I"m also a big fan of Taking Charge of your Fertility and temp'ing. Worked like a charm for me... 3 times!
I did take a few months off after being on bc before trying to conceive. My opinion was that I wanted to get all the hormones out of my body, and also to chart for a couple of months so that I'd know when I was o'ing. I found out that I o on day 18 or 19 (pretty late!) so if I hadn 't charted, I think it would have taken a long time to get pregnant 'naturally'.
I wouldn't bother with the pre-con appt either... seems like a waste of money. Just take your vits, eat and exercise well, get good rest, and take your temps between now and april so that you can figure out your cycle (sometimes takes a couple of months to reestablish itself to a normal rhythm too).
I also wouldn't let distance be a factor in my decision of an ob. Go with the person you feel the most comfortable with, who cares if you have to drive a little! Most people arrive at the hospital long before it's crunch time anyway, so I wouldn't let that stop me. JMO>>>
GL!
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