About Experts Sitemap - Group 30 - Page 4 2014-07-22

Infertility/Fertility: Tubeligation, pregnancy after tubal ligation, chance of pregnancy after tubal ligation
pregnancy after tubal ligation, chance of pregnancy after tubal ligation, vitro fertilization: Hi Jen, No. IVF is not painful. It is uncomfortable, however, because your ovaries swell from all of the eggs that are growing. The egg retrieval is done by passing a needle through the vagina, into the ovaries. I use conscious sedation for this so...

Infertility/Fertility: having trouble concieving---, reproductive endocrinologist, fallopian tubes
reproductive endocrinologist, fallopian tubes, bloodwork: Hello, Your periods could be somewhat erratic due to hormonal changes that occur as you age, and it is normal to have your period fluctuate somewhat. However, given that yours is fluctuating more significantly and you ve been trying to conceive for close...

Infertility/Fertility: trying to concieve, polycystic ovarian disease, donor ivf
polycystic ovarian disease, donor ivf, infertility specialist: Dear Alana, You ve given me limited information to completely answer but based on no period for a year and the term menopause , I assume you are older (over 40?). A lack of period does not necessarily mean menopause if the woman is younger. It could...

Infertility/Fertility: Unexplained Infertility, fertility specialist, unexplained infertility
fertility specialist, unexplained infertility, novarel: Hi Kelly, While it s illegal for me to tell you what to do next (because that constitutes dictating treatment and you re not my patient), I m including the section of the article I wrote, below. It s excerpted from http://www.inciid.org/printpage.php?cat=treatment&id=26...

Infertility/Fertility: Unexplained Infertility, fertility specialist, unexplained infertility
fertility specialist, unexplained infertility, novarel: Hi Kelly, I am sorry that your doctor didn t want to look. I look with the ultrasound with each insemination to see if the follicle is still there. If it is gone, then I know that ovulation occurred and that my timing was good. If you are only having...

Infertility/Fertility: Unexplained Infertility, fertility specialist, unexplained infertility
fertility specialist, unexplained infertility, novarel: Hello, It s hard to tell for sure when you ovulated, as it can vary but they usually say it happens around 24 hours from when you get the LH surge. It is normal to get a positive surge for two days because that is only measuring the hormone in your body...

Infertility/Fertility: vaginal estrogen and poor follicle growth, estrogen supplementation, menopur
estrogen supplementation, menopur, competent hands: Hi Kylia, First of all, I think you are in competent hands, so don t worry too much. You are a little difficult case, but not overwhelming. In this cycle, you just need to continue with the regimen. Since there was no change in follicle growth on...

Infertility/Fertility: WOMEN FERTILITY, blood pressure medication, abdominal pain
blood pressure medication, abdominal pain, olivia: Hi Olivia, How far in to your cycle did you stop taking the Fertomid? You can try taking it again if your doctor has prescribed another refill. You should also be monitored via ultrasound when taking it to make sure you re responding and to tell when...

Infertility/Fertility: What is wrong with me, contraceptive pills, taking the pills
contraceptive pills, taking the pills, irregular cycles: Hi Sarah, I understand your question, yet I don t have enough information to answer it. Certainly, your BMI is adequate but you might try to increase your weight a bit more. A BMI of 20-25 might help. Can you tell me what your FSH and LH were? Before...

Infertility/Fertility: What should I do?, reproductive endocrinologist, infertility specialists
reproductive endocrinologist, infertility specialists, infertility treatments: Hi Asma, I ll bet something hasn t been looked at that may be causing your infertility. Have you seen a BOARD CERTIFIED REPRODUCTIVE ENDOCRINOLOGIST? If not, you should. If you can t find a superb RE near you, feel free to see me in Florida for rapid...

Infertility/Fertility: can xray affects fertility?, ivf program, ivf cycle
ivf program, ivf cycle, gynecology center: Hi again Mimi, Thanks for the reply. It intrigues me that these letters are coming from all over the world. I think you are the furthest away so far. I m in California. Sincerely, Edward J. Ramirez, M.D. Executive Medical Director The Fertility...

Infertility/Fertility: 2 miscarriages, recurrent pregnancy loss, reproductive endocronologist
recurrent pregnancy loss, reproductive endocronologist, reproductive endocrinologists: Hi Sue, Sorry to hear about your losses.... I was in NJ for 17 years before I relocated my practice to FL. Now, since I don t know any experts in the modern diagnosis and treatment of recurrent pregnancy loss in NJ, I have patients traveling here for...

Infertility/Fertility: Abnormal Pap and Conceiving, reproductive endocrinologist, abnormal pap
reproductive endocrinologist, abnormal pap, pap test: Hello, I apologize that I m not familiar with this time of medical issue. I would recommend consulting a reproductive endocrinologist if your next pap comes back abnormal. They would prescribe an appropriate treatment plan to help you get pregnant. Good...

Infertility/Fertility: Absence of Sperm, testicular biopsy, fertility drugs
testicular biopsy, fertility drugs, fertility test: Dear Sarah, What a coincidence. My last question was from a Sarah too. I think that the testicular biopsy would be a good thing to do. The Urologist needs to make sure that all quadrants of the testicle are biopsied to check for sperm. Of course,...

Infertility/Fertility: who do i ask, reproductive endocrinologist, forsyth georgia
reproductive endocrinologist, forsyth georgia, pregnancies: Dear Brittney, I m sorry to hear of your losses. I know how courageous it is to move forward and want to try again. Given your losses, I would consult a reproductive endocrinologist who can do some tests to see what has caused the recurrent losses of...

Infertility/Fertility: BBT interpretation, ovulation predictor kit, home pregnancy test
ovulation predictor kit, home pregnancy test, implantation dip: Hi Kati, Thanks for letting me know where you are from. I always get thrilled finding out that I am influencing someone in another part of the world. You are going through a lot of effort that is not vey efficient. The way that I do Clomid cycles is...

Infertility/Fertility: can i have babys, reproductive endocrinologist, good luck
reproductive endocrinologist, good luck, annie: Dear Annie, I would recommend you see a reproductive endocrinologist who can evaluate your situation and recommend a treatment plan so that you can have a baby. Most reproductive problems can be overcome with proper treatment. Good luck. Sara...

Infertility/Fertility: had biopsy of cervix, biopsy of cervix, total hysterectomy
biopsy of cervix, total hysterectomy, blood transfusion: Dear Sophie, Thanks from the question, and thank you for letting me know where you are from. I m always curious to see where my answers are going to. If I understand you correctly, when they took out that Ovarian tumor, they removed your other ovary...

Infertility/Fertility: birth control, ivf program, uterine cavity
ivf program, uterine cavity, gynecology center: Dear Jamie, Thank you for your question. Stopping the green pills was okay, depending on where you were in your pack. The brown discharge is just old blood. It is possible that you are oozing inside a little and it makes its way out with time. What...

Infertility/Fertility: CBFM/OPK/Trigger shot, chemical pregnancies, ovidrel
chemical pregnancies, ovidrel, natural cycles: Dear Addie, Thank you for your question. I ll have to say, I m not very texting literate so I had to think hard to figure them out. But I got it (eg TTC= trying to conceive). You are certainly trying to beat the statistics in many ways. It is unfortunate...

Infertility/Fertility: Chance of second time pregnancy with Clomid, ovulation induction, chances of twins
ovulation induction, chances of twins, cervical mucus: Dear Kati, Hello again. Basically, each cycle is a complete new and independent cycle. The previous ones do not influence it. The chances for pregnancy in your age group, on Clomid to restore normal ovulation, is the same as your natural chances of pregnancy....

Infertility/Fertility: Chemical pregnancy and infertility and PCOS, chemical pregnancy, loss evaluation
chemical pregnancy, loss evaluation, hcg levels: Hello, I can t comment on some of your questions as I m not a doctor, but I ll answer as best I can from experience and my own research. I have found that if you respond to clomid which you did, but did not have a successful pregnancy, a higher dose of...

Infertility/Fertility: Clomid and hypothyroidism, thyroid condition, hypothyroid disease
thyroid condition, hypothyroid disease, painful experience: Dear Lindsay, I m so sorry to hear of the passing of your daughter. I know how difficult this can be as I also lost my daughter last summer due to an amniotic infection. Getting past that painful experience and being ready to try again takes bravery....

Infertility/Fertility: On Clomid and still have period on day 8, ivf program, gynecology center
ivf program, gynecology center, monterey bay: Dear Deva, Thank you for your question. Where are you writing from? You don t need to worry. This can be normal and will not affect the cycle. Ovulation may just be delayed a bit, but as long as the ovary responds to the Clomid (which is not a given),...

Infertility/Fertility: chronic inflammatory of the cervix, abnormal pap smear, pelvic ultrasound
abnormal pap smear, pelvic ultrasound, type of bacteria: Dear Ms. T. Thank you for your question. Where are you writing from? I m afraid I won t be able to help you via the internet. You need to have a thorough examination with cultures to see if you are harboring some type of bacteria that is not being...

Infertility/Fertility: consecutive Turner's syndrome pregnancy losses, prothrombin gene mutation, progesterone suppositories
prothrombin gene mutation, progesterone suppositories, pregnancy losses: Dear Christina, Thank you for your question. Unfortunately, there are no statistics describing the incidence of two consecutive Turner s abnormalities in a normal karyotype couple. I think that it is probably bad luck, in an unusual way. Mutations are...

Infertility/Fertility: don't know what to do?, birth control pills, physiologic cyst
birth control pills, physiologic cyst, ivf program: Hello Charlene, A 2 cm unilocular cyst is not that bad. However, since it has not responded to birth control pills, the I would worry that it is not a physiologic cyst. It may be a peritubal cyst. In any case, non-response to birth control pills is the...

Infertility/Fertility: Early pregnancy +infertility, bhcg levels, estrogen production
bhcg levels, estrogen production, estrogen levels: Dear Amy, Thank you for your question. Where are you writing from? In the early preganncy, less than 6 weeks gestational age, estrogen is derived almost completely from the ovary. Placental estrogen production has not started. Based on your first...

Infertility/Fertility: Empty follicles during IVF attempt, sperm problem, artificial insemination
sperm problem, artificial insemination, egg retrieval: Dear Helen, Thank you for your question and your history. IVF is certainly the best option for you at your age, notwithstading the sperm problem. I recommend that you continue. What happened in this first cycle is called Empty follicle syndrome. ...

Infertility/Fertility: early miscarrige?, ivf program, chemical pregnancies
ivf program, chemical pregnancies, gynecology center: Dear Louise, Thank you for your question. Based on this limited experience, I don t think that you had a miscarriage, although it is possible. Miscarriages can occur in up to 40% of pregnancies. Many are chemical pregnancies whereby the period is a...

Infertility/Fertility: endometrial thickness and implantation, therapeutic donor insemination, ivf program
therapeutic donor insemination, ivf program, gynecology center: Hello Bethany, My younger brother is an ENT physician and also did a fellowship in facial plastic surgery. Yes. Go to the OB/GYN clinic and see if they have any samples of Vaginfem vaginal estrogen tabs 2 vaginally per day or Divigel 0.1% - 1mg applied...

Infertility/Fertility: Fertility, fertility medications, home ovulation
fertility medications, home ovulation, ovulation predictor: Hello, Only your doctor can tell if the medications are safe to be taken together, and I m sure they are for you, otherwise they would not be prescribed. It sounds as if they are safe medications. Claritin is usually for allergies, so I m not sure what...

Infertility/Fertility: Fertility, ovarian cysts, fertility treatments
ovarian cysts, fertility treatments, multiple births: At this point, I would consult a reproductive endocrinologist and forward all of your medical records to them, particularly the surgery notes so that they can follow you with ultrasounds, and put together a treatment plan. Endometriosis can be overcome to...

Infertility/Fertility: Fertility & Hormones, fertility hormones, luteal phase defect
fertility hormones, luteal phase defect, low progesterone: Those levels are in the normal range for a woman who tests on cycle day 3. Good luck! Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine In Wellington, Florida; PERSONALIZED/Individualized Successful care by a Board Certified reproductive...

Infertility/Fertility: When to take Fertomid/Clomid, short luteal phase, mild endometriosis
short luteal phase, mild endometriosis, female infertility: Hi Lynette, I m assuming you re not in the U.S., as Fertomid (I believe) is generic Clomid and sold in other countries like India. The package insert (instructions) for Fertomid states: Indications FEMALE INFERTILITY Fertomid induces ovulation in...

Infertility/Fertility: Frozen embryo transfer, frozen embryo transfer, reproductive endocrinologists
frozen embryo transfer, reproductive endocrinologists, two eggs: Hello, I m not sure of the protocol if you re not going to ovulate since it varies with each doctor and fertility center. I would think they could easily cancel the cycle if things are not as they should be. I m surprised that the doctor isn t calling...

Infertility/Fertility: On Clomid and still have period on day 8, clomid
Infertility/Fertility: On Clomid and still have period on day 8, clomid

Infertility/Fertility: When to take Fertomid/Clomid, fertomid, clomid
Infertility/Fertility: When to take Fertomid/Clomid, fertomid, clomid, 28 days

Infertility/Fertility: Low Ovarian Reserve, menopur, egges
Infertility/Fertility: Low Ovarian Reserve, menopur, egges, follistim

Infertility/Fertility: Thin Uterus Lining, uterous, fragile hope
Infertility/Fertility: Thin Uterus Lining, uterous, fragile hope, gynocologist

Infertility/Fertility: fertility and irregular periods, ovulation predictor kit, home ovulation
ovulation predictor kit, home ovulation, fertility issues: Hello, It is possible that you re not ovulating since you re not having periods regularly and for the last six months. One thing you could try before you see the doctor is to purchase a home ovulation predictor kit to see if you do detect an LH surge,...

Infertility/Fertility: frequent spotting, luteal phase defect, supplemental progesterone
luteal phase defect, supplemental progesterone, ovulation induction: Hello Again, These are certainly good questions and should be discussed with your doc. I do not want to over-ride him/her. 1. The exact source/cause of the bleeding is unknown. It could be from many factors including the progesterone. 2. It is possible...

Infertility/Fertility: Gonal-F Injections, gonal f pen, gonal f injections
gonal f pen, gonal f injections, ivf program: Dear Russ, Thank you for your question. Where are you writing from. Obviously, your clinic is not talking with you well enough. They need to do better. Your questions are very common, and my patients are usually counseled to expect them. It is...

Infertility/Fertility: High estrogen, ovarian cyst, estrogen levels
ovarian cyst, estrogen levels, fertility issues: Hello Karen, I m afraid that I can t completely interpret what the nurse advised because it didn t make complete sense to me. I also presune that you are starting a treatment cycle? We generally draw a baseline E2 level when we are starting a treatment...

Infertility/Fertility: High levels of estrogen, birth control pills, sperm heads
birth control pills, sperm heads, high levels of estrogen: Dear Marusha, The ideal treatment would be IVF with ICSI. However, because you are young, I would recommend 3-4 cycles of IUI first. If that doesn t work, then proceed to IVF-ICSI. With ICSI, only the best and anatomically normal sperm are used to inject...

Infertility/Fertility: does HRT prevent ovulation?, effects of low estrogen, reproductive endocrinologist
effects of low estrogen, reproductive endocrinologist, levlite: Hello Jen, Thank you for your question. Could you let me know where you are writing from? From your description, it sounds like you have exercise induces hypogonadotropic hypogonadism. That is a long name for saying that you do not have enough fat...

Infertility/Fertility: Immature Follicles, estrogen receptors, fertility experts
estrogen receptors, fertility experts, infertility specialists: Dear Heather, Thank you for your question. You have already exceeded the number of cycles on Clomid that is recommended by ASRM and fertility experts. You need to move to something else. I presume you are seeing a General Ob/Gyn for your treatments....

Infertility/Fertility: Interpreting hormone levels, infertility evaluation, donor sperm
infertility evaluation, donor sperm, obgyn doctor: Hello Veronica, If I can be so bold, I would recommend that you see an infertility subspecialist or RE. The reason is because, I am a little leery of the comments made by your OB/GYN, and because of your age. As you know, age is a significant factor in...

Infertility/Fertility: IUD Pregnacey?, ivf program, gynecology center
ivf program, gynecology center, tubal pregnancy: Dear Jenipher, Thank you for your question. Where are you writing from? There is a know failure rate of 4.6% within the first year of use, with the IUD. So yes, pregnancy is a possibility. These pregnancies will end up as either a normal pregnancy,...

Infertility/Fertility: IUI, gnrh agonists, gnrh antagonists
gnrh agonists, gnrh antagonists, ivf program: Dear Thea, Clomid does not inhibit your body s natural ovulatory processes, therefore, you can indeed mount an LH surge and ovulate spontaneously before the IUI, if the doctor does not use anything to inhibit ovulation. Drugs to inhibit ovulation are GnRH...

Infertility/Fertility: infertility, progesterone levels, gynecology center
progesterone levels, gynecology center, prochieve: Dear Rebecca, Thank you for your question. TTC? Does that mean trying to conceive . Sorry, I am not very texting literate. You mention that you think that you may have to go to IVF. Other than Clomid, what other treatments have you tried? How old...

Infertility/Fertility: infertility, birth control pills, infertility evaluations
birth control pills, infertility evaluations, hsg test: Hello, The HSG test is not that bad. It does cause some mild cramping, as they insert a catheter and some dye into the uterus and into the fallopian tubes to see if they are open. Take some ibuprofen before the test. If the tubes are damaged or blocked,...

Infertility/Fertility: infertility, bladder problem, fertility issues
bladder problem, fertility issues, regular periods: Dear Sobia, Just doing a urine test is not enough to ensure that you have no fertility issues that are preventing you from getting pregnant. You are still young, and trying for 3 years is quite awhile. I would suggest seeing a reprodutive endocrinologist...

Infertility/Fertility: iui and clomid, iui and clomid, estrogen production
iui and clomid, estrogen production, ovidrel: Hello, I m sorry to hear your cycle didn t work. I myself just did my second IUI cycle with Follistim and Ovidrel also. Do you know why your doctor prescribed Clomid as well? Usually they only use one follicle stimulating medication, which is usually...

Infertility/Fertility: LH and follicle size, lh surge, fallopian tubes
lh surge, fallopian tubes, mid cycle: Hello, Your body can certainly ovulate on its own without the HCG shot. Given that they are a large size, they would probably be ready to ovulate any minute now. It is also possible that one of them is not a real follicle, but a cyst, since one is 25...

Infertility/Fertility: Low Ovarian Reserve, ivf cycles, ivf cycle
ivf cycles, ivf cycle, egg collection: Hello Adrienne, You are the second patient from the UK. As I mentioned previously, the diagnosis low ovarian reserve or low responder is a title given based on the response to stimulation. It is not a diagnosis of a disease state. In reality, we...

Infertility/Fertility: Medication and Pregnancy, wellbutrin xl 300, wellbutrin xl 300 mg
wellbutrin xl 300, wellbutrin xl 300 mg, wellbutrin xl: Hello, I m not a physician so I can t fully answer your question. My only advice is to question this with your ob/gyn. No drug is completely safe in pregnancy. I do know that there are differences between which drug is safe in the first trimster and which...

Infertility/Fertility: Menopur symptoms, fertility medications, enlarged ovaries
fertility medications, enlarged ovaries, reproductive endocrinologist: Dear Alison, Thank you for your question. The symptoms that you are experiencing can be consistent with enlarged ovaries from the stimulation, from the rupture of the follicles, pregnancy and from hyperstimulation stimulation (the accumulation of fluid...

Infertility/Fertility: Menstruation &...., x and y chromosomes, x chromosomes
x and y chromosomes, x chromosomes, ivf program: Dear Racheal, Thank you for your question. Yes, your current menstruation cycle is normal and not worrisome. A woman s cycle length can change from time to time and will change based on many things, like stress, exercise, being around another women, hormonal...

Infertility/Fertility: Misscarriage, ivf program, gynecology center
ivf program, gynecology center, chemical pregnancy: Dear Kristen, Thank you for your question. Where are you writing from? The answer to all your questions is YES. When a miscarriage occurs without being expelled from the uterus, it is called a missed abortion . These don t occur very commonly,...

Infertility/Fertility: male infertility, ovulation induction, male infertility
ovulation induction, male infertility, functional problem: Dear Manuel, Thank you for your question. Where are you writing from? The problem with undescended testes is that it causes the cessation of sperm production. However, it sounds like you still have sperm production and that is good. You definitely...

