About Experts Sitemap - Group 30 - Page 73 2016-09-20

Infertility/Fertility: low estrogen,normal fsh and lh, low estrogen levels, inner thighs
low estrogen levels, inner thighs, center for reproductive medicine: Not likely. Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington, FL Visit us on the web at www.reproendo.com ====================== Since Dr. Roseff doesn t know your entire history and hasn t examined you, any medical information...

Infertility/Fertility: I'm probably just being paranoid, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Antionette from Canada, I don t think that you are pregnant. I am more worried that you have some type of gastric disease like gastritis. I would recommend that you see your doctor for an evaluation. Sincerely, Edward J. Ramirez, M.D., FACOG...

Infertility/Fertility: menopause symptoms, premature ovarian failure, ivf program
premature ovarian failure, ivf program, low dose birth control: Hello Jennifer, You have a condition called Premature Ovarian Failure. It is where young women start menopause early. In this case, the ovaries have shut down and so are no longer producing the hormones that are essential to your body. Because of this,...

Infertility/Fertility: No menstruation post MC and D&C, ovulation test, ivf program
ovulation test, ivf program, gynecology center: Hello Alison from the U.K., If a woman ovulates, and does not become pregnant, then she should have a period 14 days after ovulation. That is an absolute. So if you are sure that you ovulated, but did not have a bleed, then something is amiss. With a...

Infertility/Fertility: multiple failed cycles, balanced translocation, baby aspirin
balanced translocation, baby aspirin, chemical pregnancy: Hello Julia from the U.S., I cannot tell you what the problem is with the information you have given me, but based on the fact that you had a successful pregnancy the first try, I don t know why you are having so much difficulty getting pregnant now. One...

Infertility/Fertility: Number of straws required for fertility treatment, gynecology center, fertility treatment
gynecology center, fertility treatment, monterey california: Hello Susan from Germany, Only one straw of sperm is required per IVF cycle, and I would doubt that you would need to do IVF 43-48 times. So, I think you have banked enough sperm. Sperm is usually washed and frozen in alloquats of 0.3-0.5 ml each. ...

Infertility/Fertility: OVULATED BUT NO PERIODS NEGATIVE HPT, ovulation microscope, saliva ovulation
ovulation microscope, saliva ovulation, confirming pregnancy: Hello Again, You do have a hormonal dysfunction going on as evidenced by the very irregular cycle lengths. The optimal treatment for you would be a little clomid at the beginning of the cycle. That should straighten things out. You ultrasound looks unremarkable...

Infertility/Fertility: ovarian adhesions and infertility, scar tissue formation, body temprature
scar tissue formation, body temprature, ovulation pain: Hello Benny from the U.K., Yes, adhesions can return and usually return within 24 hours. Also, any surgery, including laparoscopy, can result in adhesion formation. I would not expect the laparoscopy to affect your ovarian function if the ovary was not...

Infertility/Fertility: ovulation n cud i ovulated this mth, time of ovulation, menstrual cycle
time of ovulation, menstrual cycle, mths: if ur period was on the sixth and you have a 25 day cycle then u r likely to ovulate around 2 weeks into ur menstrual cycle therefore about 2 wks into a cycle from the 6th wud b around the 18th to 20th of the month since its now the 19th then it wud b around...

Infertility/Fertility: PCOS & Ortho-tri-cyclen, birth control pills, high testosterone levels
birth control pills, high testosterone levels, low estrogen: Hi Laura from the U.S., First, you are taking an inadequate dose of Metformin, if you have been found to have insulin resistance. The recommended dose is 1500 mg per day. Second, your current doctor is incorrect in that OCP s is a treatment to regulate...

Infertility/Fertility: Poor response to Ovarian Stimulation with One Ovary not successful what next?, fertility doctor, unexplained infertility
fertility doctor, unexplained infertility, egg donation: Hi again, You used buserelin to shut down your ovaries before stimulating them with Gonal. While there are potential advantages of shutting down ovaries prior to stimulation, there are also potential disadvantages. In someone with a low AMH (possible...

Infertility/Fertility: Pregnancy/Missing Periods, irregular menstrual cycles, ivf program
irregular menstrual cycles, ivf program, missing periods: Hello Vishal from India, It sounds like she has irregular menstrual cycles so certainly the late period could be normal for her and not a pregnancy. Since you used precautions, it is a low likelihood that she could be pregnant. However, to be sure, she...

