hi Emily, you are in a "fatherly medical expert" care. i finally conceived at age 38, he categorised me as high risk type cos i had fibroid, adenomyosis (detected by him), ectopic pregnancy.
this is what you should be expecting once you conceived under dr chew's care:-
so, once i conceived - he ran pregnancy hcg test and called me on the very afternoon to inform me which week no of the conception. then, he told me to visit him at the next day/week (can't remember exactly). he did ultrasound scan and told me i have to be injected weekly/biweekly with hormone injection for few months, to stregthen womb muscle to keep the foetus in safe place (he said he will inject hormone injection similar to those on ivf or who has had miscarriage. i had very close no of frequent visits with him till about to deliver. he said i can only go for ceaserian due to my age and fibroid, adenomyosis case..anyone with this condition will be risky for natural delivery (that's what he told me).
he recommended a cardio in mt e to monitor my blood pressure cos i was "old" and always the anxiety type. the cardio at mt e was good, he found that my blood pressure was due to anxiety rather than medical condition and off me from the pregnancy type of blood pressure medication before three weeks before ceasarian.
he will run many types of blood test, triple screening and amniocentesis if suspected for down syndrome. for my case, triple test shows high risk of ds, so we went in for amiocentesis. he arranged another doctor from the diagnostic imaging dept to do ultrasound for him to extract amnio fluid correctly from me and can almost tell you it's fine (from the look of the amnio fluid). thank god, my baby is born normal (not ds..) fyi, amnio fluid that has no blood strain but clear are almost quite confirmed baby is not ds type.
dr chew, on the other hand extra careful to categorise his pregnant patients as diabetic level (due to pregnancy type)..my reading was about to reach the borderline and he warn me to keep my sugar level, went in for finger prick test almost every week (around the second/third trimester).
he got me to have steroid injections the day before ceaserian to stregthen baby's lung. he changed the baby paedetrician i chose and get his pd of choice to stay in operating theatre cos he termed me as high risk type.
when i finally gave birth, he was very happy for us and told us that he himself thank god for protecting him too, cos in his decades years of service, there was no ds baby.
he his very religious, thus he discourage abortion even if the foetus turns abnormal...if patient's decided abortion due to abnormality, have to convince him to refer to another gynae to do such abortion.
you have to be prepared for many types of visits, tests and a lot of money under his visit (that's for sure), but many patients are willing after failed attempts by other docs.
normally, a conception will occur after about 6mths-a year from last miscarriage. and, if he arranged you for a hsg procedure, then conception will naturally come within the 6-9months from the hsg procedure. but, please try to take some tonic to strengthen your womb and avoid vigorous or frequent sex for a little while, while womb is still weak from d&c, laparoscopy. let the whole passage and womb stregthen back to health first.
dr chew has some knowledge in tcm..you can check with him what type of chinese herbs or medicine can take (before, during and after conception and post delivery) and he will advise you accordingly.
his team of staff (jenny at the counter, the other lady, starts with a sxxxx forget her name now, then nur the plump malay girl who extracts blood) are kind and helpful too.
good luck to you, emily! keep me in informed