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Nadim Al-Mubarak
Nadim Al-Mubarak,
Category: OB GYN
Satisfied Customers: 378
Experience:  MD at University Hospital Case Medical Center
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My husband and I are starting to try to have a baby. I have

Customer Question

my husband and I are starting to try to have a baby. I have PCOS very very irregular periods-like now I didn't have a period in 2 months
I also have asymptomatic gallstones. Should I get rid of my gallbladder before I stat trying to get pregnant?
who do I see for prenantal help to ovulate? do I need to go straight to an infertility clinic or do I go to a regular OBGYN? what will be the first thing to do?
Submitted: 11 months ago.
Category: OB GYN
Expert:  Nadim Al-Mubarak replied 11 months ago.
No, you do not need to remove your gallbladder before you get pregnant.Yes, I would go straight to the infertility clinic. Irregular periods and not having periods for 2 months, it would be more efficient to have this investigated through infertility specialist. If they find a gyn issue, they will then refer yo to a GYN doctor.
Customer: replied 11 months ago.
I work at the Cleveland Clinic so I am looking for someone in Cleveland actually.
why is going an infertility clinic better? are they better suited than a GYN? will I have to go to a GYN in the end anyways?
because I have already a GYN but I thought that the infertility place is better
will they jump into tests and maybe treat me with clomid?also what is the practice nowadays related to elective C-sections? what if I want one? is there still doctors that woud do that If that is what I want or I don't get to pick
Expert:  Nadim Al-Mubarak replied 11 months ago.
It is more time and cost-efficient to go straight to infertility. The basic initial work-up is the same, and they will incorporate their infertility testing as well. But, if you already have a GYN who knows you well, then that is not a bad option to start with. If you end up going to the infertility clinic, I would recommend Dr Falcone at CC
Customer: replied 11 months ago.
I used to go to Dr Gitifooroz at CCF but is Dr Falcone infertility doc?
Expert:  Nadim Al-Mubarak replied 11 months ago.
Yes, used to be the chief of the infertility clinic at CCF.. not sure if still there.
Customer: replied 11 months ago.
Ok. And my last question: do they do elective c- sections these days?
Expert:  Nadim Al-Mubarak replied 11 months ago.
They discourage it very much. You might find some one who would do it, generally, only if there is an obstetrical or maternal indication.
Expert:  Nadim Al-Mubarak replied 11 months ago.
I take it by elective you mean "preferred"?
Expert:  Nadim Al-Mubarak replied 11 months ago.
Patient preference ?
Customer: replied 11 months ago.
Yes preference
Expert:  Nadim Al-Mubarak replied 11 months ago.
No, most would say NO, only when there is an obstetrical indication. I had relative who tried to deliver by CS when she could go normal vaginal, but had not success last year.
Expert:  Nadim Al-Mubarak replied 11 months ago.
You should not really think of CS, it's a major surgery and you should not take it lightly. It has it's own potential complications, and it is really not the "painless approach to delivering a baby"
Customer: replied 11 months ago.
So in other words no doctor wants to perform it when there is no indication?
Expert:  Nadim Al-Mubarak replied 11 months ago.
No one that that I know, and I know many :-)
Expert:  Nadim Al-Mubarak replied 11 months ago.
When you get to that stage, where are support groups and classes that make your normal delivery a much less painful experience.