Infertility/Fertility: When to take Progesterone, low progesterone levels, supplemental progesterone
low progesterone levels, supplemental progesterone, signs of ovulation: Hello Cathy from the U.S., No. If you start the progesterone prematurely, it could impede implantation. There is only a 3 day window for the embryo to implant and that timing is very important. Progesterone is used to change the anatomic architecture...

Infertility/Fertility: Proper diagnosis of infertility, severe menstrual cramping, infertility doctor
severe menstrual cramping, infertility doctor, infertility evaluation: Hello Tonya from the U.S., I am not reassured by your doctor s approach to your problem. I don t think she is qualified do be your infertility doctor, based on what she has done and suggested thus far. If you have not gotten pregnant after one year...

Infertility/Fertility: getting pregnant, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Ashley from the U.S., If your cycles have returned, that is confirmation that you are ovulating so getting pregnant is a possibility. Whether or not it happens depends on many factors. Your body goes through 9 steps to get pregnant. Each one has...

Infertility/Fertility: getting pregnant after affected by a craniopharyngioma, reproductive endocrinologist, ivf program
reproductive endocrinologist, ivf program, gynecology center: Hello Leslie from the U.S., Yes, you would need to take FSH and LH in order to stimulate your ovaries to ovulate. This is easily done with current medications (Menopur, Repronex, Pergonal). You should see a Reproductive Endocrinologist to undergo this...

Infertility/Fertility: questions about clomid, ivf program, hello dawn
ivf program, hello dawn, chances of pregnancy: Hello Dawn from the U.S., How is your doctor checking for the response to this dose or ovulation? I refer you to my blog where I describe how I recommend doing Clomid cycles. 50 mg is a very low dose clomid cycle. The goal with Clomid is to increase...

Infertility/Fertility: Random Discharge, center for reproductive medicine, care doctor
center for reproductive medicine, care doctor, gynecologist: Hi, What you re describing doesn t sound right. See your primary care doctor or gynecologist and review your concerns with them. Good luck, Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington, FL Visit us on the web at www.reproendo.com...

Infertility/Fertility: Random Question, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello, No. Only ONE sperm can fertilize an egg (basic biology). Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com Monterey, California, U.S.A. for...

Infertility/Fertility: what do these results mean?, fertility drugs, donor eggs
fertility drugs, donor eggs, menopausal stage: Hello Sharyn from the U.S., You have a dilemma that is shared by many these days. I keep seeing the average age of my patients increasing. There are two factors to consider with your results. First, the variations in results, namely the FSH levels,...

Infertility/Fertility: Super Ovulation for unexplained infertility, sperm analysis, unexplained infertility
sperm analysis, unexplained infertility, chances of pregnancy: Hello Asma from Canada, Super-ovulation is defined as inducing the ovulation of more than one egg per cycle. So, essentially you are doing that with Clomid (or should be). IUI increases pregnancy rates by inducing the ovulation of 2-3 eggs per cycle....

Infertility/Fertility: scar tissue, ovarian cyst, scar tissue
ovarian cyst, scar tissue, wellington florida: Hi Meer, Great question... Infertility is defined as the inability to achieve a successful pregnancy after a year of trying. You have been trying for 4 months, and it can take a bit longer. I suggest you try for several more months and then see a specialist...

Infertility/Fertility: sub fertility, vitro fertilization, mature eggs
vitro fertilization, mature eggs, infertility specialist: Hello Padmini from Sri Lanka, I think you are being led astray. Your biggest problem at this point is your age (39). Even with IUI, you only have a 3-5% chance of pregnancy per month due to your age. The problem is that the eggs deteriorate in quality...

Infertility/Fertility: transvaginal scan, fundus of the uterus, ivf program
fundus of the uterus, ivf program, ovarian cyst: Hello Geetha from India, The transvaginal scan is the ideal way to evaluate the uterus and ovaries. A cystic lesion in the pelvis can either be in the ovary or near the ovary. It is rarely in the uterus. It may be an ovarian cyst or a peri-tubal cyst....

Infertility/Fertility: treatments for PCOD, female hormone estrogen, ivf program
female hormone estrogen, ivf program, gynecology center: Hello Again, If and when you and your wife decide to pursue pregnancy, then the treatment plan has to change. She needs to be put on fertility medications to induce the ovaries to work properly to ovulate. Several medications are available, but it is...

