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What's the difference between a RE and a geneticist?

Forum: Recurrent Miscarriage and Pregnancy Loss


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April 25th, 2008, 07:22 AM
Super Mommy
Join Date: Mar 2008
Location: Austin, TX
Posts: 835
It looks like a lot of y'all have been to a RE. I've been to a geneticist. Are these the same? Essentially, me and DH went in and mapped out our family history with the geneticist. We discussed testing already performed and then she ordered all the remaining tests we had not done yet....clotting, chromosonal, etc. Is that the same as the RE? We're slowly getting all our results in (normal!) but what happens after that? Do I schedule a follow up with the geneticist? It looks like a lot of you have had these tests run and then are started on various meds (ie clomed, etc.) once you start TTC again. My OBGYN did mention he wanted to meet with us after all results are in and before we start TTC again. Is this when we discuss the possiblity of additional meds to help with TTC?

Maybe I'm jumping the gun and should just wait to talk to my OBGYN once the tests come in...but I thought I'd ask.

Me: 33
DH: 32

TTC 3/07
m/c - 7/29/07 (5w4d)
m/c - 10/8/07 (6w4d)
m/c - 2/27/08 (11w5d)
m/c - 6/20/08 (7w2d)
9/08 - IVF w/ PGD: Cycle cancelled, not enough mature follies
10/08 - IVF w/ PGD: Cycle cancelled, ovulated on my own
12/08 - IVF w/ PGD: BFP!
Owen Royce...born August 28, 2009

1/10 IVF w/ PGD: 1 egg fertilized, so no PGD
1/30/10 Transferred in one embryo
2/13/10 - BFP!
Georgia Elle...born October 15, 2010

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April 25th, 2008, 09:03 AM
4iris's Avatar Platinum Supermommy
Join Date: May 2006
Location: Midwest
Posts: 10,732
My understanding (hoping those with better info will correct me if I'm wrong) is that an RE, reproductive endocrinologist, is a super specialized OB. The RE will look for any irregularities or problems with your reproductive system and the systems that interact with it (blood clotting disorders, etc.). A geneticist is solely focused on the genes provided by you and DH and how they work or don't work together. The geneticist focuses on any problems with your genes, DH's genes, or issues that happen when they get together (i.e., if either of you is a carrier for a chromosomal problem). Anyone can see a geneticist, like a child with physical problems and no diagnosis, but an RE only works with couples who are TTC.

Does that help? I think there's probably a little overlap, but you won't have a geneticist ask you to get up in the stirrups to check your uterus or anything.

As far as follow up, I think that would be with your OB/GYN, who would recommend an RE should you need one (or if you request a referral for one).
Do not sorrow; the joy of the Lord is your strength." Neh. 8:10
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April 25th, 2008, 05:49 PM
LisaB's Avatar Mom to twins + 1
Join Date: Oct 2006
Location: Carmel, CA
Posts: 5,872
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Kathryn has it covered, but just wanted to add that usually the RE is the person you will be seeing for all your fertility visits, while the geneticist will only see you once for genetic counseling, as one part of the whole fertility treatment. At least that's what happened with us. Every clinic we went to, the RE would set us up for genetic counseling to rule out genetic problems. Geneticists are cool because they go through your family history, your blood work & map out your genetic family tree.

Me: Lisa, Mommy to twins +1
8/5/08 Beautiful twin girls Leigh and Lucy born after 4-year struggle with RPL & 6 losses
12/10/09 Surprise! Baby #3 is on the way, EDD 6/22/10

12/29/09 2nd ultrasound - joining team blue

6/16/10 Baby Ben is born!

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