PREGNANCY-BIRTH Messages for March, 2002: Re: Why is doctor reluctant to date pregnancy based on ovulation?

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Re: Why is doctor reluctant to date pregnancy based on ovulation?

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sat, 30 Mar 2002 17:29:51 -0600 (CST)

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In reply to: Jennifer: "Why is doctor reluctant to date pregnancy based on ovulation?"

At Fri, 29 Mar 2002, Jennifer wrote: >
>I just saw a new OB for my first pregnancy appointment. I know that I
>ovulated February 21. I used NFP for birth control for two years and
>though I wasn't charting when I conceived, I KNOW when I did. I told
>the doctor over and over again that my cycles are *very* irregular and
>that I note on the calendar when I ovulate rather than when I get my
>period, since it's obviously more accurate and let's me know when my
>period is due. And she just kept asking over and over again when my
>last period was! She didn't give a hoot about when I ovulated. Based on
>my LMP my estimated due date would be fifteen days earlier than it
>actually is.
>
>When an ultrasound confirmed that I conceived when I had said I did, she
>just shrugged.
>
>I also conceived last August (miscarried). My ob at that time also
>would not base an EDD on the day I ovulated (and I even had charted that
>cycle and showed the chart to him!). Ultrasound confirmed my dates then
>as well.
>
>Previously, with my GP, I had some issues with my cycle and she wasn't
>at all interested in my charts, which showed a lot of pre-menstrual
>spotting and untimely cramping.
>
>Why the reluctance to trust the instinct a woman has about her own body?

because not all women are so in tune with their bodies and it is so subjective -- we like data points we can feel and touch, that are more objective.

>I feel like my doctors all think I'm stupid! And how am I to feel
>comfortable with them when I feel so patronized?

if you feel patronized, you need to find another doc. I note when a patient thinks her date of conception is -- and if cycles are irregualr, I get an ultrasound; again, that objective data. >
>Sorry, I'm angry and venting. I know in the end the ultrasound clears
>up the dating question, but I'm just curious to see if any of the docs
>here could shed some light on why my doctors won't take me, my
>instincts, or sympto-thermal charts seriously. Thanks.
>
>--
>Jennifer
>

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

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