Infertility/Fertility: tubal ligation sydome, ivf program, tubal ligation
ivf program, tubal ligation, gynecology center: Hello Pamela from the U.S., Medicaid probably will pay to have you evaluated and treat whatever problems you are having since the tubal ligation, but it will not pay to have them reversed. Tubal reversal, in general, cost $8000-$20,000, depending on how...

Infertility/Fertility: Unable to fall pregnant, infertility problem, infertility specialists
infertility problem, infertility specialists, infertility specialist: Hello Again, I am afraid I do not know what the capacity is in the Government hospitals or clinics in South Africa. I am sorry that you cannot afford to see a specialist since that is what you need. You might want to talk to your public clinics and see...

Infertility/Fertility: Unexplained Infertility, diagnosis of endometriosis, cost of ivf
diagnosis of endometriosis, cost of ivf, unexplained infertility: Hello Tara from the U.S., Well, you have a diagnosis of endometriosis so are not in the unexplained infertility category. Also, you do have an age factor now at 35, which decreases your natural chances of pregnancy. I don t know how long ago you had...

Infertility/Fertility: In Vitro pregnancy after menopause, donor eggs, gynecology center
donor eggs, gynecology center, monterey california: Hello Donna from the U.S., Menopause is the state where the ovaries stop functioning. By functioning, it means that the ovaries no longer ovulate and cannnot be induced to ovulate. It also means that there is a lack of eggs as well. So, you would not...

Infertility/Fertility: Not Able to Conceive 2 years, oral contraceptive pills, ovulation induction
oral contraceptive pills, ovulation induction, fertility medications: Hello Nitu from India, If you have irregular menstrual cycles, that is an indication that your ovaries are not functioning correctly. So the treatment that you need is to use fertility medications to induce the ovary to ovulate. We call this ovulation...

Infertility/Fertility: Arcuate uterus and ovarian syndrome what are the chances of success in pregnancy, fertility medications, ovulation induction
fertility medications, ovulation induction, fertility medication: Hello Nicolene from Norway, The arcuate uterus should not interfere with your getting pregnant. The PCOS is a problem, however. This is an ovarian dysfunction such that the ovary is not processing FSH/LH correctly and so ovulation does not occur. This...

Infertility/Fertility: Aspirin and or natural progesterone, recurrent pregnancy loss, blighted ovum
recurrent pregnancy loss, blighted ovum, many different reasons: Hi, You fall under the category of recurrent pregnancy loss (RPL). There are MANY different reasons for losing pregnancy after pregnancy, and it s only possible to tell someone what she should/shouldn t do after having a proper evaluation for RPL. For...

Infertility/Fertility: abmnormal+mense, ivf program, pregnancy signs
ivf program, pregnancy signs, gynecology center: Hello Sharon from the U.S., I don t think I got all the information. Why were you on Coumadin? What is your question? Thanks, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program...

Infertility/Fertility: antidepressents and male infertility, gynecology center, male infertility
gynecology center, male infertility, monterey california: Hello Nancy from India, In general antidepressants don t affect sperm. They work through chemicals located in the brain so don t affect the testicles or sperm production directly and don t affect the chromosomal/genetic make up of the sperm. However,...

Infertility/Fertility: Bleeding 3 days after iui, reproductive endocrinologist, fertility specialist
reproductive endocrinologist, fertility specialist, wellington florida: Hi Alycia, Your bleeding may be due to not having ovulated. There may be other reasons for the bleeding, too. It s possible you didn t ovulate, despite what your ultrasound showed. Your doctor may want to check a blood progesterone level to see if...

Infertility/Fertility: CELIAC DISEASE AND INFERTILITY, gluten free diet, stomach pain
gluten free diet, stomach pain, strict diet: Hi Lizet, The link between Celiac Disease and infertility is not conclusive, in my opinion. I have seen it linked to premature ovarian failure (also known as primary ovarian insufficiency), presumably through possible autoimmune mechanisms. I suggest...

Infertility/Fertility: Chances of pregnancy at 40 with endometriosis, severe endometriosis, chances of pregnancy
severe endometriosis, chances of pregnancy, chemical pregnancies: Hi Sharon, Endometriosis tends to come back after about a year from treatment. However, if someone s fertility potential is very low due to her advanced age, then treating her endometriosis may not signficantly improve the odds of pregnancy success.......