Infertility/Fertility: male participation in infertility help, fertility issue, fertility doctor
fertility issue, fertility doctor, fertility specialist: Hello, I think it s common for men to feel that way when it comes to infertility. I know my husband was the same way in the beginning. I think you both need to sit down and talk about how much you want to have a baby, and in the end, that is all that...

Infertility/Fertility: Next Step in Fertility Treatment, injectable fertility drugs, reproductive endocrinologist
injectable fertility drugs, reproductive endocrinologist, prolactin levels: Hi Michelle, There s up to a 30% chance that someone with infertility who has no symptoms of endometriosis may be found to have it at laparoscopy. More and more, fertility specialists are getting away from laparoscopy and moving right ahead with injectable...

Infertility/Fertility: Next Step in Fertility Treatment, fertility treatment, diagnostic procedure
fertility treatment, diagnostic procedure, laparoscopy: Dear Michelle, For some doctors and in some cases, laparoscopy is used as a diagnostic procedure. However, if you have no symptoms it may not be necessary. It is possible to have endometriosis with no symptoms, and in this case, having the surgery and...

Infertility/Fertility: Ovaries, ivf program, ridgecrest california
ivf program, ridgecrest california, fertility clinic: Dear Ashley, Thank you for your question. Your ovaries are on the verge of ovulation. It is not possible to know when you will ovulate because we don t know how long they were at their present size. It will be within the next 24-36 hours, however. I...

Infertility/Fertility: Ovulation, ivf program, gynecology center
ivf program, gynecology center, lh surge: Dear Kati, Thank you for your questio. Where are you writing from? The OPK s will show the LH surge if it is done at the appropriate time in the cycle. However, I usually give a trigger injection of HCG to be sure, rather than take the chance with...

Infertility/Fertility: Ovulation Microscope, ovulation microscope, ivf program
ovulation microscope, ivf program, gynecology center: Dear Sarah, Thanks for the question. Cervical mucous changes depending on the hormone levels. The cervical mucous at the mid-cyce, time for ovulation, will usually dry into a fern-like pattern. It does take a little learning to recognize. Sincerely,...

Infertility/Fertility: If my ovaries are hyperactive or underactive ?, ultrasound findings, gynecology center
ultrasound findings, gynecology center, dear alice: Dear Alice, Thank you for your question. I have to admit that I am a little confused. Your ovaries were certainly hyper-responsive, as evidenced by the high estradiol. They probably cancelled because of the threat of hyperstimulation syndrome if they...

Infertility/Fertility: overy and utres removal, fever chills nausea, ca 125 cancer test
fever chills nausea, ca 125 cancer test, endometrial cells: Dear Mr. Prafulkumar Kotecha, Thank you for your question. From you description of the findings and surgery, your wife had a benign tumor resulting from endometriosis. This tumor is called an endometrioma . Your CA125 was on the low side, which is also...

Infertility/Fertility: ovidrel & luteal phase, ovidrel, irregular cycles
ovidrel, irregular cycles, luteal phase: Your period would be due around 15 days from when you used the Ovidrel. The Ovidrel typically takes about 36 hours to produce ovulation. You should have ovulated with the Ovidrel and the luteal phase may vary because of the medication. I would wait until...

Infertility/Fertility: ovulate, endometriosis association, ivf program
endometriosis association, ivf program, depo provera: Dear Diane, If you are having regular menstrual cycles, then you are still ovulating. I am concerned at the level of endometriosis, however. This will certainly affect your ability to become pregnant. In addition, endometriosis in the bowel (rectum)...

Infertility/Fertility: ovulating with PCOD?, physiologic cysts, endometriotic cysts
physiologic cysts, endometriotic cysts, hemorrhagic cysts: Dear Ria, Thank you for your question. Where are you writing from? It sounds like you have undergone a pretty good evaluation, but the findings are not necessarily consistent with PCOS. First, PCOS is defined by an LH/FSH ratio of at least 3:1. You...

Infertility/Fertility: PCOS or something else?, male hormone testosterone, premature ovarian failure
male hormone testosterone, premature ovarian failure, fsh and lh: Dear Megan, Thank you for your question. Where are you writing from? Your history does not quite fit PCOS. The most likely diagnosis is hypoganodotropic hypogonadism. It is a long name for saying that your brain is probably not stimulating the ovary....

Infertility/Fertility: Placenta Previa and Low Progesterone, low progesterone levels, placenta previa
low progesterone levels, placenta previa, weeks gestation: Hello Jenine, First of all, I don t think you need to consider terminating this pregnancy because there is nothing seriously wrong at this point. I think that your doctor is over-calling things. To be frank, the recommendations and diagnosis he/she...

Infertility/Fertility: Please Help us, menstrual irregularity, ivf program
menstrual irregularity, ivf program, gynecology center: Hello Hazem, Thank you for the question. Where are you writing from? Caffiene intake has not been associated with menstrual irregularity. She probably has some other underlying problem causing that and would need to be evaluated. If the cycles are...

Infertility/Fertility: Pregancy symptoms every month, no pregnancy, urine pregnancy tests, sore breasts
urine pregnancy tests, sore breasts, chemical pregnancy: Dear Rebecca, Thank you for your question. Where are you writing from? First, I would advice that you get a serum pregnancy test. You could go to a clinic like Planned Parenthood and they ll order one for you. The urine pregnancy tests only come out...

Infertility/Fertility: Progestorene suppository, progesterone suppository, progesterone
progesterone suppository, progesterone, embryos: Hello, Most doctors have you start progesterone right after the transfer but it can vary. I don t think you need to worry, but I would call and ask the nurse if there are any issues with this and why the change in protocol. This will likely ease your...

Infertility/Fertility: period 6 days after unprotected sex, unprotected sex, ejaculate
unprotected sex, ejaculate, cramps: Hello, It is very unlikely that you are pregnant, given that you usually would have ovulated much sooner in your cycle than 6 days before your period started. Usually ovulate happens on day 14 or so. Also, given that you had what seems like a normal period,...

Infertility/Fertility: pocs, endometrial polyp, ivf program
endometrial polyp, ivf program, gynecology center: Dear Rachel, Increased facial hair (hirsuitism) is a long term side effect of the condition known as PCOS or polycystic ovarian syndrome. Basically what is happening is that your ovaries are not functioning correctly and therefore are not producing the...

Infertility/Fertility: positive pregnancy test with low bbt, home pregnancy test, ivf program
home pregnancy test, ivf program, gynecology center: Hi Again Elvie, If the BHCG is low, sometimes it can indicate that a miscarriage will occur. Progesterone will not help in that case because there is something wrong with the pregnancy. This interpretation can only be made by a blood pregnancy test, not...

Infertility/Fertility: When can I take pregnancy test?, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, quantitative hcg: I think you mean you received an hCG injection, not a progesterone injection. My patients test about 14 days after the injection. The test is a quantitative hCG, not just a Yes/No pregnancy test, so as not to be confused by the injection of hCG. Good...

Infertility/Fertility: Why is my progesterone level decreasing with a high dosage of clomid?, progesterone level, reproductive endocrinologist
progesterone level, reproductive endocrinologist, sky rocket: Dear Starsha, I m not exactly sure why your progesterone level would decrease with the high dose of Clomid. I have heard this happen with a friend of mine, and upon ultrasound, her lining was very thin, which can be a complication in getting pregnant....

Infertility/Fertility: Regarding Fertility, luteal phase, ivf program
luteal phase, ivf program, gynecology center: Dear Chiatali, In answer to your question. Starting on the 9th day of your cycle is way too early. Most women will ovulation around day 14-16, and your husband will be severely sperm deficient if you start on day # 9. Because I am advising intercourse...

Infertility/Fertility: Regarding fertility, home ovulation, ovulation kit
home ovulation, ovulation kit, fallopian tubes: Hello, Since your cycles are a little longer, you d want to have intercourse starting on day 14 of your cycle and continue until about day 18 or so. You might also want to buy a home ovulation kit which will give you a clearer idea of when you re ovulating...

Infertility/Fertility: Regrding ovulation, ivf program, egg size
ivf program, egg size, gynecology center: Dear Sanjay, Thank you for your question. The 25 mm size on cycle day # 16 is what I would expect the follicle size to be at the time of ovulation. So, it is normal and not worrisome. You should be having intercourse or inseminations now. Sincerely,...

Infertility/Fertility: recurrent miscarriages, early miscarriages, recurrent miscarriages
early miscarriages, recurrent miscarriages, fertility specialist: Dear Stephanie, I m sorry that I don t know much about polyps and their affects on having a normal pregnancy. However, through personal experience as someone who has also had two miscarriages, it is usually best to wait until everything in your body is...

Infertility/Fertility: Spotting and Provera, fertility medication, fertility specialist
fertility medication, fertility specialist, regular periods: Dear Whitney, Thank you for your question. Where are you writing from? I presume that you are on the Provera to regular your cycles and use it for the last 10 days of the month. You should know that Provera does not induce ovulation. It only causes...

Infertility/Fertility: could this be signs, lower abdominal pains, home ovulation
lower abdominal pains, home ovulation, ovulation kit: Dear Tracy, The signs you describe could be the result of ovulation, but they could also suggest many other things. It is hard to tell when you ovulated based on temperatures alone since they vary and are usually higher in the morning. If you think you...

Infertility/Fertility: slight bleeding dpo 7 after IUI and clomid, HCG, iui and clomid, ultrasound measurements
iui and clomid, ultrasound measurements, implantation bleeding: Hello Andrea, I m concerned about what you wrote. Getting an hCG trigger shot on day 13 ASSUMES that someone has a mature follicle (egg) on that day, and that s a HUGE assumption. Most women who take Clomid 50 mg from day 5-9 don t have a mature egg until...

Infertility/Fertility: small query, ivf program, writing from india
ivf program, writing from india, yeast infection: Dear Ria, It sounds like the discharge that occurs with a Yeast infection (Candida). This is a very common infection in women and not serious. However, it can cause a lot of itching and irritation. I would recommend that you see your Gynecologist for...

Infertility/Fertility: small query, cervical mucus, mid cycle
cervical mucus, mid cycle, ovulation: Hello, It s impossible for anyone to tell whether this is normal cervical mucus or an infection without actually seeing it. I would suggest calling your doctor who can do an exam and see what is going on. If it s mostly present mid-cycle, it could be...

Infertility/Fertility: How soon can I test?, home pregnancy tests, wellington florida
home pregnancy tests, wellington florida, center for reproductive medicine: Hi Audrey, Most home pregnancy tests show positive (if someone s pregnant) 16-18 days after ovulation. If you think you ovulated as late as the 18th, then you may want to wait that amount of time before testing. If the test is negative, but if you think...

Infertility/Fertility: Thin Uterus Lining, irregular periods, good doctor
irregular periods, good doctor, 1mm: Dear Leanne, A normal thickness is around 8-13 mm, from what I have read. Having a very thin lining as yours was measured can create problems for becoming pregnant. If the lining is too thin, it would not be able to accept the fertilized embryo for implantation....

Infertility/Fertility: Tri-Sprintec and Fertility questions, birth control pills, tri sprintec
birth control pills, tri sprintec, artificial hormones: Hello, I would definately recommend waiting at least 2 cycles before trying. There are many reasons that doctor s recommend this. The first is that you want to have a normal period so you know where to count from to determine your due date when you get...

Infertility/Fertility: Trouble getting pregnant., genital warts, pregnant pregnancy
genital warts, pregnant pregnancy, hpv infection: HPV does not usually impact getting pregnant. Pregnancy can cause genitals warts to grow at a fast rate potentially causing the birth canal to be blocked or making urination difficult for the mother. This can be a reason for a c-section if the birth canal...

Infertility/Fertility: Trying to conceive, adnexal mass, ovulation cycles
adnexal mass, ovulation cycles, ivf program: Dear Sai, Thanks for the additional information. Based on that ultrasound, there is no indication of a pre-ovulatory follicle, although everything else is normal. It is hard to draw a conclusion based on this one test. To diagnose an ovarian or ovulatory...

Infertility/Fertility: Trying to conceive 13 months, male factor infertility, timing ovulation
male factor infertility, timing ovulation, reproductive endocrinologist: Hello, It is not completely uncommon for people to have difficulty conceiving, even after having no problems before. Infertility is defined as not conceiving after one year, so I would probably see a reproductive endocrinologist since it s now been longer...

Infertility/Fertility: TTC, right abdomen, excercise routine
right abdomen, excercise routine, shorter periods: Hello, I m sorry to hear of your prior loss. It s hard to say whether your shorter periods are due to not ovulating. Your doctor can do some tests to find out. The twinging in your right abdomen can be related to ovulation, as some women are able to...

Infertility/Fertility: TTC, ovulation kit, thanks in advance
ovulation kit, thanks in advance, good luck: Hello, Given that your cycle is a few days shorter than usual, I would start testing on day 8 to be sure. You probably ovulate around day 12 or so. Ovulation is so hard to predict that it s always better to test a little early so you won t miss it. Good...

Infertility/Fertility: TTC, endometrial polyps, ivf program
endometrial polyps, ivf program, right abdomen: Hello Sej, You are my first patient from Zurich. Thanks for writing. If you are in the normal weight range, I don t think that exercise is having an effect on you. Have your periods stopped? I would need to know your weight and height to know for...

Infertility/Fertility: TTC, ovulation kit, ivf program
ovulation kit, ivf program, gynecology center: Hello SB, Thank you for your question. Where are you writing from? Generally the second half of the cycle is the most constant. It is 14 days from the onset of menses. So, if your cycles are 25 days, then you are most likely ovulating around cycle...

Infertility/Fertility: I can't seem to get pregnant, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, stomach pains: Hi Rose, Stomach pains can be a symptom of a problem and should be investigated by a qualified doctor. If you want to undergo fertility testing to see why you re not getting pregnant, consider seeing a board certified/qualified doctor who specializes in...

Infertility/Fertility: tubligation, urine pregnancy test, ivf program
urine pregnancy test, ivf program, gynecology center: Dear Karla, Thank you for your question. Where are you writing from? Spotting by itelf is not a sign of pregnancy. There are many reasons why you could have this. If you are worried about pregnancy, however, the best thing to do is get a blood pregnancy...

Infertility/Fertility: can I do in vetreo, vitro fertilization, sterilization procedure
vitro fertilization, sterilization procedure, wellington florida: Hi Amy, Yes, someone who had a sterilization procedure 12 years ago may be a candidate for in vitro fertilization, as long as she passes some preliminary tests to determine if she s a good or poor candidate for the in vitro procedure. Have you seen...

Infertility/Fertility: wondering about PCOS., cysts in the ovaries, lack of ovulation
cysts in the ovaries, lack of ovulation, ivf program: Dear Emma, Thank you for your question. Where are you writing from? There is a variety of different PCOS types. The classic is irregular or absent periods, overweight, acne and increased facial hair. However, this is the extreme form. There are many...

Infertility/Fertility: very worried, havin babies, fertility issues
havin babies, fertility issues, arn: Hello, Upon having the implant removed, it usually takes a couple of months for the hormones to fully leave your body. If you ve been trying with no success for a year, you should probably consult your ob/gyn who can do some tests to see if there are any...

Infertility/Fertility: 2 sacs and nothing inside, initial ultrasound, blighted ovum
initial ultrasound, blighted ovum, abnormal pregnancy: Hello Brenda, It sound like one of the embryos did not implant, one is a blighted ovum or empty sac, and one developed but may be smaller than it should be. Since you didn t say what the gestational age is, I can t give you a specific answer but let...

Infertility/Fertility: abnormal pap smear, certified nurse midwife, abnormal pap smear
certified nurse midwife, abnormal pap smear, atypical squamous cells: Dear Kelly, Thank you for your question. The abnormality you had was probably atypical squamous cells, which is a low grade abnormality. It can be caused by many things including a yeast infection. Your doctor is correct in that regard. Usually, it...

Infertility/Fertility: artificial insemination, office weekdays, artificial insemination
office weekdays, artificial insemination, chances of pregnancy: Dear Sasha, I would want to test your eggs myself through my endocrinology (hormone) lab. Most (though not all) women in your age category need to use eggs from a younger woman (egg donor) to have a successful pregnancy, so it would be critical for us...

Infertility/Fertility: artifiical insemination, donor egg ivf, california cryobank
donor egg ivf, california cryobank, chances of pregnancy: Hello Sasha, Unfortunately, there are NO tests to check and see if your eggs are still viable and can produce a pregnancy. The only way to see is to try. However, based on your age, your statistical chances of pregnancy are not good ( 1%), and that is...

Infertility/Fertility: Blood hormone levels and infertility, fsh and lh, fsh and lh levels
fsh and lh, fsh and lh levels, fertility medication: Hello April, I don t think that any of these levels are concerning. The discrepancy between the LH and FSH indicates that there is an ovarian dysfunction present. This dysfunction is called Polycystic ovarian disease (PCOD) and explains why you don t...

Infertility/Fertility: Who's baby is it?? im confused..., local health department, ivf program
local health department, ivf program, gynecology center: Dear Anna, The only way to know for sure which partner is the biologic father is to do a paternity test. You can request this from you doctor or local health department. Based on your period, and assuming you have regular cycles, you would have ovulated...

Infertility/Fertility: bligh ovum, loss evaluation, emty
loss evaluation, emty, chromosomal abnormalities: You should request a recurrent loss evaluation to determine why you are getting continued blighted ovums. Usually this is something caused by chromosomal abnormalities but three times in a row is certainly difficult to deal with and something you should look...

Infertility/Fertility: Clomid 3-7, estrogen receptors, cervical mucus
estrogen receptors, cervical mucus, menopur: Dear April, Thank you for your question. You have used Clomid for way too long. We do not recommend it for more than 6 months. In addition, when you use it in consecutive months, the Clomid inhibits pregnancy by blocking too many of the estrogen receptors....

Infertility/Fertility: Clomid Lengthening My Cycle?, low hcg level, enlarged ovary
low hcg level, enlarged ovary, cycts: Dear Julie, It s possible that you were pregnant, and the pregnancy did not continue to develop correctly, given that your HCG was positive and then decreased to a negative. However, a level of at least 5 is needed to be considered pregnant. That number...

Infertility/Fertility: Clomid and Progesteron, progestrone pills, progesterone level
progestrone pills, progesterone level, bbt chart: In general, increasing the dose of Clomid does not usually have much of an effect on increasing ovulation. There is a small risk of having multiples with any dose. I m not sure why they would double the dose if you ovulated before. You should ask the doctor...

Infertility/Fertility: Clomid & spotting?, lack of ovulation, ovulation kits
lack of ovulation, ovulation kits, endometrial lining: Hello Melissa, Thank you for your question. How are you being monitored for ovulation? Is your doctor not looking with the ultrasound to see if you are actually responding to the medication? Not all women respond to Clomid and some need higher doses....

Infertility/Fertility: Coagulation Panel - MTHFR, low dose aspirin, lupus anticoagulant
low dose aspirin, lupus anticoagulant, chemical pregnancies: Dear Addie, I m afraid I am in agreement with your RE, although for slightly different reasons. We do know that the immune system does contribute to miscarriages, although I am not sure that is the problem that you have. There are definitely some very...

Infertility/Fertility: Concerned, 1300 calories, calories per day
1300 calories, calories per day, calorie levels: Dear KC, Although your levels are not consistent with what they should be, especially for your age, there are measures that can be taken when you do decide to try to become pregnant. Your caloric level is below what is usually recommended, especially given...

Infertility/Fertility: Confused about my cycle and TTC, home pregnancy test, fertility medication
home pregnancy test, fertility medication, fertility specialist: Hi Chic, I hope that you are pregnant and you should that the home pregnancy test. If you are pregnant, then my answer won t mean anything. If you are not pregnant, then I would adivse that you see a fertility specialist. With the history of irergular...

Infertility/Fertility: Confused, pregnancy test, unprotected sex
pregnancy test, unprotected sex, birth control: Hello, Usually your body takes a month or two to recover from a miscarriage and to start ovulating again, so it s only a slight possibility that you could be pregnant from that time frame. It s worth testing if you don t get your period again when it s...

Infertility/Fertility: Do I have a chance of viable pregnancy, lack of pregnancy symptoms, ivf program
lack of pregnancy symptoms, ivf program, viable pregnancy: Dear Delaney, I would recommend Assisted reproduction only because it can help reduce the chances of a miscarriage and increase your pregnancy rates. What you are facing is the problem of old eggs. This leads to abnormal embryos, which the body recognizes...

