[UKlady]

Hi,
I've just had my 2nd appointment with a doctor who I'd read many good reviews about on these forums. I'd already been diagnosed with PCOS in the UK, and as we are trying to conceive when I went to the HK doctor for the first time she put me straight on Metformin and Clomid, and told me to come back on day 2 of my next cycle. When I went back, the first thing she asked was whether I was trying to get pregnant. I would have hoped she could have at least remembered that much! Then, when I asked if the Clomid had worked she said it was impossible to tell as I hadn't come back mid-cycle, when she hadn't asked me to. She then increased my metformin dosage and gave me another cycle of Clomid, but made some off the cuff remark about how she didn't think it was going to work, so I'll probably have to start injecting myself. I've never even heard of this, but I left the appointment feeling totally confused and hopeless.
Has anyone else had similar experiences in HK? Or can anyone recommend a better doctor? Like I said, I've read reviews of women raving abuot her success rate, so I don't knwo whether to stick with her.
Any help would be very gratefully received!

[sky123]

Nearly all fertility docs put you on clomid first for about 6 months. For some it works for other it doesn't. It didn't work for me and so I started the injections (gonal F etc.). They use this in UK for IVF treatment. The injections worked.

As for the doc, she was probably very busy and has loads of patients. She'll probably remember you more after a few more visits. But its really up to you if you want to go to another fertility doc. The are quite a few around. Many rave about Dr. Doo, Dr Ho and Dr Lo. I actually saw 3 docs before settling for the one I did.

[bbconiv]

Dear Sky123,

Which doctor are you seeing now. I also want to change doctor.

Thanks
BBconiv

[joyofliving]

UKlady were you taking any treatment while you were in UK? Did the doctor there or here do any tests to check whether your hormones were coming under normal levels with treatment?
PCOS is a very patient specific disease, for different levels of hormonal imbalances doctors take differ course of treatment. Maybe the doctor you visited realized you weren't getting any better with Metformin + Clomid and definitely needed injectables.
My doctor told me the same thing when I went to see if treatment was working that I came at the wrong time. And she was right; one has to visit the doctor on the 2nd day of period to check.
And by asking were you trying to get pregnant I think she meant did you try to get pregnant in the last month or so?
Anyways no harm taking a second opinion.

[UKlady]

Hi,
Thank you both for replying. No, in the Uk I had just had the blood tests and ultra sound and was waiting to get an appointment with a fertility specialist, so I only started treatment here. The second appointment I went to was the only time she's taken tests since I started, yet she increased my Metformin to 2500mg per day, and made the comment about injectibles. I don't see what she could have based these things on as she didn't have any results from blood tests since I'd started treatment. The other thing that I didn't find very helpful was that both times I've seen her she's made a point of saying how hairy I am, when I've actually (thankfully) never suffered much with the obvious physical symptoms of PCOS...or so I thought?!
Either way, I'm going back on Tuesday so I'll see how that goes and if there's no improvement I might start looking elsewhere.
Thanks again for the help.

[joyofliving]

UKlady I have sent you a PM.

[fee]

The one thing I have found in my experience with doctors in HK is that you have to self-manage. The doctor will tell you what meds you are getting but you need to check that is what you receive from the dispensary. You need to ask when the next appointment will be and what it will be for. All a bit difficult if you are new to the whole thing and don't have much idea on what questions to ask! I know it can be a bit overwhelming when you are in the doctors office but try to be prepared with a list of questions so that you will feel you know what is going on and what the process will be. Good luck.

[sky123]

BBconiv,

I have sent you a PM.