Infertility/Fertility: Clomid, ivf program, gynecology center
ivf program, gynecology center, buena suerte: Hola Katerina Gracias por su repuesta. Yo pienso que usted no es visitando el doctor que es una specialista de fertilidad, Probablamente el es una ginecologo, y algun ginecologos trata pacientes por infertilidad, pero la mejoridad no son bueno. Por esta...

Infertility/Fertility: Clomid and delayed period, ovulation induction, estrogen receptors
ovulation induction, estrogen receptors, ivf program: Hello Esther from South Africa, Clomid does not usually delay periods. It is most likely that the Clomid was not effective in the second cycle. Did you ovulate on the clomid? Your doctor should be evaluating you in the cycle to see if you are responding...

Infertility/Fertility: Clomid - IUI process, ovulation pregnancy, ivf program
ovulation pregnancy, ivf program, gynecology center: Hello Leigh from the U.S., You have two potential follicles to ovulate. That is fine because our goal is to have 2-3 with each cycle. With IUI, because it is a natural treatment, we cannot stimulate the ovary too much because of the inability to control...

Infertility/Fertility: cerclage info., high risk pregnancies, incompetent cervix
high risk pregnancies, incompetent cervix, ivf program: Hello Jamie from the U.S., Cerclage is a procedure used to suture the cervix closed in cases of incompetent cervix. Incompetent cervix is a disorder where the cervix dilates prematurely without any contractions. Having had a LEEP, you are at risk for...

Infertility/Fertility: What are my chances of falling pregnant with an arcuate uterus and ovary polocystic syndrome, arcuate uterus, fertility drugs
arcuate uterus, fertility drugs, artificial insemination: Hi again, It s not normal to have the itching and burning you described. If your husband has no symptoms, he still may have an infection, so he should be checked out by a qualified doctor. Yes - Infections can possibly lower the odds of getting pregnant...

Infertility/Fertility: clomid, dna function, tsh level
dna function, tsh level, blood pressure meds: Hi Dawn, Calcium channel blockers have the potential to affect male fertility. Don t have him stop his meds without first discussing it with his doctor. In my opinion, Clomid should not be taken by a woman who has regular menstrual cycles and ovulates...

Infertility/Fertility: Can clomid stop your period, fertility specialist, wellington florida
fertility specialist, wellington florida, center for reproductive medicine: Clomid is designed for women who don t normally ovulate on their own. If someone ovulates without it and takes it anyway , it can possibly throw a wrench into her works and work against her. Your doctor should know this, and also should know that Clomid...

Infertility/Fertility: how many cycles after a miscarriage, ivf program, egg quality
ivf program, egg quality, gynecology center: Hello Julia from the U.S., Waiting does not have any purpose or problems. Your body will reset on its own and things will happen when they are meant to. Keep in mind that you age has a significant impact on your miscarriage rate. It is 40% per pregnancy....

Infertility/Fertility: eggs, fertility medications, follicles eggs
fertility medications, follicles eggs, fertility drugs: Hi, Why won t they get large enough? Are you using fertility medications? If not, ask your doctor if you might be a candidate for fertility drugs. These drugs may help follicles (eggs) to get large enough for an IUI cycle... Dr. Roseff - Director...

Infertility/Fertility: endo too thin, estradiol valerate, progyluton
estradiol valerate, progyluton, ivf icsi: Hello Again, In order to have maximum effect on the uterine lining, the estrogen should be taken vaginally NOT orally. If you don t get an adequate lining by the time of ovulation, you could still attempt the IUI, but your chances are reduced. Your...

Infertility/Fertility: estradiol, clomid, prochieve, clomid ovulation, ovulation induction
clomid ovulation, ovulation induction, ovulation tests: Hello Stephanie from the U.S., I don t think that you are in the right hands. I would recommend that you seek out an RE or someone who specializes more in infertility. I see many patients like you, whose Ob/Gyn s arbitrarily start them on Clomid without...

Infertility/Fertility: What to expect after Lupron..., lupron injections, menstrual cramps
lupron injections, menstrual cramps, scar tissue: Hello Bonnie from the U.S., Let me answer your questions in sequence: 1. In general, the normal cycle will resume within 3 months of the last month of Lupron injections. That means, give yourself three months after the one month from the injection....

Infertility/Fertility: Failed IUIs, infertility issues, fertility specialist
infertility issues, fertility specialist, hsg test: Hello Kris from the U.S., I don t think that genetic incompatibility is an issue. It does not exist. I am very very worried about your gonal-f stimulation cycles, however. The estradiol levels of 2500 and 1500 are IVF levels, and that is where we are...