Infertility/Fertility: clomid, color marron, ivf program
color marron, ivf program, gynecology center: Hola Sandra, Gracias por su pregunta. Yo pienso que la razon que su ginecologo esta usando Clomid es porque usted no esta ovulando? Normalmente, su regla es regular or iregular? La razon pro Clomid es en mujeres que no esta reglando normalmente. Probablamente...

Infertility/Fertility: clomid/concerns about doctor, reproductive endocrinologist, provera to start period
reproductive endocrinologist, provera to start period, temp chart: Hi Jes, Sorry to hear you re not happy with your RE. To address your few concerns, in my personal opinion, it s folly to take Clomid and not be monitored. Since PCOS can potentially have serious medical and reproductive ramifications, I also think it...

Infertility/Fertility: concerned, 1300 calories, calories per day
1300 calories, calories per day, calorie levels: Dear KC, Thanks for the question. Your doctor is interpreting the results completely wrong. (you might want to find another doctor or if she is not an OB/GYN, then find an OB/GYN). You have hypogonadotrophic hypogonadism. What this long word means,...

Infertility/Fertility: Delayed/late ovulation, late ovulation, fertility issue
late ovulation, fertility issue, ivf program: Hello Carlie, The simple answer to your question is yes. Your cycles are longer than usual and may be affecting the process required to become pregnant. However, before you go running to your doc to have an evaluation done, you should keep trying for...

Infertility/Fertility: delayed mens, stupid thoughts, dear jane
stupid thoughts, dear jane, hormonal changes: Dear Jane, Don t worry, you cannot be pregnant if you ve never had intercourse. See your doctor if you re concerned about the cycle being irregular as it could be something else like hormonal changes, although this is not a cause for concern either...

Infertility/Fertility: Early ovulation on clomid, ovulation tester, fertility medication
ovulation tester, fertility medication, infertility specialist: Dear Diana, I presume that you are not seeing an infertility specialist but your general OB/GYN. My first piece of advice would be to see an infertility specialist. That way you will be doing the most effective treatments, in the proper way, which will...

Infertility/Fertility: Endometrin tablets, fact progesterone, gynecology center
fact progesterone, gynecology center, monterey california: Hello Ms. Conlon, No the medication will not affect the endometriosis. In fact, Progesterone is used as a long-term treatment for endometriosis. It is essential as part of the IVF treatment so keep using it. Sincerely, Edward J. Ramirez, M.D., FACOG...

Infertility/Fertility: no eggs retrieved during IVF attempt, egg retrieval, artificial insemination
egg retrieval, artificial insemination, fertility clinic: Hi Helen, Those levels of LH, FSH, and estradiol are within normal limits for cycle day 3 (in my center). Iím don t know anyone who measures globulin as part of a fertility workup.... The prolactin levels is normal for my lab, as well - What was your...

Infertility/Fertility: endometriosis & age - my fertility, chances of pregnancy, remarrying
chances of pregnancy, remarrying, mirena: Dear Natasha, I think that your doctors have causes some unneeded worry. There is certainly a risk that the endometriosis may cause you difficulty in terms of becoming pregnant, but that is not a certainty. Time is NOT an issue for you. Your chances...

Infertility/Fertility: FERTILITY, fertility issue, clomiphene
fertility issue, clomiphene, success rates: Hello. I have been told by my doctor that it is around 30%. The success rates vary depending upon whether you are taking it because your fertility issue is due to lack of regular ovulation. If you have tubal issues or male factor, the success rates are...

Infertility/Fertility: Follistim/IUI after failed IVF, frozen embryos, sperm problems
frozen embryos, sperm problems, follistim: Hello Alicia, Thanks for your question. In defense of your RE, 85% of patients with PCOS, eventually have to go to IVF because they don t respond to Clomid. That is why we usually recommend it. However, you are an exception in that you went straight...

Infertility/Fertility: no eggs retrieved during IVF attempt, nightmare, attempts
Infertility/Fertility: no eggs retrieved during IVF attempt, nightmare, attempts, insurance

Infertility/Fertility: PCOS, pcos, clomid
Infertility/Fertility: PCOS, pcos, clomid, ovaries

Infertility/Fertility: Turning OFF the biological clock, continuing education courses, roller coasters
Infertility/Fertility: Turning OFF the biological clock, continuing education courses, roller coasters, becoming a mother

Infertility/Fertility: fertility, ivf program, gynecology center
ivf program, gynecology center, monterey california: Dear Jack, Your note did not have a question, however, neither incident that you described has any effect on your sperm production or fertility. Sincerely, Edward J. Ramirez, M.D. Executive Medical Director The Fertility and Gynecology Center Monterey...

Infertility/Fertility: fertility blood test, hormone progesterone, tubal factors
hormone progesterone, tubal factors, egg donor: Dear Sue, I haven t heard of one single blood test that gives these results accurately. Your best bet is to get a panel of blood tests to check your follicle stimulating hormones, luteinizing hormone, progesterone and estradiol levels, which are all important...

Infertility/Fertility: Gonal F, gonal f pen, absolute contraindication
gonal f pen, absolute contraindication, egg retrieval: Hello Again, With IVF I like to see as many follicles as I can with a total number less than 25. Over 25 increases the chance of ovarian hyperstimulation syndrome. However, this number will vary from patient to patient because of their age and ovarian...

Infertility/Fertility: HCG Shots and 14 days late, home pregnancy test, state medical board
home pregnancy test, state medical board, reproductive hormones: Hi Jenn, Consider having a doctor do a blood test to analyze several of your reproductive hormones (including hCG). hCG injections have not been shown to help with weight loss, and you may want to consider reporting the doctor to the state medical board....

Infertility/Fertility: Help?, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, sexual intercourse: It shows me there s a fair likelihood you did not properly ovulate in August. This can sometimes happen once a year to a normal woman, but if it happens more than once it may warrant a full evaluation. Hope this helps, Dr. Roseff, Director - Palm Beach...

Infertility/Fertility: High FSH, clomid challenge, high fsh
clomid challenge, high fsh, wellington florida: Yes, Suzanne, it could - ESPECIALLY if you ovulate normally and regularly by yourself. If a woman has regular menstrual cycles and ovulates properly without Clomid, then taking Clomid can potentially throw a wrench into the works , and may even PREVENT her...

Infertility/Fertility: Hypo and fertility, thyroid levels, syntroid
thyroid levels, syntroid, synthroid: Hello Ana, Thanks for your question. I don t think that the thyroid was the only component of your not becoming pregnant but was probably contributing. Your PCOS is the main component. It is best that you get your Thyroid levels normal, then you can...

Infertility/Fertility: Hypothyroid and Pregnancy, irregular menstrual periods, irregular menstrual cycles
irregular menstrual periods, irregular menstrual cycles, regular periods: Hi Heidi, It s not normal for someone to not have regular periods. Having irregular menstrual cycles can potentially affect someone s HEALTH as well as her FERTILITY. Women with irregular menstrual periods who DO conceive also have an increased risk of...

Infertility/Fertility: hCG Trigger Failure, stomach area, first failure
stomach area, first failure, repronex: Hello Ella, Thank you for your question. It is not possible to know if ovulation actually occurred or not. We presume, based on the ultrasound that if the follicle disappears, then ovulation occurred. However, even an ovulatory follicle can reaccumulate...

Infertility/Fertility: Irregular cycles, semen analysis, fallopian tubes
semen analysis, fallopian tubes, irregular cycles: Hello, Since it s been a year, you should ask the doctor to do a basic fertility workup which would include blood tests, a semen analysis and an x-ray of your fallopian tubes. Based on those results, they will devise a treatment plan. If you re not ovulating...

Infertility/Fertility: IVF - Bad eggs, balanced translocation, abnormal sperm
balanced translocation, abnormal sperm, donor sperm: Hello Again, Based on the information that you gave me, there is a high likelihood that the sperm is the problem. The sperm fragmentation test does not help to evaluate for chromosomal defects in the sperm. My recommendations would be as follows: 1....

Infertility/Fertility: IVF - High E2 Levels, menopur, birth control pill
menopur, birth control pill, follistim: Hello, I m sorry that I cannot tell you what your E2 level should have been, only your doctor can answer that question as it varies. The loestrin is a birth control pill, likely given to supress you as youe responding so well and the E2 is high. Depending...

Infertility/Fertility: IVF and Lupron, lupron injection, taking the pills
lupron injection, taking the pills, ivf cycle: Hello, Just to let you know I m not a doctor, but signed up to be an expert on this site due to my own experiences and knowledge. I m also beginning an IVF cycle, without Lupron. I was told that the period you get after stopping the pill is usually a...

Infertility/Fertility: IVF medications, heavy sedation, egg retrieval
heavy sedation, egg retrieval, gonal f: Hello Sarah, Thank you for the question. Yes, some clinics will let the patients mix the Gonal-f into the Menopur so that they only take one injection. You would dial up your Gonal-f dose, then inject it into the Menopur. You would swirl to mix then...

Infertility/Fertility: IVF after tubal at 42, ivf program, wellington florida
ivf program, wellington florida, multiple pregnancy: Hi Kim, The multiple pregnancy rate with IVF varies according to a lot of factors, most of which I don t know about you. If you are seeing a board certified RE with years of experience, he/she should be able to give you your particular odds of a high order...

Infertility/Fertility: immature follicle, ovulation induction, infertility evaluation
ovulation induction, infertility evaluation, fertility drugs: Hi again, It sounds like you have an ovarian disorder called Polycystic Ovarian Syndrome . In this disorder, the ovary is not processing the hormones from the brain correctly so it does not ovulate. As a consequence, the female hormones are not created...

Infertility/Fertility: infertility, recurrent miscarriages, ivf program
recurrent miscarriages, ivf program, gynecology center: Dear Courtney, The Factor V is not directly contributing to your inability to get pregnant, although it has been correlated with recurrent miscarriages. If you have been actively trying for pregnancy, and with your history of never getting pregnant despite...

Infertility/Fertility: infertility, complex hyperplasia with atypia, birth control pills
complex hyperplasia with atypia, birth control pills, vaginal ultrasound: Hi Again Tammi, I m glad to hear that the complex hyperplasia and cancer are gone. That buys you time. However, as I explained earlier, you will need to be cycled, so don t any prolonged period of time without having a period. I think you can safely...

Infertility/Fertility: infertility, scar tissue formation, fertilization ivf
scar tissue formation, fertilization ivf, vitro fertilization: Hello Kristi, You can get pregnant with one ovary, and NO, you don t ovulate every other month. The remaining ovary takes over and ovulated each month. You don t mention how old you are, but it gets harder to become pregnant with increasing age. If you...

Infertility/Fertility: how do i know 4 ure, ivf program, gynecology center
ivf program, gynecology center, regular periods: Hello Kayla, If you had your period on 11 August, and you usually have regular periods each month, then you ovulaed around August 25th, assuming you have a 28 days cycle. So, based on this, it is unlikely that you would have become pregnant on the 18th-21st,...

Infertility/Fertility: Should I have Laparoscopy done?, scar tissue, elective surgery
scar tissue, elective surgery, clomid: Hi Aimee, Since you re not my patient, it s illegal for me to tell you what to do or not do. I can, though, give you a broad generalization. Endometriosis can exist in someone without pain symptoms, but one has to determine what the goal of laparoscopy...

Infertility/Fertility: LH Surge and Ovulation, faded line, rd light
faded line, rd light, strip line: Hello, I am not a physician so it would be inappropriate for me to interpret these results. I would advise you to give them to your ob/gyn or consult a reproductive endocrinologist as you ve been trying for so long. After more than one year with no success,...

Infertility/Fertility: Long Term Menstrual Irregulartity + Dysmenorrhea, secondary sexual characteristics, knee jerk reaction
secondary sexual characteristics, knee jerk reaction, glandular disorder: Hello Lydia, Thank you for your question. For a 19 year old, your writing is incredibly sophisticated and impressive. You seem to be well educated. Most women do not know about secondary sexual characteristics or how the pituitary or other glands...

Infertility/Fertility: Low sperm count, low sperm count, egg quality
low sperm count, egg quality, fertility specialist: Hello again, I m afraid that there are no tests to verify that the eggs are good. The tests that are done are for ovarian function, and it is good that your ovaries are working like a much younger person (although I still consider you quite young). The...

Infertility/Fertility: Lupron Dose, birth control pills, corpus luteum cyst
birth control pills, corpus luteum cyst, blighted ovum: Dear Marusha, Thank you for your question. My worry is that your ovary will be too suppressed. Lupron is a medication that suppressed the ovary. If too high a dose is given, the ovary will be suppressed and not respond well to the fertility medications...

Infertility/Fertility: Male infertility, low sperm count, male infertility
low sperm count, male infertility, fallopian tubes: Dear Kelly, Have you also had an HSG to evaluate whether your fallopian tubes are open? This is also a critical piece in evaluating infertility besides just blood tests and semen analysis. Depending on your husband s motility and count, IUI or IVF are...

Infertility/Fertility: male infertility concern, blunt testicular trauma, male infertility
blunt testicular trauma, male infertility, medicine branch: Dear Drago, Thank you for your question. Hematoma basically means a blood clot. It can occur at any level that there are blood vessels. So it can be just under the skin or deeper in the testicle. The basic treatment, as long as it is not continuing...

Infertility/Fertility: menstruation, birth control pills, premature ovarian failure
birth control pills, premature ovarian failure, birth control pill: Dear NA, Thank you for your question. Certainly there is some type of disorder occurring that is causing your ovaries to not function. They are many possibilities, and so, I can t give you a specific answer. However, I would recommend that your doctor...

Infertility/Fertility: miscarriage, recurrent miscarriages, mucus plug
recurrent miscarriages, mucus plug, chromosomal abnormality: Hello Again, HSG s are generally painful, especially if the tubes are blocked. That is because they are increasing the pressure to see if the dye will flow through. Increased pain does not indicate tubal spasm, however, tubal spasm can prevent the dye...

Infertility/Fertility: miscarriage, loss evaluation, genetic issues
loss evaluation, genetic issues, good luck: Hello, You and your husband should be evaluated to determine whether there are genetic issues, blood clotting problems or other physical issues that could prevent pregnancy. Some doctors will do a recurrent loss evaluation of tests after 2 losses. Good...

Infertility/Fertility: miscarriages, chromosomal anomaly, recurrent miscarriages
chromosomal anomaly, recurrent miscarriages, abnormal pregnancy: Dear Julie, Thank you for your question. The majority of miscarriages is caused by a spontaneous chromosomal anomaly, like yours. The good news is that 85% of women with recurrent miscarriages will go on to have a normal successful pregnancy. It is...

Infertility/Fertility: need a boy baby, female embryos, punjab india
female embryos, punjab india, satpal singh: Hello, There are two scientifically validated methods for having a baby boy, and we offer both of them to our patients: A) Microsort technology - This is a procedure whereby the male and female bearing sperm are tagged and separated. The part of the...

Infertility/Fertility: Ovulating??, office hysteroscopy, molar pregnancy
office hysteroscopy, molar pregnancy, ivf program: Hello Kristina, If you are having abnormal bleeding (more than regular periods), then something is not right and that will affect your ability to become pregnant. You doctor needs to evaluate this. There are many possible causes of abnormal bleeding including...

Infertility/Fertility: Ovulation, fertility drugs, ivf program
fertility drugs, ivf program, infertility evaluation: Hello Gemma, Many women have PCOS without knowing it and it is found with an infertility evaluation. There are wide varieties of PCOS. You are in the mild group. If you have regular menstrual cycles, then this finding is not significant. It is only...

Infertility/Fertility: ovarian wedge resurrection?, scar tissue formation, ivf program
scar tissue formation, ivf program, writing from india: Hello Ria, Thank you for your question. Certainly if these cysts have been there for the past 5-6 years, they should be removed. I would have done that years ago. It is most likely that these are benign tumors of some form. However, the only way to...

Infertility/Fertility: ovulation/sex, birth control pill, ovulation
birth control pill, ovulation, hormones: It is unlikely that you will get pregnant if there was no gap of time between switching pills. You should not ovulate when on the pill and even when you go off of it, it usually takes a month or two to get the hormones out of your system so that you ovulate...

Infertility/Fertility: PCOS, pcos patients, ovulation induction
pcos patients, ovulation induction, gynecology center: Dear Marsha, I agree with your RE that you should go directly to ovulation induction and Clomid is usually the first line medication that we use. Be prepared, because some PCOD patients do not respond to this medication even at the highest doses and then...

Infertility/Fertility: Poor egg fertilisation, poor sperm quality, secondary infertility
poor sperm quality, secondary infertility, egg quality: Hello Amy, Poor fertilization is due to either poor egg quality or poor sperm quality. Despite the fact that your husband got you pregnant before (I am assuming he was responsible), that is not proof that there is not sperm problems. Certainly chromosomes...

Infertility/Fertility: Possible Blighted Ovum, yolk sac, blighted ovum
yolk sac, blighted ovum, gestational sac: Dear Jennifer, I also had a similar situation last year, and it is always frightening to hear that there might be something wrong. Just stay positive during this difficult waiting period. There is always a possibility that the heartbeat will be visible,...

Infertility/Fertility: Possiblity of Early Period after HCG Trigger Injection, implantation bleeding, vaginal progesterone
implantation bleeding, vaginal progesterone, menopur: Hello Kelly, Thank you for your question. First, although we do see implantation bleeding late in the cycle. It is not universal, so that you can t definitely say that it was implantation bleeding. Using vaginal progesterone can also cause some cervical...

Infertility/Fertility: Post vasectomy semen check, post vasectomy, vasectomy reversal
post vasectomy, vasectomy reversal, ivf program: Dear Scott, I am sorry that I misunderstood. I see. You are only checking for sperm. Go to the store and buy a regular microscope. It can even be one for children. It should come with slides and coverslips. You can see sperm at the 10X setting, although...

Infertility/Fertility: Progesterone Cream, luteal phase defect, ovulation predictor
luteal phase defect, ovulation predictor, calendar method: Hello Christy, If you are very regular, as you say, then something is not right because your ovulation should always be 14 days from the period. If you have a luteal phase defect, (shortened or abnormal luteal phase), then progesterone can help. You would...

Infertility/Fertility: pains during ovulation period, ovulation period, ob gyn
ovulation period, ob gyn, pregnancy: Hello, Some women do experience twinging pains when ovulation occurs. However, it should not be severe. If this is the case and it is preventing you from trying to get pregnant, she should see her ob/gyn who can evaluate her to see what is going on...

Infertility/Fertility: pcos, fertility medication, ivf program
fertility medication, ivf program, fertility specialist: Hello Katherine, I advise my patients to have intercourse on cycle day # 13-17, which is the fertile period. Based on your last menstrual period, today is cycle day # 13 so you should start your intercourse today and have intercourse once per day for the...

Infertility/Fertility: pcos-coming off bc-what next, spinal menningitis, menstration
spinal menningitis, menstration, clomid: Dear Marsha, I m sorry to hear of your loss. It is never easy to lose a child and it is brave to be ready to move on and conceive. If you very rarely ovulate, you will likely need some kind of stimulation medication to get pregnant. Have you had an ultrasound...

Infertility/Fertility: No period since off Pill & low estrogen levels, low estrogen levels, premature ovarian failure
low estrogen levels, premature ovarian failure, normal hormone levels: Dear Maxine, I am shocked to hear that you can t get an appointment until January 09. You should fly here and I ll have you evaluated and treated before then. Just kidding! The pill does not alter your normal menstrual functions. Despite normal hormone...

Infertility/Fertility: pregnancy, ivf program, gynecology center
ivf program, gynecology center, pregnancy question: Hi again, If you had the baby on January 31st, and it was exactly at the 40 week gestational age mark (exactly on the due date), then conception occurred aroun May 7th. However the problem with this calculation is that pregnancies don t always deliver...

Infertility/Fertility: prolonged period., hormonal dysfunction, depo shot
hormonal dysfunction, depo shot, birthcontrol: Dear Melissa, Thank you for your question. I won t be able to figure out what is wrong because you need to have some additional testing done. However, the most common reason for these types of bleeding episodes is a hormonal dysfunction, especially...

Infertility/Fertility: Regarding Conception, married indian woman, living in melbourne australia
married indian woman, living in melbourne australia, semen analysis: Dear Anitha, Thannk you for your question. Overall, you have been pregnant spontaneously twice and are still young so I am not worried that you will not be able to conceive naturally. I would recommend that you not worry about it too much as this worry...

