OBGYNDoc
Minneapolis, MN
Female, 36
I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.
I'm not sure where you live, but I would start by talking to your infectious disease specialists for any good referrals. You should also check the website of any major local university hospital systems, as they may have gynecologists who specialize in patients with HIV. Another good source is the American College of OBGYN website physician finder: http://www.acog.org/About_ACOG/Find_an_Ob-Gyn
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Hormonal contraceptives are not associated with long-term infertility. However, when you are ready, if you are the type of person who likes to plan ahead, you should probably plan to be off of your contraception for at least 3 months before you attempt to conceive. Sometimes it takes a few months for the body to resume natural cycles. With the shot (depo provera), it can take up to a year for the body to resume regular cycles.
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I recommend you discuss any medication concerns with your physican.
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A baby's gender cannot be identified by HCG and AFP results. The only tests that can identify a baby's gender at this time are ultrasound, amniocentesis, CVS, or a test for fetal free DNA. Unfortunately, I am not able to interpret a baby's gender based on the information you have given me.
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The only way to be certain would be to perform paternity testing after the baby is born.
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The cost of an IUD removal will vary between different offices, but costs approximately $200. It should only take a few minutes and is much less painful than an IUD insertion. Very rarely, the IUD strings are not visible, and the procedure may be more uncomfortable or invasive.
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So, as I said, in order to graduate from medical school, you have to complete 4 years of college followed by 4 years of medical school. At that point, you choose your specialty. ObGYN happens to require 4 years of training. Once you have completed residency, if you wanted to change specialties, you would have to repeat a residency in whatever field you have chosen. General surgery requires 5 years, cardiology can require up to 6-7 years, neurosurgery 7 years, etc. It is generally an unattractive prospect to have to go back and retrain for anywhere from 3-7 years when you are already in your mid-30's, so most people aren't willing to do this. But, again, if you are unhappy with your job, you have to find the job that brings you fulfillment.
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