Infertility/Fertility: Failed IVF, lupron injections, reproductive endocrinologist
lupron injections, reproductive endocrinologist, infertility specialist: Hello, Two cell embryos are generally not transferred and 4 cell embryos on day 3 tend to have a poor prognosis --- Are you sure you re seeing a board certified reproductive endocrinologist/fertility specialist? What s the success rate of the IVF program...

Infertility/Fertility: FET and ovualtion, ivf success rates, center for reproductive medicine
ivf success rates, center for reproductive medicine, ovulate: No, Amanda - One doesn t have to ovulate for an FET to work. Have you seen OUR IVF success rates???!!! Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington, FL Visit us on the web at www.reproendo.com ======================...

Infertility/Fertility: FET - WHAT CAN I DO TP BETTER MY CHANGES, rheumatoid athritis, dose heparin
rheumatoid athritis, dose heparin, ivf program: Hello Vicky, I am not sure that the immunoglobulin will help, because studies have not confirmed this, but it can t hurt and the only drawback is that it is expensive. The other medication I would suggest is low dose heparin or lovenox (heparin 2000 U...

Infertility/Fertility: Fertility with Behcet's Disease, increasing fertility, ivf program
increasing fertility, ivf program, increase fertility: Hello Tevon from the U.S., There are medications that can be used to boost fertility, but there are no natural remedies that increase fertility. I have seen some OTC natural formulations, which are mainly vitamins, that are specifically for increasing...

Infertility/Fertility: Fertility and X Rays, extra chromosome, chromosome 15
extra chromosome, chromosome 15, donor eggs: Hello Again, I can t imagine that you have done 12 (a dozen) IVF cycles without success. That doesn t sound right. It also doesn t sound like you responded to stimulation well and may have some significant ovarian resistance. This can be checked by a...

Infertility/Fertility: First Cycle of Clomid, many different reasons, wellington florida
many different reasons, wellington florida, center for reproductive medicine: Hi Sam, To answer your questions: will it still be ok for me to continue on Clomid even after developing cysts during the first cycle? == If there is a left over cyst or cysts, and if the cyst is large enough , then starting Clomid again would not...

Infertility/Fertility: Former Question, ivf program, gynecology center
ivf program, gynecology center, monterey california: Don t worry. I don t even get that information. All I can see is that your name is Leigh and you are from the United States. There is no e-mail addressed attached. All Experts sends my response to you, it does not go from me directly. Edward J. Ramirez,...

Infertility/Fertility: LPD??, fertility specialists, hsg
Infertility/Fertility: LPD??, fertility specialists, hsg, next level

Infertility/Fertility: fertility, injectable fertility drugs, wellington florida
injectable fertility drugs, wellington florida, center for reproductive medicine: Hi Anita, In MY center, IUI without fertility drugs takes an average of 4-6 cycles to succeed. With Clomid it s an average of about 4, and with injectable fertility drugs it s an average of 2-3 cycles. Of course, this depends on proper patient selection....

Infertility/Fertility: follicle size increasing but not rupturing, cystic lesion, ivf program
cystic lesion, ivf program, gynecology center: Hello Yasmin from India, I think that if your doctor is going to go through the trouble of monitoring follicular development, then I might suggest that he give you HCG when the follicle is 18-24 mms to stimulate ovulation. That also helps you to know when...

Infertility/Fertility: Hysteroscopy, gynecology center, monterey california
gynecology center, monterey california, facebook: Hello Illinois from the U.S., Normally, you don t have to wait long to do an IVF cycle after a hysteroscopy. One or two weeks is sufficient. However, if your doc does a lot of surgery to remove the polyp, such as a D%26C, then you should wait 6-8 weeks...

Infertility/Fertility: holistic medicine, increase sperm production, herbal pharmacist
increase sperm production, herbal pharmacist, goat weed: Hello Mikala from the U.S., I m afraid I cannot answer this question for you as I am a traditional medicine Physician. I would recommend that you direct your question to a naturopath practitioner or herbal pharmacist. If this remedy works, please let...

Infertility/Fertility: Implantation failure, implantation failure, infertility diagnosis
implantation failure, infertility diagnosis, ivf cycle: Hello Again, Because the last two steps of the IVF process are natural steps (hatching of the embryo and implantation), we cannot know exactly why implantation did not occur. Sometimes it is just luck/chance. That is why many people have to try more than...