Infertility/Fertility: re:breastfeeding, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sarah, The first thing you should do is wean your child off your breast. That is not the problem but contributing to it. By 13 months out, your periods should have returned, eventhough you are breastfeeding. Since it hasn t, you should first have...

Infertility/Fertility: Two Stillborn births!, stillborn births, condition warrants
stillborn births, condition warrants, obstetrical complications: Hello Again, It sounds like you are under appropriate care from the appropriate specialists. There are many cases of stillbirths or intrauterine fetal demises that we cannot explain. Sometimes it is called a cord accident whereby the cord gets clamped...

Infertility/Fertility: scar tissue and infertility, hysterosalpingogram hsg, scar tissue
hysterosalpingogram hsg, scar tissue, wellington florida: Dear Amy, We test our infertile patients to see if they have scar tissue from a prior c-section. Test that help determine this include imaging studies such as the hysterosalpingogram (HSG). If the HSG suggests there s scar tissue around the tubes or...

Infertility/Fertility: short luteal phase, short period?, short luteal phase, luteal phase defect
short luteal phase, luteal phase defect, initial blood test: Dear Danielle, Given that your cycles are somewhat shorter, and you re ovulating later in the cycle, a luteal phase defect could be possible, but only your doctor can diagnose that. There are ways to treat it with medication. Certainly being underweight...

Infertility/Fertility: strange clear vaginal mucus, vaginal mucus, clear mucus
vaginal mucus, clear mucus, cervical mucus: Hello Vanessa, One of the problems seeing a nurse practitioner is that because they have a limited knowledge base, they treat indiscimminately. As in your example, the nurse practitioner did not detect an infection, yet treated you with two antibiotics....

Infertility/Fertility: Am I supposed to have a period when we are trying to supress my ovaries??, ivf cycle, ivf centers
ivf cycle, ivf centers, ivf cycles: Dear Marusha, Thank you for your question. You should have been able to get that information easily from your IVF clinic. They are not doing a good job. You can have a period every month until the month preceding your IVF cycle. In that case, you...

Infertility/Fertility: TTC, molar pregnancy, depo shot
molar pregnancy, depo shot, eratic: Only your doctor can tell you exactly why your periods are irregular. They can do bloodwork to see if your hormones are imbalanced and whether you re ovulating correctly, which it sounds like you are not. You are most likely not pregnant as the home tests...

Infertility/Fertility: Tubes tied, vitro fertilization, tubal ligation
vitro fertilization, tubal ligation, ivf program: Dear Rebecca, The term tied is actually a misnomer. Basically, all tubal ligation procedures damage a portion of the tube causing the canal to be blocked off. There are various methods and the ability to repair them varies depending on the method. ...

Infertility/Fertility: Turning OFF the biological clock, tubal ligation, maternal instinct
tubal ligation, maternal instinct, biological clocks: Hello Helen, First of all, let s get the term biological clock straight. This term refers to the time that a woman can get pregnant and extends to the age of 40 years old. It is used to let women know that after a certain point, they will not be able...

Infertility/Fertility: trying to conceive, fertility medications, ivf program
fertility medications, ivf program, gynecology center: Hello Leigh-Anne, Thank you for your question. First, do not worry so much that you have not gotten pregnant yet. It has not been enough time. Most women in your age group take 12 months to get pregnant (85%). The culprit at this point is your irregularity....

Infertility/Fertility: trying to conceive, fertility evaluation, trying for a baby
fertility evaluation, trying for a baby, implantation: Dear Kerry, The blood test would show hcg hormones even if it was implantation bleeding, as they are very sensitive. It is likely due to your period being off, perhaps due to inconsistent ovulation. If this continues, you should consult your doctor. If...

Infertility/Fertility: ttc, pregnancy test, red blood
pregnancy test, red blood, ovulation: Jackie, It is possible that the light bleeding you saw was due to implantation and you could be at a very early stage of pregnancy. However, other issues may cause mid-cycle bleeding. I would wait another week or so and re-test. If it is still negative,...

Infertility/Fertility: We've been trying for 2 years and still haven't conceived..., low sperm count, intra uterine insemination
low sperm count, intra uterine insemination, fertility specialist: Dear Jackie, Your husband s low sperm count alone won t be a huge factor, as they can do Intra uterine Insemination to correct the low sperm count. You should also be evlauted, to make sure your fallopian tubes are open and your hormones are at the right...

Infertility/Fertility: What should I do?, birth control pills, low calorie diet
birth control pills, low calorie diet, low tsh: Dear KC, Your lack of a period suggests that you may not be ovulating, which is all indicated by your low hormone levels. This can be influenced by your low body weight and frequent exercise, so certainly increasing your caloric intake may help regulate...

Infertility/Fertility: 3 miscarraiges, ivf program, fetal anomaly
ivf program, fetal anomaly, pelvic ultrasound: Hello Tonneda, Technically you have a disorder called Habitual or Reurrent Abortion. You need to undergo an evaluation that will include genetic testing in both you and your husband, immune system testing, infectious disease testing, hormonal testing,...

Infertility/Fertility: Abnormal Period, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Darcy, You don t need to worry. This could be a normal variant. Women s periods can vary from cycle to cycle. They are not always exact. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center...

Infertility/Fertility: abnormal period after clomid, low grade fever, progesterone level
low grade fever, progesterone level, low progesterone: Hello Tina, 1. No. Clomid can sometimes cause the uterine lining to thin out. In this case, the blood retained within the uterine cavity rather than flowing out and so old blood turns brown and thick. 2. A progesterone level of less than 10 ng/ml...

Infertility/Fertility: Brown bleeding post speculum examination, ivf program, gynecology center
ivf program, gynecology center, menstrual cramps: Hello Anna, If you are not bleeding heavily then I think you can wait it out and not see a doctor. It is possible that she abraided your vagina, which is the source of the bleeding. It just needs to heal. The fact that the blood is brown signifies that...

Infertility/Fertility: baseline ultrasound & cyst, follicular cyst, wellington florida
follicular cyst, wellington florida, follicle size: Hi Christy, There are several criteria used to determine if meds can be started. One of them is residual follicle size, and in general I like them to be less than 15 mm. Hope this helps, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine...

Infertility/Fertility: blood and spermatozoids, vitro fertilization, immunologic response
vitro fertilization, immunologic response, ivf program: Hello Dragan, The testicle has a high level of blood vessels at every level. Therefore, traumatic injury can affect/cause bleeding at any level of the testicle. Bleeding does not necessarily contaminate the blood/testis barrier, but if it does, then there...

Infertility/Fertility: blood test, hormone blood test, lh hormone
hormone blood test, lh hormone, mri of the brain: Hi Again, An MRI is not needed or necessary or warranted with this low level of prolactin. In terms of PCO, any of the following symptoms or signs qualify but the hallmarks is irregular menstrual cycles. As I said before, it is a clinical diagnosis...

Infertility/Fertility: Clomid vs. injectables, emotional roller coaster, follicle size
emotional roller coaster, follicle size, emotional lability: Hello Kaitlyn, I don t think that you should necessarily rule out Clomid yet. Your first two rounds don t count. You are correct in that studies have shown that the majority of women will get pregnant by 4 tries of IUI. After that the pregnancy chances...

Infertility/Fertility: having children later in life, vitro fertilization, genetic abnormality
vitro fertilization, genetic abnormality, fertility drugs: Hello Danielle, By late 30 s I presume that you are asking about over the age of 35. By the way, that is still very young in my book. However, from a fertility point of view, that is old because the pregnancy rates have decreased significantly. To give...

Infertility/Fertility: clomid, clomid 150mg, chances of twins
clomid 150mg, chances of twins, ivf program: Hello Teresa, The chances of twins with Clomid is 12% per cycle. Your twins are not a genetic predisposition, but due to multiple eggs being ovulated from the Clomid. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility...

Infertility/Fertility: clomid, hcg trigger and 2 IUI's, donor sperm, gynecology center
donor sperm, gynecology center, monterey california: Hello Kai, There are two schools of thought for IUI s. One is to do only 1 IUI each cycle at around 33 hours post-HCG. The second is to do 2 IUI s at 24 and 48 hrs post-HCG. Once HCG is given the closest we can estimate is that ovulation will occur between...

Infertility/Fertility: clomid use for multiple miscarriage, ovulation predictor kit, low estrogen
ovulation predictor kit, low estrogen, fertility specialist: Hi, Are you seeing a board certified RE? I ve not heard of recurrent miscarriage being due to a low estradiol level at ovulation -- If someone has regular menstrual cycles and ovulates normally with a good progesterone blood level 7 days after ovulation,...

Infertility/Fertility: so confused, ivf program, fertility drugs
ivf program, fertility drugs, fertility specialist: Hello Martine, I am shocked that you were able to get this medication without a prescription and/or doctor s order. You should not take medications without being under the care of a doctor, especially fertility drugs. They have side effects and adverse...

Infertility/Fertility: Have i covered my bases?, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Again, Try the following schedule: cycle day#1 - period starts. Begin counting from here cycle day#9 - stop all intercourse cycle day#12 - begin intercourse daily for four consecutive days Keep in mind that the majority of women take 8-12...

Infertility/Fertility: D&C, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sweet, Yes it is possible to get pregnant after 4 D&C s if no damage was done to the uterus. The risk with D&C is if the doctor curettes the cavity to strong, scar tissue can be formed within the cavity. That can then prevent pregnancy. But if...

Infertility/Fertility: dont have pcod still not able to conceive, fertility problem, fertility specialist
fertility problem, fertility specialist, reproductive hormones: Hi Pooja, There are *lots* of possible reasons why someone might not be getting pregnant. Sperm needs to be tested, as should reproductive hormones in the female (a blood test on the third day of the menstrual cycle). A complete history and physical exam...

Infertility/Fertility: I have Endo and my tubes are distroid, lupron depot, ivf program
lupron depot, ivf program, ovarian hormones: Hello Julieth, It would be very difficult to be pregnant after two negative blood pregnancy tests. However, the symptoms that you have are very suspicious for pregnancy. I think I would recommend another blood pregnancy test to be absolutely sure. If...

Infertility/Fertility: Endometrial Ovary,polyp, Hypothyroid, No periods, hypo thyroid, ivf program
hypo thyroid, ivf program, fertility specialist: Hello Geetika, You have several problems going on that prevent you from getting pregnant. They each need to be treated and the treatment is different for each. I would recommend that you see a fertility specialist rather than a GP. This specialist doctor...

Infertility/Fertility: Fertility, endometrial biopsy, luteal phase
endometrial biopsy, luteal phase, ivf program: Hi Kenisa, Thank you for your question. I just wrote this list for another patient recently. The testing for infertility is more than blood tests. All the steps that your body goes through in order to have a pregnancy have to be tested. Your body goes...

Infertility/Fertility: Follicle Not releasing eggs?, signs of ovulation, ovulation kits
signs of ovulation, ovulation kits, chances of pregnancy: Hello Marie, Your current ovarian function has nothing to do with the previous endometriosis or hormones that you took. If the hormones were still in your system, your ovary would still not work. The fact that you are having or had regular cycles...

Infertility/Fertility: Late ovulation?, bfp
Infertility/Fertility: Late ovulation?, bfp

Infertility/Fertility: PCOS/D with very long period.., uterus
Infertility/Fertility: PCOS/D with very long period.., uterus

Infertility/Fertility: was i fertile??, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Melissa, Yes, it is possible although unlikely. The morning after pill works by making the uterine lining in-hospitable to implantation. It is not enough to reset the cycle and/or prevent ovulation if you took it early in the cycle like you did....

Infertility/Fertility: fertility, fertility medications, infertility treatments
fertility medications, infertility treatments, hsg test: Hello, If I understood your letter correctly, you have been trying for pregnancy for 7 months total since you were married. First of all, it takes most couples 8-12 months to get pregnant. So you definitely have not gone long enough to warrant infertility...

Infertility/Fertility: fertility, reproductive endocrinologist, fertility specialist
reproductive endocrinologist, fertility specialist, female fertility: Hi Lauren, No vitamins have been shown to improve female fertility. If you re having trouble conceiving, consider seeing a board certified reproductive endocrinologist/fertility specialist. Good luck, Dr. Roseff, Director - Palm Beach Center for Reproductive...

Infertility/Fertility: fetal size and miscarriage rates, ivf program, infertility issues
ivf program, infertility issues, vaginal ultrasound: Hello Saige, At this very early gestational age, size measurements are not accurate. The margin for error is plus/minus 7 days. So no determination can be made regarding the viability of the fetus. You ll have to wait for a 7-8 week ultrasound. However,...

Infertility/Fertility: first cycle after fertility injection treatment, ivf program, fertility cycle
ivf program, fertility cycle, injection cycles: Hello Danielle, Your cycle should return to normal, and you certainly could get pregnant after a fertility cycle as well. So if your cycle is late, you might want to get a pregnancy test. The good thing, that you need to remember is that you got pregnant...

Infertility/Fertility: follicles vs cysts, corpus luteum cysts, corpus luteum cyst
corpus luteum cysts, corpus luteum cyst, types of cysts: Hi Christy, There are certain types of cysts we expect to see at various points during the menstrual cycle. The follicle is usually ripe/mature around cycle day 15, at which time the size varies. It usually doesn t get much larger than 20 mm. After...

Infertility/Fertility: follicular cyst, birthcontrol pills, follicular cysts
birthcontrol pills, follicular cysts, fertility medication: Hello Again, An Antral follicle is the follicle(s) that you have in the ovary all the time, that have the eggs within. This is an unstimulated follicle. Usually when the ovary becomes stimulated, at the first half of the cycle, several antral follicles...

Infertility/Fertility: gestational question., fertility specialist, chances of pregnancy
fertility specialist, chances of pregnancy, leading hospital: Dear Bonnie, Your situation certainly seems unusual and I m sure very confusing to you. I m not sure I can give you a clear answer. I also want to make sure you understand that I am not a doctor and can only report from personal experience and research....

Infertility/Fertility: can a girl not menstrating yet get pregnant?, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello John, Yes because if she has intercourse in her very first ovulatory cycle, which would be before she had her first period, she could get pregnant in that cycle. However, ordinarily, 11 year olds are not sexually active yet, and also, the lack...

Infertility/Fertility: HCG levels after IVF, gynecology center, monterey california
gynecology center, monterey california, ectopic pregnancy: Hello Amirtha, BHCG levels should not decline. The fact that it did is a sign that the pregnancy is abnormal. It is most likely that it will end in a miscarriage. The other possibility is that there is an ectopic pregnancy or tubal pregnancy, so your...

Infertility/Fertility: Health, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hi Ashley, I caanot answer that question without doing an examintion. I would recommend that you see your gynecologist. It could be hormonal, infection, other dermatitis. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and...

Infertility/Fertility: healthy or not?, lower abdomen pain, blighted ovum
lower abdomen pain, blighted ovum, vommiting: Hello, It is certainly possible to have a normal pregnancy following a miscarriage. Usually most women do go on to have normal pregnancies after one or two miscarriages. The cramps you are having could be implantation related but you may wish to have...

Infertility/Fertility: help plz..., wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, clomid 100mg: Hi, Sorry to hear about your problems... I don t recommend taking the Prometrium and Clomid until after seeing a doctor -- What happened to you is clearly not normal, and simply proceeding with taking the meds again, let alone at double the dose of Clomid,...

Infertility/Fertility: Inability to Conceive?, molar pregnancy, chances of pregnancy
molar pregnancy, chances of pregnancy, fertile time: Dear Sue, Thank you for all the historical information. Your daughter was conceived 27 months ago, at the age of 41-42. At that age, the chances of pregnancy was 1% per year of trying. Now at 44 years old, the chances of pregnancy are very very low....

Infertility/Fertility: Infertility & Confused, ivf program, time intercourse
ivf program, time intercourse, fertility treatments: Hello Again, If you see a specialist as I suggested previously,that doctor will start your period for using using medication. It is an easy treatment. Then you will be ready to start another treatment cycle if that is appropriate. Sincerely, Edward...

Infertility/Fertility: Infertility Question, ovarian cysts, fertility issues
ovarian cysts, fertility issues, 19 years: Hello, Trying for only four months and having no pregnancy is not a huge concern, as it can take many people who have no fertility issues a year to conceive. If after a year you don t conceive, you should contact your ob/gyn for an evaluation. Ovarian...

Infertility/Fertility: IUI / AI, fertility medications, ultrasound at 6 weeks
fertility medications, ultrasound at 6 weeks, progesterone suppositories: Hello BLG, Artificial insemination or IUI is basically the same as IVF except that the eggs are not extracted. It starts with using fertility medications to increase the number of eggs ovulated. In general, I use oral medications because they are cheaper...

Infertility/Fertility: infertility, ivf program, chances of pregnancy
ivf program, chances of pregnancy, gynecology center: Hello Maryjane, First of all, you need to get a period and your doctor should treat you with either provera or the birth control pill to do that. Once your period is started you can start the treatment with the injectables. I would expect that the injectables...

Infertility/Fertility: infertility, normal testosterone levels, chances of pregnancy
normal testosterone levels, chances of pregnancy, unprotected intercourse: Hello Shari, You have or had a disorder called polycystic ovarian disease . This is an ovulatory dysfunction whereby the ovary does not ovulate on a regular basis. Because the ovary is dysfunctioning, it does not produce the appropriate levels of female...

Infertility/Fertility: infertility, scar tissue formation, severe menstrual cramping
scar tissue formation, severe menstrual cramping, ivf program: Hello Again, I couldn t give you any more specific information without doing an evaluation on you. Based on the information that you gave me, you have not undergone a complete infertility evaluation. I would recommend that you do so. The evaluation is...

Infertility/Fertility: infertility, clomid and metformin, progesterone level
clomid and metformin, progesterone level, fertility specialist: Hi, There s a blood test we do a week after presumed ovulation. It s called a progesterone level, and it tells us if someone did in fact ovulate after insemination. This is better than an ultrasound for telling if ovulation took place. As for moving on...

Infertility/Fertility: infertility-pcos, reproductive endocrinologists, fertility specialists
reproductive endocrinologists, fertility specialists, fertility specialist: Hi Amy, Since most board certified reproductive endocrinologists/fertility specialists know that the majority of women who WILL conceive on Clomid do so within 3-4 ovulatory cycles, and since you ve written that you ve been on Clomid for ONE YEAR, I m assuming...

Infertility/Fertility: infertility surgery & time-outs, exploratory laparotomy, infertility surgery
exploratory laparotomy, infertility surgery, scar tissue: Hi Again, Thanks for the additional information. As far as I am concerned, if there are no hydrosalpinges, then a tubal ligation is not required. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: I have one kidney....I m concerned, ivf program, depo provera
ivf program, depo provera, gynecology center: Hello Lisa, Thank you for your question. I am not sure why your surgeon made the comment that he did regarding your fertility. I guess it depends on whether or not he saw anything that was abnormal in your pelvis. Having only one kidney does not impact...

Infertility/Fertility: Late ovulation?, birth control pills, tiny cysts
birth control pills, tiny cysts, reproductive endocrinologist: Hi Jennifer, I m afraid I can t explain what is going on here. It is not any type of protocol that I have ever seen. It seems very haphazard. If there are no follicles to trigger, then ovulation cannot occur, and of course, pregnancy will not follow....

Infertility/Fertility: LH & FSH ratio, ovarian follicle, ivf program
ovarian follicle, ivf program, fsh and lh levels: Hello Again, This forum is not appropriate for a course or lecture on the bodies hormonal patterns, so I ll just give you a quick synopsis. At the beginning of the cycle, both FSH and LH are at the lowest levels. That is why we draw on cycle day # 2 or...

Infertility/Fertility: Lower abdomen pain, lower abdomen pain, ivf program
lower abdomen pain, ivf program, ovarian cyst: Hello, Since you have not had a period, there are several possibiliies including pregnancy, ectopic (tubal pregnancy, onset of your menstruation, ovarian cyst and bowel(intestinal) problems. I can t give you anything more specific than that. I cannot...

Infertility/Fertility: luteal phase defect and progesterone, implantation bleeding, fertility doctor
implantation bleeding, fertility doctor, basal temperature: Hello Julie, It sound like you are correct with the diagnosis of LPD because of a shortened second half of the cycle. The progesterone is an appropriate treatment for this, and the dose given is adequate. The only difficulty is on progesterone it can...

