I honestly can't say I know regarding the ob/gyno. I thought they were the 'fertility specialists.'
A lady at work told me she had consulted the Royal Womens Hospital who have a department that specialises in PCOS and ttc. I went to my doc and requested a referral specifically for the Royal Womens. He warned me against it, saying I would have to wait forever for an appointment etc etc. He said it would be much better for me to consult someone privately. I politely declined and said I would wait. A week after faxing my referral to the hospital, I received a confirmation letter for an appointment within the month.
The doctor was very understanding and thorough. He answered my long list of questions and sent me for blood tests of all sorts to determine if i had insulin resistance and the right immunisations, amongst other things to diagnose PCOS (such as a high Luteinizing Hormone and testosterone). My only gripe was he didnt arrange a semen test for my husband at the time (but that was organised later on - at my Ovulation Induction appointment).
Having said this though, I have been monitoring my Clomid cycles at an offsite clinic to the hopsital. The offsite clinic has been amazing with appointments and flexibility, and I really feel comfortable with the nurse. I never have trouble being scanned on time, and they call when they say they will. I did go into the hospital once for a scan, and due to an oversight they were 1.5 hours late.
Another positive about visiting the hospital is that it's free. The medication and the sperm analysis is the only costs we've incurred. That's more money for our baby (when it comes).
If you do go via the public system, I would highly recommend you do your research (and it sounds as though you have), and make sure you bring up all your concerns with the doc, even if it contradicts what they are saying. For example, the doctor initially prescribed me with a low dose of Clomid, and effectively it did nothing. The next doc I consulted said she never would have prescribed so little. I understand doc one is being precautious, but from all the things I read, I knew the initially dosage was always very low. I should have just stood up to him. Oh well you learn over time
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