision about what procedures should be done, medicines, dosage, etc. Maybe mention things like, "As you know, you can only take Clomid for x months, and I don't feel comfortable not seeing and RE during that entire time," etc. I guess I'm just wandering if there is any chance she would refer you without her "standard procedures." If not, I would take a stab at calling your regular doctor and discussing with them if you can get an RE referral.

Good luck!

My post yesterday had a lot of really good advice about monitoring and which doctor to see. Aside from that, I don't like the fact that she wants to do Clomid for so long and seems against a HSG. I don't have personal experience but at my consultation yesterday, my doctor ordered a bunch of blood work along with a HSG. So it's weird that your doctor won't try that...

@CupQuakeWalk: You probably need to have the HSG BEFORE Clomid. You most likely should have all the testing (blood work, etc.) before you take meds. You could take all the Clomid in the world, but if your tubes are blocked, the sperms and egg will not meet. The HSG is not painful at all. It's like a Pap smear. Sounds like you might want to talk to an RE. OBs just aren't as experienced with the proper steps in TTC.

@CupQuakeWalk: yay, I'm so glad!

@CupQuakeWalk: So glad you are able to get into the RE without a referral!