Infertility/Fertility: Moderate Bleeding Through LP, moderate acne, family lp
moderate acne, family lp, antibiotic cream: Hello again, Thanks for the follow-up. I think it would be a good idea to see a fertility specialist. We are reproductive endocrinologist, which means that we specialize in reproductive hormonal disorders. This specialist should be able to help you with...

Infertility/Fertility: miscarriage, fertility specialist, egg quality
fertility specialist, egg quality, chromosomal abnormalities: During your past three miscarriages, have the doctor s tried to figure out the cause? Was the tissue examined for chromosomal abnormalities? Sperm and egg quality can affect this, especially with advanced reproductive age. Going on clomid will not prevent...

Infertility/Fertility: miscarriage, ivf program, gestational sac
ivf program, gestational sac, abnormal pregnancy: Hello Kelli, Based on the information that you gave me, and based on the LMP of 11/17, the first HPT on 12/12 would have been too early, whereas the second was at an appropriate time and would have detected the pregnancy. That would put the US on 1/12...

Infertility/Fertility: Ovarian Failure at 32?, clomid challenge, mature egg
clomid challenge, mature egg, donor egg: Hello Kate, At your age, the outcome of your IVF cycles were certainly unusual. I have not seen that before, but that may be because I use different protocols. I use a protocol called a mixed protocol , which uses both Follistim (purified fSH) and Menopur...

Infertility/Fertility: ovulating yet?, depo provera shot, ivf program
depo provera shot, ivf program, surragacy: Hello Kristina, The mirena is a progesterone IUD and suppresses both ovarian function and uterine lining development. It is just like taking the Depo provera shot. You will not have a menstrual cycle and will not ovulate. In fact, this IUD is also used...

Infertility/Fertility: ovulation-heavy bleeding and conception, ovulation induction, ivf program
ovulation induction, ivf program, infertility specialist: Hello Nicol, If you had fairly heavy bleeding vaginally, that is a sign of breakdown of the endometrial lining. It is unlikely that there would be implantation from this. But, you never know. I have seen many miracles occur so nothing is absolutely for...

Infertility/Fertility: PCOS/D with very long period.., insulin level, insulin resistance
insulin level, insulin resistance, female reproductive problems: Hello Shawn, I think you should go visit your Ob/Gyn doctor because the treatment is not appropriate. In order to stop your bleeding, you probably need to go on the birth control pill for a short course (1 tablet 3 times per day for 7 days), which will...

Infertility/Fertility: Progesterone after IUI, lack of progesterone, progesterone production
lack of progesterone, progesterone production, ivf program: Hello Karin, The fact that you stimulated, does not guarantee that there will be adequate progesterone production. Progesterone production is a result of corpus luteum formation, which is a cyst formed from the ovulated follicle. Sometimes this does not...

Infertility/Fertility: pcos/folicles to small, pcos patients, fertility doctor
pcos patients, fertility doctor, gynecology center: Dear Maria, Your doctor is following the correct treatment pathways. He is right. The next step is to use injectable medications. PCOS is the most likely diagnosis for you. The only problem with PCOS patients and injectables is that they tend to overstimulate...

Infertility/Fertility: No period after D&C for 3 Months, scar tissue formation, birth control pills
scar tissue formation, birth control pills, incomplete abortion: Hello Laura, There are several possiblities causing you not to have a period after birth control pills. That is certainly unusual, however, not unheard of will today s low dose pills. At this point, I would proceed as follows: 1. Hormonal testing...

Infertility/Fertility: pregnancy, ivf program, infertility specialist
ivf program, infertility specialist, infertility evaluation: Hello Again, Yes. I DO NOT recommend the D&C or Laparoscopy at this time. I recommend that you go see a FERTILIY SPECIALIST, rather than another gynecologist. I do not think that you are being given the proper advice. If you see the proper fertility...

Infertility/Fertility: pregnancy, ivf program, gynecology center
ivf program, gynecology center, irregular periods: Hello Bonnie, Based on the due date of April 12, conception would have occurred around July 19th. It is not possible to have conceived on June 7. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: problems getting pregnant, irregular ovulation, ovulation predictor
irregular ovulation, ovulation predictor, male fertility: Hello, Taking Clomid will not necessarily help your problem, which is due to your husband s sperm. It only resolves issues that are related to irregular ovulation. Your doctor will or should recommend another method, after a few cycles of no success with...

Infertility/Fertility: provera working?, dark brown discharge, 28 days later
dark brown discharge, 28 days later, reproductive hormones: Hi Cat, It s possibly a sign of a Provera re-set , though not easy to tell without a blood test to look at your reproductive hormones and see if this was a true period or not. If you don t bleed a month from this brown discharge, let your doc know so...

Infertility/Fertility: questions, male hormone testosterone, reproductive endocrinologist
male hormone testosterone, reproductive endocrinologist, irregular periods: Hello Hope, You definitely have an ovarian dysfunction, and the most common disorder is called polycystic ovarian syndrome. Disregard the term polycystic because it has no relevance to the problem other than if an ultrasound is done, the ovary has...

Infertility/Fertility: Re: Multiple failed ivf attempts, implantation failure, estrogen patches
implantation failure, estrogen patches, embryo quality: Hello Saabasa, It is highly unusual for a 34 year old woman with good stimulation, fertilization and embryo development to fail after 3 fresh and 2 frozen IVF attempts. Something is definitely going on, but I will be unable to pinpoint it without a close...

Infertility/Fertility: Sex & Babies, reproductive endocrinologist, fertility evaluation
reproductive endocrinologist, fertility evaluation, sex babies: Hello, Two years is longer than it should take to conceive. I would suggest making an appointment with your ob/gyn or a reproductive endocrinologist to do a fertility evaluation to see what is going on. They can do some tests on you and your partner,...

Infertility/Fertility: Soy Isoflavones and Clomiphene citrate, estrogen receptors, clomiphene citrate
estrogen receptors, clomiphene citrate, soy isoflavones: Hi, I m not aware of any published studies looking at the combination effects of Clomid with soy isoflavones. Soy products bind very weakly to estrogen receptors, so I wouldn t think there would be any significant interactions. As an aside, please make...

Infertility/Fertility: Sperm anylsis report, inflammatory cells, routine examination
inflammatory cells, routine examination, spermatozoa: Hello, Given that your motility is fairly low, should be at least 50%, there might be difficult conceiving. There are methods to assist you and your partner, such as IUI or IVF. However, there is always a chance given that you do have some good sperm...

Infertility/Fertility: Sterile and Pregnant, relationship counselor, sperm count
relationship counselor, sperm count, old boyfriend: Dear Bonnie, If he was told he was sterile by a medical doctor, it is unusual that you would get pregnant from him. It s possible that he is questioning how you got pregnant and is questioning infidelity. However, it only takes one sperm to get pregnant,...

Infertility/Fertility: Surrogacy after menopause, ivf program, women giving birth
ivf program, women giving birth, gynecology center: Hello Barbara, As long as your uterus and health are healthy, age is of no consequence for surrogacy. You could certainly be the surrogate. However, because of your age, you are at increased risk for obstetrical complications such as diabetes, hypertension,...

Infertility/Fertility: several late periods, but no pregnancy, late periods, pregnancy test
late periods, pregnancy test, ovulation: Hello, If your periods are running several days late, you are probably ovulating later than the typical day 14. Trying several days later than usual may help your chances. If the egg fertlized and didn t attach, this would not affect your period being...

Infertility/Fertility: what sould i aspect?, endometrial biopsy, luteal phase
endometrial biopsy, luteal phase, progesterone level: Hello Joanne, Indeed you need to undergo a basic infertility evaluation. This is not done in the hospital but can be done in a clinic. In the U.S., it involves checking each step in the process your body goes through in order to become pregnant. It will...

Infertility/Fertility: Taking gonal f late, ivf program, gynecology center
ivf program, gynecology center, fertility treatment: Hello Meg, No, but the problem with delaying for so long is that there will be a drop in the steady level of hormone in your blood stream. Hopefully, it will not have an affect, but you could lose some follicles that had started to grow. You should definitely...

Infertility/Fertility: Trying to conceive, irregular ovulation, taking time
irregular ovulation, taking time, blood test: Hello, If your periods are irregular and occuring only every 60 days, you are probably not ovulating regularly. You might wish to consult your ob/gyn regarding this issue as it will impact your ability to get pregnant. It can take up to a year to conceive,...

Infertility/Fertility: Tubal, Ablations and Pregnancy, ivf program, lower abdominal pain
ivf program, lower abdominal pain, tender breast: Hello April, You can easily find out if you are pregnant by doing a pregnancy test. Otherwise, if your doctor did the two procedures correctly, there is a very very very low chance that you could become pregnant. Because you are still ovulatory, meaning...

Infertility/Fertility: trompa tapada y otra medio obstruida, ivf program, fertilizacion in vitro
ivf program, fertilizacion in vitro, guadalajara mexico: Hola Sra Regina, Porque usted solamente tiene una trompa, y esta trompa es anormal, yo no recomendo que usted trata por embarazo naturalmente. La riesga que tiene es por un embarazo ectopico, cuando el embryo implanta en la trompa. Porque la trompa es...

Infertility/Fertility: tubal ligation reversal, ivf with icsi, achieving pregnancy
ivf with icsi, achieving pregnancy, egg quality: Hello, Given your age, the success rate for IVF varies upon the clinic, but is usually around 20% per cycle. You may need to try a few more cycles before achieving pregnancy. The quality of your eggs can be a factor, which your doctor can discuss with...

Infertility/Fertility: can u help?, ivf program, abnormal pregnancy
ivf program, abnormal pregnancy, vaginal ultrasound: Hello Laura, The BHCG hormone levels would be too low for anything to be seen on ultrasound, but also, they are not rising normally. Normally, the BHCG s would double every two days. Obviously, yours are not. This is an indication of an abnormal pregnancy....

Infertility/Fertility: ultrasound measurements, crl measurements, ultrasound measurements
crl measurements, ultrasound measurements, fetal measurements: Hello Christy, Your meassurements are fine and right on the mark. There are no issues here. CRL is the best measurement for gestational age and progress. I would recommend that you not listen to comments from the ultrasound tech. They are not supposed...

Infertility/Fertility: unexplained infertility ?, male factor infertility, intrauterine insemination
male factor infertility, intrauterine insemination, unexplained infertility: Hello Again, It is of concern because you don t know exactly what it is. The likelihood is that it is a benign tumor of some sort, but until it is removed and biopsied, you don t know for sure. It would not affect your ovarian function or reserve. ...

Infertility/Fertility: I want to donate my eggs, egg donors, egg donor
egg donors, egg donor, gynecology center: Hello Jennifer, Egg donors are utilized through an IVF center. You can search the internet and find the nearest IVF center and contact them. There are egg donor agencies all over the U.S. Again, searching the internet is the best way to find them. You...

Infertility/Fertility: what could it be, ivf program, signs of pregnancy
ivf program, signs of pregnancy, gynecology center: Hello Tera, Yes, those could be the signs of pregnancy but can be other things as well. The simple thing to do is have a pregnancy test done. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center...

Infertility/Fertility: 5 IVF failure, low dose aspirin, ivf pregnancy rates
low dose aspirin, ivf pregnancy rates, dose heparin: Hello Razoune from Syria, I would not do a laparoscopy if you are going to continue with IVF. However, I would need to review all your IVF records to see what was done and what may not have worked. IVF results are highly variable and very dependent...

Infertility/Fertility: 8 Week scan, yolk sac, ivf program
yolk sac, ivf program, gynecology center: Hello Jane from Ireland, Your CRL measurement is consistent with 8 weeks 6 days gestational age, so it is consistent with your dates. There is no foundation for the comment regarding the yolk sac size and Down s syndrome. You should report that comment...

Infertility/Fertility: Amenorrhea, sex hormone levels, mild hypothyroidism
sex hormone levels, mild hypothyroidism, endometrosis: Hi Again, This certainly should have been something that your Endocrinologist should have taken care of for you, so I am perplexed. Certainly the hypothyroidism could lead to increased weight gain. The decreased sex hormones would not be the cause. If...

Infertility/Fertility: Conceiving after D & C, thyroid levels, asherman
thyroid levels, asherman, pregnancy test: Hello Ashley from the U.S., Asherman s syndrome is definitely a possible complication from D%26C but usually rather rare. However, considering how things have become a little more difficult, it cannot be ruled out without some testing, either an HSG or...

Infertility/Fertility: Ct scans and ovarian damage, intensity radiation, abdominal ct scan
intensity radiation, abdominal ct scan, ivf program: Hello Lyn from the U.S. Sorry for the delay in this response. I went away for a meeting, and although I answered all my questions prior to leaving, I guess some posted after I left. I did not have access while away. Abdominal CT scan does not have...

Infertility/Fertility: clomid and ovulation, clomid and ovulation, center for reproductive medicine
clomid and ovulation, center for reproductive medicine, clomid: It s possible Gia, but generally not that normal. Make sure your doctor does blood tests and ultrasounds to see if that s what s happening to you. Good luck! Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington, FL Visit us...

Infertility/Fertility: clomid resistent, ivf program, combination regimen
ivf program, combination regimen, pco patients: Hello Dana from the U.S., The only alternative would be a drug called Femara (Letrozole). It works like Clomid (indirectly) and can be given in doses of 2.5, 5.0 and 7.5 mg. It is taken for five consecutive days just like Clomid. Another alternative...

Infertility/Fertility: Dermoid Cyst, open laparotomy, preserving eggs
open laparotomy, preserving eggs, fallon nevada: Hello Ky from the U.S., A skilled gynecologist will usually remove the Dermoid cyst without sacrificing the ovary. Make sure that your s will do that. The procedure is called a cystectomy. There is no reason the ovary should be removed. The technology...

Infertility/Fertility: Don't want to have gotten my girl pregnant. worried!!, dry humping, nxt
dry humping, nxt, basket ball: Hello Again, Unfortunately, Chris, this is not a blog site, but a question and answer site. So, it will be hard to get widespread feedback. You might want to check out a blog site or twitter, and maybe you ll get some responses from your peers that have...

Infertility/Fertility: delayed puberty, fsh and lh, hypoplastic uterus
fsh and lh, hypoplastic uterus, donor ivf: Hello Felicity from Kenya, Since you haven t given me your exact FSH and LH numbers, I can t answer this with complete certainty. However, an elevated FSH level and no periods indicates that the ovaries are not functioning. If the levels are over 20,...

Infertility/Fertility: difficulty concieving, infertility evaluation, ivf program
infertility evaluation, ivf program, fertility specialist: Dear Flossie from Zambia, Thank you for your question. In the U.S., we define infertility as a woman who has been unable to conceive after 1 year of trying. You have exceeded that. Therefore, you need to have an infertility evaluation done. If you are...

Infertility/Fertility: dont know why im not having my period anymore?, fsh lh, ivf program
fsh lh, ivf program, casa grande az: Hello Natalie from Arizona, Something certainly has changed to affect your cycles. That needs to be evaluated. The proper protocol is to: 1. check a pregnancy test. 2. if this is negative, you can be give progesterone pills (not necessarily an injection)...

Infertility/Fertility: Endometrial Cyst, scar tissue formation, gynecology center
scar tissue formation, gynecology center, monterey california: Hello Georgina from the U.K., Yes, an endometriotic cyst is a form of endometriosis. In fact, the finding of an endometriotic cyst (called an endometrioma), is usually classified as stage IV endometriosis (severe). It causes extensive scar tissue formation...

Infertility/Fertility: Estrogen Levels, ivf cycle, estrogen levels
ivf cycle, estrogen levels, egg quality: Hello Donna from the U.S., As the ovary is stimulated and more follicles are recruited and they get bigger, they produce more estrogen. Hence, the estrogen level increases. The goal is for the estradiol level to be under 4000 so that there is minimal...

Infertility/Fertility: Failed IVF, frozen embryo transfer, implantation failure
frozen embryo transfer, implantation failure, secondary infertility: Hello Kristen from the U.S., Let me answer your question sequentially: 1. Implantation failure can occur from either an embryo problem or a uterine problem. We don t exactly which may have occurred and there is no way to test for this. Implantation...

Infertility/Fertility: Failed IVF-worth trying again?, antral follicles, elevated fsh level
antral follicles, elevated fsh level, infertility patients: Hello Titi from the U.S., I am afraid that I don t agree with your RE s conclusion. There have been several studies looking at a subset of infertility patients called poor responders , who are people that have an elevated fSH level and don t stimulate...

Infertility/Fertility: Fallopian Tubes, ivf embryos, fertilization ivf
ivf embryos, fertilization ivf, ivf success rate: Hello tumisang, I m so very sorry to hear your disastrous news. Why did the doctor cut your wife s fallopian tubes? When the tubes have been cut, the options for subsequent pregnancy include the possibilities of: a) Microsurgical tubal anastomosis...

Infertility/Fertility: Fertility after Chemo and Radio Therapy, golf practice ball, elevated fsh level
golf practice ball, elevated fsh level, fertility medications: Hello CE from Spain, Based on your hormone tests, you still have normal ovarian function. That is, you are still ovulatory. However, the FSH level is elevated from a fertility point of view. We generally like the FSH level to be 7 or less. We worry...

Infertility/Fertility: Fertility problem, fertility medication, ivf program
fertility medication, ivf program, fertility chart: Hello Cristina from the U.S., It sound like you might have an ovulatory dysfunction. I don t know how long you have been trying, but if you don t get pregnant on your own after 8-12 months of trying, you should see a fertility specialist for an evaluation...

Infertility/Fertility: fertility, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Again, All steroids can have anabolic properties, and therefore an affect on sperm production. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com ...

Infertility/Fertility: Growth hormone during IVF, ivf program, achieving pregnancy
ivf program, achieving pregnancy, egg quality: Hello Alison, There are no data to support the use of Growth Hormone with IVF. I know that physicians try everything that they can think of when previous cycles failed, but this is not one I can advocate. The secondary effects of growth hormone are...

Infertility/Fertility: Hcg injection after ovulation?, ivf program, gynecology center
ivf program, gynecology center, menstrual cramps: Hello Krish from India, HCG is usually given to trigger the ovulation. It can also be used to help supplement the luteal phase in place of progesterone. Some physicians use it for this, but most use progesterone. I do the first pregnancy test at...

Infertility/Fertility: High Estradiol Levels, miscarriage at 14 weeks, high estradiol levels
miscarriage at 14 weeks, high estradiol levels, unexplained infertility: Hello Deanna from the U.S., Your infertility is not necessarily unexplained . You have the age factor working against you. That is enough to make it difficult for you to get pregnant. For that reason, the increased stimulation and increased number...

Infertility/Fertility: High FSH levels and pregnancy, high fsh levels, estrogen production
high fsh levels, estrogen production, vaginal lubrication: Hello Beth from the U.S., Happy Birthday! Based on the FSH levels, you are in menopause, and by the way, congratulations on the new relationship. I can t explain the bleeding but that is definitely abnormal. I doubt that it is due to pregnancy, but cannot...

Infertility/Fertility: Infertility, tubal factors, statistical odds
tubal factors, statistical odds, gynecology center: Hello Kimberly from the U.S., Your chances of conceiving naturally with tubal factors is 1% or less. That doesn t mean you can t get pregnant naturally, I have seen many people beat the statistical odds, but it is very low. Then you have to add the age...

Infertility/Fertility: Infertility blood test results, infertility conference, luteal phase defect
infertility conference, luteal phase defect, ovulation induction: Hello Laura from Canada, I apologize for the delay in getting back to you. I went to the U.S. National Infertility Conference, and although I answered all the questions before I left, some much have been placed after that. All your lab values are normal....

Infertility/Fertility: IVF with an Egg Donor?, natural killer cells, lupus anticoagulant
natural killer cells, lupus anticoagulant, seven eggs: Hi, Sorry to hear you haven t been successful to date. I ll do my best to answer your questions, but you have to realize that it s impossible (and illegal) to answer your questions directly since I don t have you entire medical history, haven t examined...

Infertility/Fertility: IVF and my loses, ivf program, egg quality
ivf program, egg quality, gynecology center: Hello Anna from Canada, In answer to your question, yes, the embryos can be easily transferred to another clinic for an FET. It can be arranged through your current clinic or new clinic. You have to keep in mind that age has a big impact on your success....

Infertility/Fertility: imbalance?, ivf program, gynecology center
ivf program, gynecology center, thyroid function: Hello Rebecca from the U.S., Temperature regulation is most often an indicator of thyroid function, which is responsible for metabolism. If you are having wide variations in temperature, you might want to have the thyroid tested. In addition, fevers can...