Infertility/Fertility: Infertility, normal fsh levels, ovulation induction
normal fsh levels, ovulation induction, fertility medication: Hello Mina from the U.S., The FSH and Estradiol levels only reflect ovarian function and do not detect egg quality. There is no test for egg quality. The estradiol level is increased but within the normal range. The increase could be accounted for by...

Infertility/Fertility: Infertility, hormones levels, reproductive endocrinologist
hormones levels, reproductive endocrinologist, infertility specialist: Hi Mina, Clomid can t be taken in the presence of a cyst. FertilAid hasn t been proven to help in your type of situation. Since you have irregular periods, it s in your best interest to see a board certified reproductive endocrinologist/infertility...

Infertility/Fertility: IVF failure, frozen embryo transfer, embryo transfer procedure
frozen embryo transfer, embryo transfer procedure, depo provera injection: Cao Monica, With a blastocyst transfer, progesterone should be started five days prior to the transfer i.e. the transfer day should be the 5th day of progesterone. I don t know what the egg donation pregnancy rates are in Czech, but in the U.S. they are...

Infertility/Fertility: infertility, chocolate cysts, hemorrhagic cysts
chocolate cysts, hemorrhagic cysts, ovarian cysts: Hello Priya from India, I doubt that all those chocolate cysts are hemorrhagic cysts from previous ovulatory follicles. Hemorrhagic cysts resolve on their own within one cycle. Endometriosis is usually NOT diagnosed by ultrasound. It requires a laparoscopy...

Infertility/Fertility: irregular periods-provera, ovulation induction, normal hormone levels
ovulation induction, normal hormone levels, ovulation kit: Hello Tiesha from Jamaica, The problem you have is that your ovaries are not functioning correctly (despite the normal hormone levels). In order to become pregnant, the ovaries have to ovulate (give off an egg). If it doesn t, there is not the possibility...

Infertility/Fertility: Long periods/spotting between periods, short luteal phase, luteal phase defect
short luteal phase, luteal phase defect, diagnostic hysteroscopy: Hello Mary from the U.S., Usually, after the menses (endometrial shedding), as the ovary is stimulated to produce an ovulatory follicle, the estrogen level rises and a new endometrial lining is made. The estrogen thickens the lining, which stops the menstrual...

Infertility/Fertility: Low AMH, ivf cycle, fsh levels
ivf cycle, fsh levels, donor eggs: Hello Again, Evaluating the tubes for hydrosalpinx should have been part of the basic pre-IVF evaluation, because it can reduce the pregnancy rate by 50% if left intact. This is done by a comprehensive ultrasound examination, not the ones looking for follicles,...

Infertility/Fertility: LPD??, pregnancy implantation, pregnancy hormones
pregnancy implantation, pregnancy hormones, infertility problems: Hello Melissa from the U.S., No. Clomid would have been cleared from your system a long time ago. It is possible that you don t have adequate progesterone in the luteal phase, that could be causing the breakthrough bleeding, but spotting prior to onset...

Infertility/Fertility: lh surge confusion, sonoma county ca, ivf program
sonoma county ca, ivf program, gynecology center: Hello Heather from the U.S., You know, I can t answer your question. There is no physiological reason for this. That is a question for the manufacturer of the test. There should not be a discrepancy based on the time of day, as you have described. You...

Infertility/Fertility: Menstural cycle, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Again, The birth control pill leaves your system immediately. Once stopped, your cycles should return to their previous ways. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey...

Infertility/Fertility: metformin, fertility medication, pcos patients
fertility medication, pcos patients, fertility specialist: Hello Jennifer from the U.S., If you don t have PCOS then Metformin would do nothing for your fertility. In fact, your FP doc is WRONG in advising it. Only 40% of PCOS patient respond to Metformin and it should only be used in PCOS patients that have...

Infertility/Fertility: miscarriage, consecutive miscarriages, ivf program
consecutive miscarriages, ivf program, habitual abortion: Hello Letty from the U.S., In general, we don t consider a patient to have a habitual abortion/recurrent miscarriage problem until they have had three consecutive miscarriages, so for now, I don t think you need to do anything more. However, if you want...

Infertility/Fertility: missed period, implantation and pregnancy, supplemental progesterone
implantation and pregnancy, supplemental progesterone, ovulation induction: Hello Renee from the U.S., Your progesterone indicated that you ovulated, but there is no way to know exactly which day that occurred since your doctor did not monitor you by ultrasound. If you were taking supplemental progesterone, that could delay your...

