Hi . These are such excellent questions and really go to the heart of what OBGYNs are learning (or not learning) in their training. My wife, Kelly, was diagnosed with a severe form of an autoimmune condition at age two. As she hit her mid-forties she had a heck of time finding any OBGYN help - anyone who knew what chronic conditions or long-time treatments that impact the immune system can do to a woman's reproductive system. Have you ever been able to find someone who understands? Best, Richard (Team Member)