Infertility/Fertility: infection/antibiotics/pregnancy, bacterial vaginosis, ivf program
bacterial vaginosis, ivf program, gynecology center: Hello Claire from the U.K., You can go ahead and take them now. There will be no adverse affect. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com...

Infertility/Fertility: infertility, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Kayla from the U.S., I m afraid that I cannot answer your question, because I cannot foresee the future. I wish that I could :) Your main problem is that you are not ovulating on a regular basis. Without ovulation, the egg is not released from...

Infertility/Fertility: irregular period, irregular menstrual cycles, pco patients
irregular menstrual cycles, pco patients, history of breast cancer: Hi Stacey from the U.S., The term multifollicular is a descriptive term meaning lots of follicles. This finding is consistent with polycystic ovarian disease, polycystic meaning lots of cysts or lots of follicles. It is the most common reason for...

Infertility/Fertility: irregular periods and fear of infertility..writing from NY, ovulation induction, infertility patient
ovulation induction, infertility patient, fertility medication: Hello Darla from the U.S., It sounds like you have an ovarian dysfunction that is causing you not to ovulate and therefore, no regular menses. If this is the only problem preventing you from getting pregnant, you will need to go on fertility medication...

Infertility/Fertility: Luteal Phase Defect and clomiphene, high progesterone level, fertility medication
high progesterone level, fertility medication, progesterone levels: Hi Jane, We use either Crinone or Endometrin, rather than vaginal Prometrium. Prometrium is not approved by our FDA for vaginal use, but Crinone and Endometrin are. They are sometimes helpful for early endoemtrial breakdown. Pap and regular U/S won...

Infertility/Fertility: Mercury level in the body, deep ocean fish, 34th week of pregnancy
deep ocean fish, 34th week of pregnancy, ivf program: Hello Mrs. Satish from India, Mercury levels are checked by blood test. You need to see a doctor who can order the test for you. Excessive mercury levels during pregnancy can lead to fetal defects including brain abnormalities such as mental retardation....

Infertility/Fertility: Miscarriage Wait, conceiving twins, gestational sac
conceiving twins, gestational sac, labor day weekend: Hello Again, 1. Hysteroscopy is superior because you are actually looking inside the cavity rather than looking at outlines of the cavity. 2. CGH is totally experimental at this stage and has not been shown to increase pregnancy rates. In fact, it may...

Infertility/Fertility: Number of Follicles for IVF, typical protocol, unexplained infertility
typical protocol, unexplained infertility, menopur: Hi Kristen from the U.S., You are correct that this has not been a very good stimulation. 7 follicles is a low number for somone in your age group and FSH level. You are on a very low protocol so that may explain the low response. My typical protocol...

Infertility/Fertility: Ovulation, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Kristin from the U.S., Normally, the follicle has to reach 20-24 mms to ovulate. That would have been on cycle day # 13 or 14, so the pain that you had on cycle day#13 was probably ovulatory pain. If you had intercourse on CD#12-14 then you timed...

Infertility/Fertility: PCOS and bioidentical progesterone cream, bioidentical progesterone cream, irregular menstrual periods
bioidentical progesterone cream, irregular menstrual periods, embryo implantation: Hello Again, You would only use the progesterone cream prior to starting the birth control pill. Do not continue it after that. Birth control pills already have a high dose amount of progesterone in them. Also, if you are doing IVF, you should follow...

Infertility/Fertility: pcos, saturday sunday monday, ivf program
saturday sunday monday, ivf program, ovulation predictor: Hello Cherisse from the U.S., The protocol I prefer is for patients to have intercourse every day, once per day, only one ejaculation per episode for a four day period starting the day after HCG. So in your case, if you had HCG on Friday, you should have...

Infertility/Fertility: pcos and pregnancy, pcos and pregnancy, ovulation induction
pcos and pregnancy, ovulation induction, fertility medication: Hello Madelaine from the U.K., Yes. If have you the diagnosis of PCOS, that means that you have an ovarian function and do not ovulate on a regular predictable basis. It also means that your hormones are out of sync. As long as there are no other problems,...

Infertility/Fertility: no period for 2 months from stress, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Jessica from Canada, Although stress can affect your cycles, it rarely causes one to miss periods. Usually, it only lengthens the cycle. With the irregular cycles you have been having, there is a likelihood of an ovarian dysfunction. You need...

Infertility/Fertility: permanent infertility from past infections?, scar tissue formation, unicellular microorganism
scar tissue formation, unicellular microorganism, fertility treatment: Hello Lynn from the U.S., The main problem with this variety of infections, is that some of them could have led to tubal damage. That is, the bacteria ascend into the tubes leading to inflammation and scarring. Once the tubes are damaged, they do not...

Infertility/Fertility: Is it possible to ovulate if clomid is taken on the wrong day?, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Courtney from the U.S., I am sorry for the delay in this answer. I left to go to a meeting, and although I completed all the questions before I left, but apparently some were posted after I left. I did not have access to email at my meeting. ...

Infertility/Fertility: pregnancy/childbirth after back surgery, l5 s1, fertility specialist
l5 s1, fertility specialist, pregnancy and labor: Hello Joyce from the U.S., First of all,keep in mind that chiropractors know absolutely nothing about obstetrics. Second, if you have recurrent back pain, you may have another bulging disc, so I would recommend that you go and see a back surgeon. Pregnancy...

Infertility/Fertility: progesterone cream, bbt charts, natural progesterone cream
bbt charts, natural progesterone cream, ivf program: Hello Catie from the U.S., You should not be starting the progesterone cream until after you ovulate, so the cream should not affect your BBT. The temperature rise with BBT charts is due to the rise in progesterone. If you use it before ovulation, your...

Infertility/Fertility: prometrium, clomid ovulation, short luteal phase
clomid ovulation, short luteal phase, progesterone supplementation: Hello Zana from Canada, I don t think that your OB/GYN doctor is the right person for you. Certainly if you have a short luteal phase then you need the progesterone supplementation. The lack of it is called luteal phase defect. This lack of progesterone...

Infertility/Fertility: Regarding Missed Abortions!!, antiphospholipid antibody, recurrent abortions
antiphospholipid antibody, recurrent abortions, recurrent miscarriages: Hello Again, Congratulations on your pregnancy. Your bHCG hormone tests look good. I would continue all the medications as your doctor as recommended at this point. Progesterone is best given vaginally rather than orally. It goes directly to the uterus...

Infertility/Fertility: We're doing IUI at home,and i've been told my problem w/conception is stress., fertility specialist, regular periods
fertility specialist, regular periods, pcod: Hello Kelley from the U.S., If you have regular menstrual cycles, that means that you are ovulating. I presume that you were having regular cycles before taking the Metformin, is that correct? The main problem with PCOD is that it causes the ovary to...

Infertility/Fertility: recurrent miscarriage and factor v leiden, kings college hospital london, factor v leiden
kings college hospital london, factor v leiden, kings college hospital: Hello Nicola from the U.K. Factor V caused recurrent miscarriage through an increased risk of blood clots at the tiny vessels feeding the pregnancy. Therefore, the key to treatment is to use medications that decrease this clotting. Obviously the low dose...

Infertility/Fertility: SECONDAY INFERTILITY?!, hormone prolactin, ivf program
hormone prolactin, ivf program, infertility evaluation: Hello Alexandra from the U.S. There certainly is something preventing you from getting pregnant, but you will need tdo undergo an infertility evaluation in order to find out what the problem is. I cannot give you any answers without an evaluation. One...

Infertility/Fertility: Smoking and egg donation, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Tabitha from the U.S., There is no specific timeline from quitting smoking to donation of eggs. It will be up to the specific clinic and/or donor agency. You ll have to inquire with them. Yes, FDA donor requirements do not allow anyone to participate...

Infertility/Fertility: scar tissue, birth control pills, vitro fertilization
birth control pills, vitro fertilization, ivf program: Hello Sarah from Canada, I am not sure how your diagnosis was made without having had surgery. Scar tissue is usually only diagnosed by a surgery called a laparoscopy. But, assuming you have scar tissue, and it is bad, this could be caused from a previous...

Infertility/Fertility: secondary infertility on clomid, home ovulation tests, ovulation predictor kit
home ovulation tests, ovulation predictor kit, infertility clinic: Hi, Most women who don t have a positive ovulation predictor kit (but do have regular menstrual cycles) are ovulating (despite not having an LH surge on the kit). If a woman ovulates regularly and normally, and if she takes Clomid anyway, it may PREVENT...

Infertility/Fertility: sperm, ivf program, fertility blend
ivf program, fertility blend, chances of pregnancy: Hello Ashish from India, There are no diets that can improve sperm counts, and whether or not the medications I will recommend will help or not depends on how bad the sperm count is, and what the primary problem is. If the sperm count is 10-20 million,...

Infertility/Fertility: Tamoxifen for infertility, estrogen receptors, estrogen levels
estrogen receptors, estrogen levels, gynecology center: Hello Again, Amenorrhea should not be unexplained. There must be a reason for it. Hormone blood testing will usually reveal the answer. If the FSH and LH levels are low or nonexistent, then it is pituitary or hypothalamic. If they are normal, then...

Infertility/Fertility: ttc, fertility medication, ivf program
fertility medication, ivf program, depo provera: Hello Lily from Oregon, If you are continuing to have irregular cycles, then it is an indication that the ovaries are not functioning correctly. This could certainly inhibit your chances of pregnancy. You need to undergo evaluation to find out exactly...

Infertility/Fertility: Ultrasounds, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Eve from the U.S., Usually it takes two dating ultrasounds to determine the approximate date of delivery ( EDD ). The first is usually done between 7-9 weeks and the second two weeks later. If both confirm the first EDD (the one done at 7-9 weeks,...

Infertility/Fertility: Vaginal Tear/Pain, ivf program, latex allergies
ivf program, latex allergies, gynecology center: Dear Mike from the U.S., I m afraid I can t answer this question for you without doing a thorough examination. Your girlfriend should undergo examination fairly soon after your episodes together so that the gynecologist can see if there is something torn...

Infertility/Fertility: Absent periods, side effects of clomid, insulin level
side effects of clomid, insulin level, high insulin: Hello F from South Africa, An elevated insulin level on its own does not make the diagnosis for PCOS. However, approximately 50% of PCOS patients are found to have an elevated insulin level, and treatment of this will result in normal ovarian function...

Infertility/Fertility: Amenhhorea, birth control pills, body fat content
birth control pills, body fat content, purge cycle: Hello Bunga from the U.S., Your gynecologist is incorrect in advising that not having a period is okay. It is not okay for lots of reasons, one of which is that you may have a hormone imbalance that can have negative long term effects on your body. At...

Infertility/Fertility: i was born with out a uterus, uterus transplant, congenital abnormality
uterus transplant, congenital abnormality, gynecology center: Hello Alyssa from Texas, What you have is a congenital abnormality where the bottom part of the genital tract did not develop. Sometimes this can be due to a chromosomal abnormality, so you will need to have that checked. I cannot tell you what caused...

Infertility/Fertility: Clomid vs injections, home pregnancy tests, estrogen receptors
home pregnancy tests, estrogen receptors, functional cyst: Hello Kim from Thailand, Yes, the injectables have a higher chance for multiples because they are stronger medications. They have to be used carefully and your doctor needs to do ultrasounds to make sure you are not stimulating too strongly. Clomid...

Infertility/Fertility: Concerned : Infertile ?, bloodclotting, abnormal periods
bloodclotting, abnormal periods, heavy blood: Hello Lida from the U.S., It is not uncommon for women to have variations in menstrual cycles and bleeding. That can be normal. Much of what you described to me sounds normal, but without doing an evaluation and examination, I cannot be sure. In terms...

Infertility/Fertility: duluton l tab and diamet tab 850 mg uses, fertility medications, infertility patients
fertility medications, infertility patients, fertility specialist: Hello Sangeetha from INdia, Diamet is an insulin inhibitor, also known as metformin, to reduce the insulin levels in your blood if they are elevated. This is often found in infertility patients that have a condition known as Polycystic ovarian disease/syndrome,...

Infertility/Fertility: why are my E2 levels dropping while on follistim?, pcos patient, gynecology center
pcos patient, gynecology center, facebook: Hello Elyse from the U.S., If the E2 drops despite the follistim, that is an indication that the follicle is either not growing or deteriorating. It is the growing follicle that produces the estradiol. You are correct, this heralds a poorer prognosis....

Infertility/Fertility: Early miscarriage, home pregnancy tests, chemical pregnancies
home pregnancy tests, chemical pregnancies, early miscarriages: Hello Julia from the U.S., I cannot acknowledge that you were pregnant and miscarried either. First of all, most chemical pregnancies would last a little longer. That is, you would be late for your period. In the ones where the period comes on time,...

Infertility/Fertility: Fertility & Depo-Provera, depo provera shot, depo provera
depo provera shot, depo provera, english speaking doctor: Hello Tracy from Argentina, I am surprised that you can t find an English speaking doctor in Argentina. Maybe you should look for a Reproductive specialist specifically, and most of them do speak English. If you still can t find one, then you should return...

Infertility/Fertility: why are my E2 levels dropping while on follistim?, bfp, rise and fall
Infertility/Fertility: why are my E2 levels dropping while on follistim?, bfp, rise and fall, ers

Infertility/Fertility: no periods, relevant forums, physical shape
Infertility/Fertility: no periods, relevant forums, physical shape, typical type

Infertility/Fertility: fertility, vitro fertilization, ivf program
vitro fertilization, ivf program, gynecology center: Hello Melissa from the U.S., In order for you to do what you plan, you will have to do IVF (In Vitro Fertilization) with a surrogate (you sister). In this procedure, your ovaries are stimulated to grow many eggs, these are retrieved from your ovaries,...

Infertility/Fertility: Help,pls, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Clarin from Poland, You don t need to worry. What occurred is a result of the pills that you took. With a period on 12 Oct, the 19th was only cycle day # 7 and not a fertile period in your cycle. However, because you took the birth control pill,...

Infertility/Fertility: Infertility, emergency contraceptive pill, fertility medications
emergency contraceptive pill, fertility medications, ivf program: Hello VSM from India, Duphaston is a birth control pill so it will make your cycles regular (since it overrides the ovarian function and artificially causes you to have periods), but you will not be able to get pregnant on this medication. If your cycles...

Infertility/Fertility: IUI, ivf program, lh surge
ivf program, lh surge, gynecology center: Hello Kris from the U.S., Your doctor s method is a little different that mine or what is usual With a 27, 20 and 17 mm follicle, you should have triggered with HCG on that day. I would then do the first IUI at 24 hrs and the second at 48 hrs (rather...

Infertility/Fertility: IVF, high fsh levels, low dose aspirin
high fsh levels, low dose aspirin, chromosomal abnormality: Hello Debbie from Australia, The biggest hurdle that you are facing is the age related egg factor (age factor). A woman is born with all the eggs that she will have in her lifetime. As she ages, her eggs age with her and slowly deteriorate in quality....

Infertility/Fertility: infertility, abnormal sperm morphology, ivf with icsi
abnormal sperm morphology, ivf with icsi, infertility doctor: Hello Trisha from the U.S., There is a chance that IUI could work, but it is not a good chance with the morphology problem that your husband has. With IUI, the sperm are washed to remove the semen but not to isolate the good sperm. That can only be done...

Infertility/Fertility: ivf and bad embryos and one vas, testicular biopsy, preganacy
testicular biopsy, preganacy, lh surge: Hello Jack from the U.S., I presume from the term vas that you mean varicocele? Vas is an anatomic term in the testicle as well, which is short for vas deferens. A varicocele can be felt and is a form of dilated vein or varicose vein in the testicle....

Infertility/Fertility: ivf failure, iui attempts, mature eggs
iui attempts, mature eggs, early menarche: Hello Ting from the U.S., I have to admit that I am a little skeptical of your results. Based on your age, you should have had a much better outcome. Something doesn t fit here. I don t know why your clinic split your eggs into ICSI and natural. You...

Infertility/Fertility: low sperm count, viable treatment option, intracytoplasmic sperm injection
viable treatment option, intracytoplasmic sperm injection, vitro fertilization: Hello Ahmed Ali from Pakistan, The semen results you gave are severely abnormal. You describe a count of 10 million (normal is 20 million), but only 5% are actively motile (normal is 60% motile). That also means that there may be a functional problem,...

Infertility/Fertility: male infertility, testicular biopsy, donor sperm
testicular biopsy, donor sperm, male infertility: Hello Laura from the U.S., It is obvious to me that your gynecologist knows little about infertility, so the first thing I would recommend is to go see a fertility specialist. That way, you will be in the best hands to move forward in the right direction...

Infertility/Fertility: PCOS, fertility medication, fertility drugs
fertility medication, fertility drugs, fertility specialist: Hello Nadine from South Africa, PCOS is a misnomer and has nothing to do with cysts. It was named that way because on ultrasound, the ovary has lots of follicles, which they called cysts. In actuality, these are not cysts but antral follicles. The...

Infertility/Fertility: PCOS, IVF failure, embryo quality, decent number
embryo quality, decent number, old blood: Hello Anna from the U.S., It is difficult for me to analyze IVF cycles without having your medical records. There are many variables. That being said, I can offer the following observations: Your cycle went well and your doc did a good job at your...

Infertility/Fertility: POCS, ivf program, fertility medications
ivf program, fertility medications, infertility specialist: Hello Harpreet from Australia, I strongly recommend that you see an infertility specialist and undergo an evaluation. There are many reasons why women don t have periods and it needs to be treated appropriately to get pregnant. It is possible that it...

Infertility/Fertility: PROVERA/CLOMID, birth control pill, thyroid problems
birth control pill, thyroid problems, pregnancy test: Hello Caroline from the U.S., No. . . You must stop the provera to have a period, so take it up to day #10 then stop. Your period should then start within 7 days of the last pill. If you don t have a period after 7 days, your doctor needs to run a pregnancy...

Infertility/Fertility: Pregnancy problem, ovulation kit, ovulation test
ovulation kit, ovulation test, body rhythms: Hello Wendy from Hong Kong, Boy you certainly have been getting some confusing information. After a miscarriage, you will need to wait some time for your body rhythms to get back to normal. This can take 6-8 weeks. Basically, your ovary will not begin...

Infertility/Fertility: Pregnant?, ivf program, natural onset
ivf program, natural onset, gynecology center: Hello Christina from the U.S., I m a little confused by your question, but hopefully I ll get it right. You certainly can ovulate more than 14 days from the first day of the last period. The only part of the cycle that is exact is from the day of ovulation...

Infertility/Fertility: pelvic pains, infertility specialist, pelvic pains
infertility specialist, pelvic pains, abnormal condition: Hello Ntombikayise from South Africa, I am afraid that the information that you are giving me does not make sense to me. Liquid in the uterus is not an abnormal condition that I know of that can cause pelvic pain. It also does not explain why antibiotics...

Infertility/Fertility: no periods, reproductive endocrinologist, ivf program
reproductive endocrinologist, ivf program, gynecology center: Hello Yehuda from Israel, Not having regular menstrual cycles in a woman over the age of 16 is abnormal. That means that something is not working, and they need to figure out what the problem is. There are many possibilities such as ovarian disorders,...

Infertility/Fertility: progesterone supositories and estradiol, ivf program, litigation risk
ivf program, litigation risk, insulin resistance: Hello Shannon from Canada, Yes it is okay to take supplemental estrogen and progesterone to help your pregnancy. We do that all the time with fertility treatments. Congratulations on the pregnancy. All medications have warnings about the use in pregnancy...

Infertility/Fertility: question, ovulation induction, fertility medications
ovulation induction, fertility medications, lack of ovulation: Hello Alecia from Jamaica, I m afraid I cannot answer your question without more information. Why are you on this medication? Are there any other problems going on? Are you responding to the treatment? If there are no other problems beside a lack...

Infertility/Fertility: Reccurent Miscarriages, recurrent miscarriages, ivf program
recurrent miscarriages, ivf program, gynecology center: Hello Rossy from the U.S., One thing to keep in mind is that most miscarriages occur because there is something wrong with that particular pregnancy, and not for something that is inherently wrong with you. The fact that you have a previous successful...

Infertility/Fertility: RPL - How to Prevent Miscarriage Next Time, mthfr gene mutation, progesterone suppositories
mthfr gene mutation, progesterone suppositories, prenate dha: Hello Again, Well, I think you need to decide who knows fertility better. A fertility specialist or a high risk pregnancy perinatologist. As a fertility specialist, I have to disagree with your perinatologist as to your chances of pregnancy. As mentioned...

Infertility/Fertility: recurrent miscarriage/ttc, recurrent miscarriages, egg quality
recurrent miscarriages, egg quality, baby aspirin: Hello Again, Clomid will not influence the quality of the eggs. That is already inherent within the egg itself. It will only increase the number of eggs that are ovulated. It can be taken on either cycle day #3-7 or 5-9. The proper method for Clomid...

Infertility/Fertility: Bloody Show and now no more hot flashes, cervical polyp, symptoms of ovulation
cervical polyp, symptoms of ovulation, ivf program: Hello Again, I m afraid that I still don t have enough specific information to answer your question. You definitely should have hormonal testing done, an ultrasound and possibly a hysteroscopy (to evaluate the uterine cavity). Your gynecologist will need...

Infertility/Fertility: Steve in trouble, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Steve from India, The average woman under the age of 30, will take 8-12 months to achieve pregnancy. We do not worry until 12 months have passed and she has not been able to conceive. The human body, and its process to achieve a pregnancy, is...

Infertility/Fertility: sperm analysis, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Miranda from the U.S., I m afraid you haven t given me enough of the appropriate information for me to answer your question. I need the count, motility (%) and morphology (%) numbers. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical...

Infertility/Fertility: trying to get pregant need tips, ivf program, abnormal pregnancy
ivf program, abnormal pregnancy, gynecology center: Hello Again, Everything that you mentioned is certainly a very good idea. The smoking and drugs will definitely affect your ability to become pregnant, and/or increase your chances of miscarriage. Once your cycles restart and are normal again, you can...

Infertility/Fertility: varicocele/infertility, echographie doppler, spermogram
echographie doppler, spermogram, sperm problems: Hello Information from Lebanon, A urologist, or any doctor for that matter, will always advise something that they can do, especially if it is the only option that they can provide. In my experience, almost 100% of males with sperm problems are found to...

Infertility/Fertility: 4 fresh and 2 failed FET, low dose aspirin, immunological factors
low dose aspirin, immunological factors, estrogen supplementation: Hello Lisa-Marie from the U.S., Your question is difficult to answer without more specific information. In general, you have implantations failure. This could be due to embryo factors, such as poor embryo quality, endometrial factors, such as inadequate...

Infertility/Fertility: Clomiphene and ovulation day, luteal phase defect, implantation rates
luteal phase defect, implantation rates, secondary infertility: Hello Again, In 30% of infertility cases, the contributing factor is both from the male and female. That seems to be the case with you. However, LPD is easily treated with Clomiphene and Progesterone. I would continue with these medications. However,...

Infertility/Fertility: Conception and patency of F. tube, mature follicle, gynecology center
mature follicle, gynecology center, natural pregnancy: Hello Priva from India, Pregnancy can certainly occur from the opposite side of the patent tube. When ovulation occurs, it does not go directly into the tube. Rather, it falls into a space behind the uterus called the culdesac. The fluid surrounding...

Infertility/Fertility: consecutive missed spontaneous abortion, low dose aspirin, recurrent miscarriages
low dose aspirin, recurrent miscarriages, ivf program: Hello Priya from India, Miscarriages usually occur from a spontaneous abnormality of the developing embryo. In other words, when the egg (one cell) divides in order to create an embryo, if it makes a mistake, that abnormality will propagate and the embryo...

Infertility/Fertility: cramping, ivf program, gynecology center
ivf program, gynecology center, embryo transfer: Hello Angie, This symptom is non-specific. It can indicate either pregnancy or pre-menstruation. You cannot know until the pregnancy test. I usually do a pregnancy test at 8 days post transfer. I agree that a 2 week wait is a little long. Sincerely,...

Infertility/Fertility: Follicle Arrest, corpus luteum cyst, ovulation induction
corpus luteum cyst, ovulation induction, ovidrel: Hello Marisabel from Venezuela, I am afraid that the term follicle arrest is usually when the follicle grows to a certainly point before ovulation and does not reach ovulatory size (16 mm or greater). In your case, seeing the follicles present, and...

Infertility/Fertility: Fsh, premature ovarian failure, ivf program
premature ovarian failure, ivf program, gynecology center: Hello Again, Boy that was a quick response! Well, if you are willing to travel to me, I will be happy to see you and we can go from there. The first thing I would recommend is to repeat the FSH level and make sure it is off a natural cycle on cycle day...

Infertility/Fertility: fertility meds & HG, fertility medications, gynecology center
fertility medications, gynecology center, monterey california: Hello Luwana, Thanks for clearing that up. People use all kinds of abbreviations and there are too many words that match them. I know of no such association between fertility medications and hyperemesis gravidarum. The only patients that tend to have...

Infertility/Fertility: Homeopathy medicines for ovulation, ovulation disorders, irregular menstrual cycles
ovulation disorders, irregular menstrual cycles, ivf program: Hello Jaya from India, I know of no success with homeopathic treatment of ovulation disorders. It is obvious that you have an ovarian disorder that is causing you to have irregular menstrual cycles. There are many reasons why this could be happening and...

Infertility/Fertility: ICSI, male infertility problems, varicocelectomy
male infertility problems, varicocelectomy, chances of pregnancy: Hello g from Lebanon, You have two options based on the information that you have given me. Since you have not given me all the parameters of the semen analysis, I will assume that motility is the only problem. Option 1: Your husband can have the varicocelectomy...

Infertility/Fertility: IVF - Embryos Arrested at 8 Cells, normal fsh levels, egg collection
normal fsh levels, egg collection, asthenozoospermia: Hello Sarah from Ireland, Let me answer your questions in order: 1. I think it might be reasonable to try a different clinic. Of course it could be just bad luck, but you have had real bad luck. One cancelled cycle and one cycle with arrested development....

Infertility/Fertility: IVF & Miscarriage, gynecology center, monterey california
gynecology center, monterey california, facebook: Hello Kassy from the U.S., HPT s are not sensitive enough to detect all pregnancies and can have false negatives. So in answer to your question, yes it could be possible. You should have a blood pregnancy test to be sure. It is not unusually to have...

Infertility/Fertility: irregular spotting, chlomid, chemical pregnancy
chlomid, chemical pregnancy, pantyliner: Hello Lia from Canada, I m afraid that I can t explain the spotting completely. It could be just dysfunctional bleeding since your hormones are abnormal from the PCOD. It is possible that it could have been an early chemical pregnancy, but there is not...

Infertility/Fertility: lutienized unruptured follicle, corpus luteum cyst, ivf program
corpus luteum cyst, ivf program, gynecology center: Hello Again, This semen analysis is normal. We don t usually evaluate the motility past 1 hr so the 2 and 3 hrs motility are irrelevant. Based on WHO criteria, the motility and morphology are normal. Viscosity is also normal. No treatment is required...

Infertility/Fertility: marriage, fertility specialist, natural pregnancy
fertility specialist, natural pregnancy, gynecology center: Hello Adam from Pakistan, Your major problem is going to be the age of your fiance s eggs, in terms of your ability to achieve pregnancy. I would recommend that you see a fertility specialist that does IVF for a consultation. Usually, we will recommend...

Infertility/Fertility: menstruation and pregnancy, home pregnancy test, ivf program
home pregnancy test, ivf program, menstruation and pregnancy: Hello Bindu from the U.S., With those symptoms it is possible that you are pregnant, but pregnancy is not the only possible source of those symptoms. You should go ahead and check a home pregnancy test. I would recommend that you wait and see if you have...

Infertility/Fertility: nicked uterine artery?, ivf program, uterine arteries
ivf program, uterine arteries, crash c: Hello Jill from the U.S., In answer to your questions: 1. No a nicked artery is not a big deal if it was repaired. In fact, the uterus is so resilient with blood supply, that you could tie off or remove the two uterine arteries and it still will function...

Infertility/Fertility: Premature menopause and ovarian stimulation?, premature ovarian failure, newcastle under lyme
premature ovarian failure, newcastle under lyme, premature menopause: Hello again, Yes, there are reported incidences of pregnancies with POF. We suspect that is because the ovary will turn on periodically and if caught at that time, pregnancy can ensue. I personally have had a patient achieve this, despite an FSH level...

Infertility/Fertility: Prolactin, ivf program, high prolactin
ivf program, high prolactin, prolactin level: Hello Monique, Prolactin will only affect ovulation if it is very high. You should have a fasting prolactin level checked just to make sure. Prolactin can affect the other parts of the process to get pregnant as well and prevent pregnancy. Ovulation...

Infertility/Fertility: no period!, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Cat from the U.S., It can take up to 7 days for the period to start after stopping progesterone. I don t think the dose is too high. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center...

Infertility/Fertility: no periods after surgery for endometriosis, ivf program, chocolate cyst
ivf program, chocolate cyst, gynecology center: Hello Madhvi from India, Pregnancy certainly is a possibility, so I would recommend that you have a pregnancy test. Otherwise, without some testing, I cannot tell you specifically why your have not had a period. Sincerely, Edward J. Ramirez, M.D.,...

Infertility/Fertility: Can I be pregnant despite a period?, home pregnancy tests, ivf program
home pregnancy tests, ivf program, gynecology center: Hello Jewel from the U.S., Yes. We do see a large incidence of bleeding with IVF for unknown reasons. Some suspect that it may be progesterone effect, especially if you use vaginal progesterone. The progesterone may be causing cervical bleeding. It...

Infertility/Fertility: my problem to get preggy, different blood types, ivf program
different blood types, ivf program, infertility specialist: Hello Rochelle from Saudi Arabia, If you have a period regularly, meaning approximately the same time each month (the average is 28 day cycles from one period to the next), then that is an indication that you are ovulating. The be absolutely sure, you...

Infertility/Fertility: rhythm/timing methods, basal body temperature method, basal body temperature
basal body temperature method, basal body temperature, ovulation timing: Hello Hattie from Australia, These methods are very unreliable as there is no way to know exactly when ovulation occurs. If you are going to change to these methods, then I would recommend that you add withdrawal and condoms to your ovulation timing. ...

Infertility/Fertility: Shocked by chemical pregnancy, fertility doctor, chemical pregnancy
fertility doctor, chemical pregnancy, luteal phase defect: Hello Tammy from the U.S., It seems that you had a chemical pregnancy, which is a very early miscarriage. It is possible that it is due to a luteal phase defect, which is inadequate progesterone support after ovulation. Progesterone (Endometrin) is important...

Infertility/Fertility: sexual health, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Adam from Pakistan, I presume you are referring to tests for infectious and sexually transmitted diseases? I would recommend the following: 1. HIV 2. HSV 3. HPV 4. VDRL/RPR 5. Hepatitis A, B and C Sincerely, Edward J. Ramirez, M.D.,...

Infertility/Fertility: Unusual period after clomid, ivf program, infertility treatments
ivf program, infertility treatments, gynecology center: Hello Andi from the U.S., It is not implantation, as that would have occurred several days ago, but it could be an early pregnancy. We see a fairly high spotting rate with infertility treatments. I am surprised you have not had a pregnancy test yet, but...

Infertility/Fertility: No Uterus or Ovaries, ivf program, hormone replacement drugs
ivf program, hormone replacement drugs, gynecology center: Hello Megan from South Africa, This abnormality could be due to a genetic disorder or a congenital developmental disorder. I can t give you more specific information than that. To check for a genetic disorder, you would have to undergo genetic testing....

Infertility/Fertility: unusual menstrual cycles, ovulation induction, supplemental progesterone
ovulation induction, supplemental progesterone, luteal phase defect: Hello Michelle from the U.S., It is possible that you have developed a luteal phase defect. To treat this, you would either need to undergo ovulation induction or add supplemental progesterone. Prior to either of these, you would need to have an evaluation...

Infertility/Fertility: Working conditions while pregnant, low dose aspirin, sq ft shop
low dose aspirin, sq ft shop, industrial glues: Hello Again, The impact of the fibroid depends mostly on its location. I ll have to leave that to your RE to decide this since I cannot examine you. The only option I could suggest in regards to your work are either (1# have your work purchase a portable...

Infertility/Fertility: 2 failed IVF implantations, reproductive endocrinologist, ivf cycles
reproductive endocrinologist, ivf cycles, semen analysis: Dear Jennifer, I m sorry to hear of your failed IVF cycles. It is certainly frustrating to go through all of that and have it not work twice. You should meet with your reproductive endocrinologist to go over the details from your cycles and see if they...

Infertility/Fertility: 3 cycles of IUI but no sucess, iui attempts, cost of iui
iui attempts, cost of iui, gynecology center: Hello Natasha, Generally, most women will be pregnant by 4 IUI attempts, if the IUI s are done well and timed well. We use the ultrasound to time when ovulation is going to occur to make sure that there is fresh sperm present as close to ovulation as possible....

Infertility/Fertility: 7 follicles chances of multiple pregnancies?, gnrh antagonist, gnrh agonist
gnrh antagonist, gnrh agonist, ivf program: Hello Natasha, Decapeptyl is a medication called a GnRh agonist. It is used to down-regulate the ovary. I guess your doctor was hoping that by giving this medication, it would prevent some of the follicles from ovulating. However, that doesn t work....

Infertility/Fertility: Where's My Baby Bump?, irregular menstrual cycles, regular period
irregular menstrual cycles, regular period, hormone imbalances: Your history of irregular menstrual cycles indicates a hormone imbalance. It s critically important to determine exactly WHAT your imbalance is (what your diagnosis is), as it can potentially have both medical and reproductive consequences. You should...

Infertility/Fertility: Can I Become pregnent with Follicular Cyst, follicular cyst, contraceptive pills
follicular cyst, contraceptive pills, ultrasounds: The size of your cyst is not too big, but could be affecting ovulation. Depending on your age and any other treatments that have been used, most doctors will start with Clomid for 3 months, to see if that produces ovulation. You should be monitored with...

Infertility/Fertility: Birthcontrol and fertility treatment, wellington florida, fertility treatment
wellington florida, fertility treatment, center for reproductive medicine: Hi Chris, There are generally 2 reasons for using OCP s: 1. It helps time an IVF cycle so many women can be batched into starting an IVF cycle at the same time. This conserves resources for the IVF center in many ways, as it won t have different women...

Infertility/Fertility: who is my baby's father?, ovulation predictor kit, ivf program
ovulation predictor kit, ivf program, gynecology center: Hello Claire, This is really not an appropriate question for this forum, but I ll answer anyways. If the ovulation predictor kit did not turn positive until the 16th of August, then the episode of intercourse on 11 August would probably not have yielded...

Infertility/Fertility: a baby after a tubal, tubal sterilization, syntoms
tubal sterilization, syntoms, wellington florida: Hello Blanca, I m not sure if you meant you have a history of a tubal sterilization or prior tubal pregnancy; Either way, these histories would place you at a high risk of an ectopic or tubal pregnancy with the current pregnancy you described. Therefore,...

Infertility/Fertility: Corpus Luteum deficiency, trying to conceive, gonal f iui, progesterone supplements
gonal f iui, progesterone supplements, endemetriosis: Hello Again, I m glad to hear that your doctor checked you before starting the ovulation induction. So many docs don t do this. The easier treatment for the cyst is to take the birth control pill (30 mcg) for the month. That will ensure that the cyst...

Infertility/Fertility: conception after laparo for endometrioma, vitro fertilization, fertility issues
vitro fertilization, fertility issues, facog: Hello Ria, You have not given yourself enough time after the laparoscopy to see if that treatment worked. Since all it did was attempt to restore your normal fertility, you have to give yourself time. Women do not get pregnant immediately. The average...

Infertility/Fertility: cysts in spite of HCG trigger, corpus luteum cysts, follicular cysts
corpus luteum cysts, follicular cysts, ivf program: Hello Christy, The cysts that you have are the residual from the ovulatory cysts. They are call Corpus Luteum cysts and produce the hormones needed in the early pregnancy. They will resolve on their own so you don t need to worry. Sincerely, Edward...

Infertility/Fertility: D&C and pregnancy rate, scar tissue formation, dilation and curettage
scar tissue formation, dilation and curettage, inflammation of the uterus: Hello Again, If you don t want to use this clinic, you don t have to. Frozen embryos can be sent to another clinic via FedEx. It is done all the time. Contact the new clinic and ask them to arrange the transfer. In terms of starting the FET, if you...

Infertility/Fertility: Days past ovulation and HCG levels, hcg level, hcg levels
hcg level, hcg levels, gynecology center: Hello, I afraid I don t have that information handy. I would have to look it up as well, and just quickly looking through my texts did not reveal the answer. I m afraid you ll have to do an internet search for a table that lists the levels. Sorry,...

Infertility/Fertility: Donating eggs while breastfeeding?, old baby girl, breastfeeding woman
old baby girl, breastfeeding woman, ivf program: Hello Holley, I do not recommend taking fertility drugs while breastfeeding as these medications can cross to the baby and cause hormonal abnormalities. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: Ectopic & Cyst, vitro fertilization, tubal damage
vitro fertilization, tubal damage, scar tissue: Hello Suzanne, Thank you for your question. Both the ectopic and cyst can have an impact on your fertility. Since you have not achieved pregnancy in the past two years, there is definitely something going on and you need to undergo an evaluation. Most...

Infertility/Fertility: Effects of PCOD, dark circles under the eyes, hollow circles
dark circles under the eyes, hollow circles, ivf program: Hello, PCOD is probably the cause of your irregular periods. The longer you go without a period, the more the uterine lining (endometrium) thickens so that when you finally have a period it is very heavy. Excessive bleeding can lead to anemia which can...

Infertility/Fertility: Estrogen, ivf program, gynecology center
ivf program, gynecology center, irregular periods: Hello, With the findings from the D&C, it showed that your lining was overgrown. The risk is that untreated, it can lead to uterine cancer, so you need to be regulated. This can be done by various methods. The most common method is the birth control...

Infertility/Fertility: edd donation, egg retrieval, gynecology center
egg retrieval, gynecology center, egg donor: Hello Stephanie, You should be asking this question to your doctor. They are taking care of you and responsible for your well-being. In addition, as an egg donor, you should be kept appraised of everything since they are using your body. You can do...

Infertility/Fertility: Follicle size and IUI, ivf program, secondary infertility
ivf program, secondary infertility, gynecology center: Dear Kirsten, You don t need to worry. You will not ovulate yet. Follicles normal have to get to 24 mms before they ovulate. Obviously the dosage of Clomid you used was not very much. My goal with Clomid is to get 3 ovulatory sized follicles ( 16...

Infertility/Fertility: D&C and pregnancy rate, frozen transfers, nutients
Infertility/Fertility: D&C and pregnancy rate, frozen transfers, nutients, natural response

Infertility/Fertility: heavy implantation bleeding, miscarriages, mother in law
Infertility/Fertility: heavy implantation bleeding, miscarriages, mother in law, good luck

Infertility/Fertility: low sperm count, testosterone level, compound movements
Infertility/Fertility: low sperm count, testosterone level, compound movements, sperm counts

Infertility/Fertility: Ovidrel trigger/progesterone, 9 months, birthdays
Infertility/Fertility: Ovidrel trigger/progesterone, 9 months, birthdays

Infertility/Fertility: X-ray and fertility, x rays, ct scans
Infertility/Fertility: X-ray and fertility, x rays, ct scans, ct scan

Infertility/Fertility: can i, ivf program, gynecology center
ivf program, gynecology center, monterey california: I m sorry but without an examination, I cannot determine where the bleeding would be coming from. You need to see your doc. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com...

Infertility/Fertility: Gestational Surrogacy, fertilization process, gestational surrogacy
fertilization process, gestational surrogacy, viable eggs: Hello Rae, Here are the answers to your questions: 1. I can t answer this one because insurance companies make their own decisions regardless of what we put as the indication for treatments. However, I don t think that they would accept scoliosis as...

Infertility/Fertility: getiing pregnant, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Linda, If you look back at some of the previous letters, I have explained this in detail. But in summary, I would recommend the following: 1. Cycle day # 1 The day your period starts 2. Cycle day # 10 Stop all intercourse 3....

Infertility/Fertility: HCG Level, infertility medication, healthy pregnancy
infertility medication, healthy pregnancy, ovidrel: Hello, Anything above 5 HCG is considered pregnant. However, at that point in your cycle, the level would typically be above 50. It is possible that your pregnancy could still develop normally, but there is also a potential for early miscarriage. This...

Infertility/Fertility: HCG levels, hcg levels in early pregnancy, hcg level at 5 weeks
hcg levels in early pregnancy, hcg level at 5 weeks, wellington florida: Heather, First hCG levels vary considerably, so it s important they be repeated 48-72 hours later. Make sure to discuss having follow-up levels done with your doctor.... Good luck, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine...

Infertility/Fertility: HCG levels, implantation time, wellington florida
implantation time, wellington florida, center for reproductive medicine: Christy - As you mentioned, there s a wide range of normal for a first hCG level. It may be more important to see how the level is sequentially rising thereafter. Hope this helps, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine PERSONALIZED/Individualized...

Infertility/Fertility: HCG levels post IUI, low progesterone levels, abnormal pregnancy
low progesterone levels, abnormal pregnancy, fertility clinic: Hello, Typically, HCG numbers double every two or three days. Your numbers are certainly increasing which is a good sign. They didn t necessarily double, but that alone does not indicate a tubal or abnormal pregnancy. The best way to know is to get an...

Infertility/Fertility: does HCG trigger for IUI interfere with OPKs, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hi Again, All we can do at this point is hope for the best. Since we don t know exactly when ovulation occurred, it could have occurred minutes or hours before your visit with the doctor and the IUI, there is still a chance. In general, we want the IUI...

Infertility/Fertility: Helping a friend, vitro fertilization, donor sperm
vitro fertilization, donor sperm, fertility specialist: Hello, If you are considering being a surrogate for them then that would be good. If you do not want to undergo IVF and just use the husbands sperm to get you pregnant,you would use insemination (IUI) for that. It is not that expensive, around $2000 per...

Infertility/Fertility: HSG and fibroids with IVF, infertility treatments, chances of pregnancy
infertility treatments, chances of pregnancy, pregnancy rate: Hello Again, Certainly Surrogacy is an option for you, but myomectomy will not decrease your pregnancy chances with IVF. It will be increased. Therefore, I would recommend the myomectomy prior to IVF. If you don t want to have the surgery and don t care...

Infertility/Fertility: How can it be so hard to get pregnant at such a young age?, sperm analysis, healthy pregnancy
sperm analysis, healthy pregnancy, ovulating: Hello Again, Your husband s semen analysis is not good. We would consider it to be severely abnormal. He has several deficiencies: decreased count (it should be over 20 million), decreased motility (it should be over 60%) and decreased morphology (it...

Infertility/Fertility: heavy implantation bleeding, luteal phase defect, baby aspirin
luteal phase defect, baby aspirin, infertility problems: Hello, It is likely that the bleeding that you are having is an early period. It is not implantation bleeding, as this type of bleeding is usually just spotting. It is possible that this could be a luteal phase defect, and your doctor probably should...

Infertility/Fertility: help getting pregnant, vitro fertilization, tubal ligation
vitro fertilization, tubal ligation, fertility drug: Hello Sophia, If your tubes are damaged or you have had a tubal ligation, which essentially does the same thing, then you cannot get pregnant naturally without having surgery to fix the tubes. This is called a tubal reanastamosis. This surgery is a microscopic...

Infertility/Fertility: Does high blood pressure medicine affect fertility?, diovan hct, blood pressure medicine
diovan hct, blood pressure medicine, regular periods: Dear Genee, I have not heard that Diovan can affect sperm count. Three months of trying is certainly no cause for concern, as it can take the average couple up to a year even if there is nothing wrong. 24 to 30 days is a normal cycle length. If you do...

Infertility/Fertility: hope u can help me, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, medicine specialist: Hi Ella, There are lots of different reasons for pain, but pain isn t usually normal. Call your doctor s office right away and tell them about the pain and the positive pregnancy test. Get seen right away - Waiting can possibly be a problem! Good luck,...

Infertility/Fertility: Should my husband have dna fragmentation checked in his sperm and chromsomal analysis?, cystic hygroma, dna fragmentation
cystic hygroma, dna fragmentation, propane leak: Hello Again, The baseline FSH level is only an indication of whether the ovary will stimulate with the fertility medications. It does not indicate the quality of eggs or maturity. Certainly, you had a different protocol for stimulation than I use, but...

Infertility/Fertility: Irregular periods, full blood test, fertility medications
full blood test, fertility medications, fertility specialist: Hello Mrs. Bajwa, You need to go see a specialist, not your GP. They generally don t know what to do with this type of situation. Certainly it sounds like there is some type of hormonal abnormality going on. If you are trying for pregnancy, this needs...

Infertility/Fertility: IUI, infertility medications, ovulation induction
infertility medications, ovulation induction, pregnancy chances: Hello Kirsten, Based on your age, you probably are proceeding to IUI a little sooner than you have to. But, that is your choice. The IUI will increase your pregnancy chances a bit (20% vs 15%). Your doctor s plan is sound and that is what I would do...

Infertility/Fertility: IUI, early pregnancy signs, home pregnancy test
early pregnancy signs, home pregnancy test, progesterone level: The second Ovidrel booster pushes the corpus luteum (where the egg ovulated from) to produce more and more progesterone. While progesterone is high, a woman will not usually menstruate (even if she s not pregnant). She generally won t bleed until the progesterone...

Infertility/Fertility: IVF after Ablation and Tubaligation?, uterine ablation, endometrial ablation
uterine ablation, endometrial ablation, ivf program: Hello Fayleah, I guess I would need some clarification before I could give you an exact answer. When you say ablation do you mean that the tubes were ablated or you had an endometrial (uterine) ablation? If you had an endometrial ablation, then it...

Infertility/Fertility: IVF Failed - Could Progesterone Shot Make a Difference, vaginal progesterone, progesterone level
vaginal progesterone, progesterone level, pregnancy rates: Hello Shirley, Patients will bleed even if they are on progesterone, although, sometimes it may delay things. That is not 100% however. In addition, we see bleeding in patients that are pregnant as well, which we think is attributed to the vaginal progesterone....

Infertility/Fertility: IVF symptoms, hormonal roller coaster, sore breasts
hormonal roller coaster, sore breasts, wellington florida: Hi Debra, Due to the hCG injection, as well as the hormonal roller-coaster of the IVF cycle, it s not possible to determine if someone is pregnant or not based on symptoms. For whatever it s worth, most of my patients who are indeed pregnant tell me they...

Infertility/Fertility: inhibin b, ectopic pregnancy, progesterone treatment
ectopic pregnancy, progesterone treatment, gynecology center: Hello Melissa, I am not exactly sure why your second RE ordered this test. It is to see if there is a uterine lining formation disorder which we sometimes do in patients that have failed multiple IVF cycles. The treatment is to increase the progesterone,...

Infertility/Fertility: late period, negative hpt and blood, ivf program, gynecology center
ivf program, gynecology center, pregnancy hormone: Hello Carla, It is highly unlikely that you are pregnant if you had a serum pregnancy test that was negative. The new tests can detect pregnancy hormone down to zero. You have not had a period because something in your hormones is dysfunctioning, despite...

Infertility/Fertility: late period, negative hpt and blood, low hcg level, hcg levels
low hcg level, hcg levels, fourth month of pregnancy: Hello, Although it is possible to have a low hCG level and have a false negative early on, the blood test would show if you were pregnant. It is not possible to have a low HCG level into the 4th month, as HCG levels rapidly increase in early pregnancy,...

Infertility/Fertility: letting boys borrow my used panties, moral level, panties
moral level, panties, masturbate: Dear Chelsea, Ordinarily, this is not a question that I would answer, since it doesn t concern infertility or woman s health. However, in consideration of your age, I thought you deserved an answer. One of the problems with talking with teens in adults...

Infertility/Fertility: low sperm count, low sperm count, intrauterine insemination
low sperm count, intrauterine insemination, marrage: There is no way to cure the low sperm count, but there are procedures, such as intrauterine insemination and IVF that can help couples conceive despite low sperm count. Your wife s doctor should advise you on which option is best for you at this time. Good...

Infertility/Fertility: miscarriage, I think, home pregnancy test, questioning my sanity
home pregnancy test, questioning my sanity, pregnancy tests: Hello Lauren, First of all, at 5 weeks gestation, the sac would be very small and therefore not always visible. Secondly, if the BHCG (blood pregnancy test) was only 200, then we usually can t see anything by ultrasound. The level would need to be above...

Infertility/Fertility: Needs expert advice, home pregnancy test, tender nipples
home pregnancy test, tender nipples, ovarian cysts: Dear Robyn, If you are late for your period and your pregnancy tests have come out negative, these symptoms could be PMS related. Unfortunately, those are often similar to pregnancy symptoms. If you re not yet due, I would re-test in a few days. If your...

Infertility/Fertility: need help, home pregnancy test, lupron injections
home pregnancy test, lupron injections, gynecology center: Hello Again, I think you need to contact you doctor. The Buserelin should not delay your menses. Sincerely, Edward J. Ramirez, M.D. Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com...

Infertility/Fertility: Ovidrel trigger/progesterone, vaginal suppository, ovidrel
vaginal suppository, ovidrel, suppositories: Hello, I do think that starting the progesterone on the day of the IUI is a little premature. It is unlikely that it will impede ovulation, because the trigger was given the previous day and the process has already started, but it could cause the endometrial...

Infertility/Fertility: Ovulation, ivf program, fertility specialist
ivf program, fertility specialist, estrogen replacement: Hello Mia, Premarin does not affect your ovulation. It is only estrogen replacement. Femara stimulates ovulation. However, based on your age, if you are trying to become pregnant, this is TOTALLY to wrong treatment. You should be doing IVF, which is...

Infertility/Fertility: Ovulation question, ovulation induction, irregular menstrual cycles
ovulation induction, irregular menstrual cycles, regular periods: Dear Julia, You seem to be more educated about this subject than your primary care doc. Ask him to refer you to a Gynecologist. You need to see a specialist. If you have irregular menstrual cycles, and especially if you are skipping months, you have...

Infertility/Fertility: not ovulating, birth control pills, fertility medication
birth control pills, fertility medication, ivf program: Hello Catherine, Provera does not necessarily get your cycles back on track. It only induces the period. You would then revert to whatever your body is doing. Were you regular before the birth control pill? Usually, when you come off it, you go back...

Infertility/Fertility: ovulation/ultrasound, corpus luteum cyst, ivf program
corpus luteum cyst, ivf program, pelvic ultrasound: Hi Penny, Thanks for the picture that is really cool. The decision on whether or not to call a cystic structure in the ovary a follicle versus a corpus luteum cyst is dependent on when in the cycle the ultrasound is done. Follicle is usually in the...

Infertility/Fertility: Panhypopituitarism and Infertility, provera 5mg, reproductive endocrinologist
provera 5mg, reproductive endocrinologist, reproductive assistance: Hi Angela, To answer your questions: 1) Theoretically not, since true panhypopituitarism would not allow the development of mature follicles and ovulation via an LH surge; 2) Yes. 3) Yes. Hormone levels coming directly from the ovaries can be...

Infertility/Fertility: PCOS and medications, regular periods, clomid
regular periods, clomid, metformin: Dear Sarah, It s hard to say for sure how your body will react, but some women do ovulate from metformin treatment. However, you may still need the Clomid to make sure you ovulate to increase your chances. Usually Clomid is tried for three months and...

Infertility/Fertility: PCOS and unable to conceive, glucose tolerance test, hcg injections
glucose tolerance test, hcg injections, wellington florida: My guess is that you re asking me why you haven t conceived and what to do next. Assuming you ve been under the care of a board certified RE, I strongly suggest you seek the assistance of a different board certified RE. Perhaps he/she can shed some light...

Infertility/Fertility: Pcos, ovulation cycles, ivf program
ovulation cycles, ivf program, fertility drugs: Hello Chas, I would recommend you see a fertility specialist who can start you on medications to stimulate ovulation. The periods you may be having may not be ovulation cycles but dysfunctional bleeding. Stimulating ovulation using fertility drugs and...

Infertility/Fertility: Pregnancy?, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, sexual intercourse: The activities you described, IF they were described accurately, shouldn t result in pregnancy. You should educate yourself through a good text book or by speaking to a parent or healthcare professional about how pregnancy can occur. I hope this helps...

Infertility/Fertility: Pregnancy, irregular periods, 7th oct
irregular periods, 7th oct, ovulation: Dear Kerry, Ultrasounds are usually quite accurate in determining how far along you are. It s impossible to know exactly when you conceived, especially if your cycles are irregular, as it depends not only on when ovulation occured, but when implantation...

Infertility/Fertility: Previous Pregnancy and Infertility, ovulation tests, wellington florida
ovulation tests, wellington florida, center for reproductive medicine: Hi, You should ask your doctor about the possibility of Asherman s Syndrome or other possible problem(s). It s NOT normal to go this long without a period, so something is **clearly** not right. Good luck, Dr. Roseff, Director - Palm Beach Center for...

Infertility/Fertility: Progesterone, vaginal progesterone, ivf center
vaginal progesterone, ivf center, ivf program: Hello Pamela, Every IVF center and doctor has its own protocols and ways of doing things. However, most IVF protocols continue progesterone at least until the pregnancy test. Most go up to 9 weeks gestational age. You must have some other form of progesterone...

Infertility/Fertility: Progesterone supplement, estrogen receptors, estrogen dominance
estrogen receptors, estrogen dominance, estrogen patch: Hello Jane, I am not sure what you mean by estrogen dominance , as estrogen is dominant in all menstruating women. However, you are correct that progesterone work opposite estrogen in some ways and helps to tone down the estrogen. It is incorrect...

Infertility/Fertility: Provera and clomid, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sandi, I presume the Provera was given to start your period so if your period starts before you finish the Provera, then you can stop the medications. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: pcod, ultrasound diagnosis, ivf program
ultrasound diagnosis, ivf program, irregular periods: Hello, If you in fact have PCOD, then occassionally these patients do get pregnant naturally. However, it is very difficult and not too often. You have been trying for a while and it has not happened so there is not reason to think that all of a sudden...

Infertility/Fertility: possible ovarian cyst rupture, ovarian cyst rupture, type of ovarian cyst
ovarian cyst rupture, type of ovarian cyst, ivf program: Hello, It is certainly possible that you ruptured some type of ovarian cyst, or there is something else going on. It is unusualy to have an ovarian cyst when you are on the birth control pill unless it is not a functional cyst but some other form of cyst...

Infertility/Fertility: preg test, ivf program, pco patients
ivf program, pco patients, gynecology center: Hello Ella, PCO patients do get pregnant on their own from time to time but it is just more difficult. If the pregnancy test was positive, then then pain that you are experiencing could be a sign of pregnancy. We call it growing pain. The uterus is expanding...

Infertility/Fertility: pregnancy after 3 full term pregnancies, home ovulation, ovulation kit
home ovulation, ovulation kit, progesterone levels: Hello, Clomid does have some slight risk of multiples, but it s only a small risk, and usually the risk is only for twins, not 8 babies like the woman in the news. They should also monitor you with ultrasounds to see how many follicles you are producing,...

Infertility/Fertility: getting pregnant, nuva ring, wellington florida
nuva ring, wellington florida, regular periods: Elizabeth, Sometimes the NuvaRing can throw off someone s periods after stopping its use. It s variable. It does not cause infertility. Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine PERSONALIZED/Individualized Successful care by...

Infertility/Fertility: progesterone levels., progesterone levels, hcg level
progesterone levels, hcg level, last period: Hello, It s probably an hCG level of 4.75 at day 21 of your cycle, which is only one week following ovulation. It could have been higher than that, but the level usually starts off low and then doubles every couple of days. Anything over 5 is considered...

Infertility/Fertility: Question, informational web sites, google search
informational web sites, google search, surrogate mothers: Dear Mia, There are numerous websites about being a surrogate.If you do a google search and type in your area, there are likely some sites. Depending on where you live, there may not be any agencies that are in your city, but closer to large cities. Also...

Infertility/Fertility: Question regarding fertility .., day of birth, iud
day of birth, iud, peace of mind: Hello Sofia, In the U.S., it is not recommended to have intercourse until 6 weeks after delivery of a child because there is an increased risk of infection via the blood coming from the uterus. So my first recommendation is to NOT have intercourse for...

Infertility/Fertility: does rape cause infertility?, cause infertility, gynecology center
cause infertility, gynecology center, pelvic disease: Hello Jessica, Yours is a very sad story. I hope that this guy was reported to the authorities. Rape can be a cause of infertility because many rapists carry sexually transmitted diseases that they pass to their victim. These infections can cause tubal...

Infertility/Fertility: Success rate, ivf icsi, ivf program
ivf icsi, ivf program, gynecology center: Success rates for IVF/ICSI are very dependent on several factors: the clinic performing the procedure, the number of good quality embryos available, the number of embryos transferred, the medication protocols used and the age ofthe patient. Also, rates vary...

Infertility/Fertility: Suspect a Luteal phase defect, ovulation predictor kits, short luteal phase
ovulation predictor kits, short luteal phase, determining ovulation: Hello Gillian, If your LH predictor kit is correct, and they are pretty accurate although not infallable, then your luteal phase is too short. The Luteal phase should be 14 days. When it is too short, we call that a luteal phase defect. In that case,...

Infertility/Fertility: secondary infertility, infertility problem, ivf program
infertility problem, ivf program, infertility specialist: Hello Erin, It sounds like your gynecologist has done as much as he/she can do. I would recommend that you now see a fertility specialist, and I would also recommend that you try at least three more IUI s. In terms of testing, two tests that you don...

Infertility/Fertility: selling my eggs, part time jobs, ivf program
part time jobs, ivf program, victim of circumstance: Hello Tiffany, I am sorry I cannot answer that question. I do not make up the policies for donor agencies. It might have to do with marketing. They probably don t think that anyone would choose you because of that history. Most couples want perfect...

Infertility/Fertility: spinal analysis xrays, ivf program, lead apron
ivf program, lead apron, spinal alignment: Hello Shannon, You would need very very high dosage to have any affect on your fertility, as in radation therapy for cancer. You don t need to worry. The amount of radiation used with the new machines is very low. Sincerely, Edward J. Ramirez, M.D.,...

Infertility/Fertility: Tubal Pregnancies, tubal sterilization, wellington florida
tubal sterilization, wellington florida, pregnancy women: You need to contact your doctor as soon as possible to rule out a tubal or other type of pregnancy. Women who had a tubal sterilization are at an increased risk for an ectopic pregnancy. Good luck, Dr. Roseff, Director - Palm Beach Center for Reproductive...

Infertility/Fertility: trying to conceive with bacteria infection, pseudomonas infection, sperm wash
pseudomonas infection, sperm wash, bacteria infection: Hello Kevin, Your pseudomonas colonization is a problem, and can affect the sperm by killing them off. It won t cause birth defects, however. The best treatment option for you would be to undergo insemination with a good sperm wash technique, not swim-up,...

Infertility/Fertility: Vaginal Bleeding, vaginal bleeding during sex, ivf program
vaginal bleeding during sex, ivf program, gynecology center: Hello Chelsea, There are several possible reasons, you could have tear in the vagina, you could have a lesions (growth) in the vagina or cervix, you could have some form of cervical abnormality (polyp, precancerous lesion, cancer), you could have some type...

Infertility/Fertility: waiting for results on 3rd IUI, ivf program, gynecology center
ivf program, gynecology center, breast soreness: Hello, It is curious to me that your doctor recommended those things. The HCG injections could be prolonging your period from coming down so I would recommend that you have a blood BHCG test done. If the pregnancy test is negative, then stop all the medications....

Infertility/Fertility: X-ray and fertility, chest x rays, ivf program
chest x rays, ivf program, embryo development: Thanks for writing all the way from Australia. I cannot answer if the dosage has been high or not without actually calculating the dosage. For that, I would need to know how many of each Xrays and CT scans you had, and what the radiation output from their...

Infertility/Fertility: what is going on????, clomid tablet, ivf program
clomid tablet, ivf program, fertility clinic: Hello Amanda, It is apparent to me that you have an ovarian dysfunction. The most common type is called PCOS (polycystic ovarian syndrome). Your nurse wants you to lose weight because many PCOS patients will start ovulating properly if they get their...

Infertility/Fertility: 3rd IUI, ivf program, chances of pregnancy
ivf program, chances of pregnancy, gynecology center: Hello, Your chances depend on your age and many other factors, so I can t give you an exact number. Generally, IUI s have 2-3% higher than your normal natural chances of pregnancy. The natural chances of pregnancy range from 1% to 24% per month. With...