Infertility/Fertility: non ovulation, irregular menstral cycle, ovulation induction
irregular menstral cycle, ovulation induction, fertility medication: Hello DEM from Cameroon, You misunderstood my answer. I did not state that intercourse helps to stimulate ovulation. It does not. If your ovaries are not functioning normally, then ovulation induction (by medication) with intercourse is a treatment method...

Infertility/Fertility: Odd symptoms after a miscarriage, ivf program, ovarian cyst
ivf program, ovarian cyst, residual cyst: Hello Melissa from the U.S., I cannot think of anything serious that the symptoms could indicate that would occur immediately after a miscarriage. It could be some uterine contractions as the uterus gets back to normal, but I cannot be sure. An ultrasound...

Infertility/Fertility: Pregnancy, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Victoria from the U.S., You could just buy an OTC prenatal vitamin that has 1 mg of Folic acid in it. Since you are trying you would just take this every day. That is about all that I can recommend at this point. Sincerely, Edward J. Ramirez,...

Infertility/Fertility: Getting Pregnant After D&C, pregnancy hormone levels, ivf program
pregnancy hormone levels, ivf program, gynecology center: Hello Khalid from Oman, The good news is that she got pregnant! That tells you that your body can do all the steps necessary to achieve pregnancy naturally. That is a big step because most people with infertility don t know what is going wrong. This...

Infertility/Fertility: pco, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Again, If you ovulated on CD#12, your period would come on CD#26 if you did not get pregnant. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com Monterey,...

Infertility/Fertility: my period, birth controll pill, ovulation induction
birth controll pill, ovulation induction, pco patients: Hello Supriya from the U.S., I don t agree with the method your doctor is using to induce ovulation. Please see my Blog under how I do ovulation induction with Clomid and it will give you specifics on how Clomid should be used. The method that your doctor...

Infertility/Fertility: periods after tubal reversal surgery, endometrial lining, open tubes
endometrial lining, open tubes, natural pregnancy: Hello Tammy from the U.S., The length of the period does not have any relationship to ovulation, but can be a sign that an inadequate endometrial lining is being formed. The way to check that is by doing an ultrasound in the luteal phase (after ovulation)...

Infertility/Fertility: Can I get pregnant at 40 with a history of endometriosis?, chemical pregnancies, fertility medications
chemical pregnancies, fertility medications, chances of pregnancy: Hello Sharon from Australia, As you know, age plays an important role in your ability to become pregnant. A woman is born with all her eggs and they age with her. Unfortunately, the lifetime of eggs is probably 42-43 years, so after 30 years old, the...

Infertility/Fertility: Getting pregnant with short luteal phase, short luteal phase, luteal phase defect
short luteal phase, luteal phase defect, fertility problem: Hello Again, It is okay to continue those vitamins for now, but discontinue them should you become pregnant and stick with the prenatal vitamin only. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: for pregnency, scar tissue formation, fertility medications
scar tissue formation, fertility medications, natural pregnancy: Hello bhaskar.rokade from India, It is difficult to say if pregnancy is still possible or not. The Fallopian tube is essential for getting pregnant using a natural method. If one fallopian tube is blocked, that indicates that some inflammation occurred...

Infertility/Fertility: recurrent miscarriages, low dose aspirin, recurrent miscarriages
low dose aspirin, recurrent miscarriages, good egg: Hello Julie, I would concur with your doctor and add the progesterone, since they are natural formulations and don t have any adverse effects. I would also add the low dose aspirin (81mg) per day starting now, as you suggested. It also is innocuous but...

Infertility/Fertility: Secondary infertility- need guidance, secondary infertility, opks
secondary infertility, opks, t3 t4: Hi Jess, There s clearly something wrong with your hormones. If you don t ovulate regularly, you have a hormone abnormality. Someone has to get to the bottom of it, and unfortunately the one who is most likely to do so is a board certified RE. I just...

Infertility/Fertility: Spontaneous pregnancy after 3 failed ivf cycles, intramural fibroids, ivf cycles
intramural fibroids, ivf cycles, chemical pregnancy: Hi Lynn, Sorry to hear about your losses.... Did they do chromosome testing (karyotyping) on the pregnancy tissue of your last loss? No, there s not increased fertility in someone in your age group after multiple failed IVF cycles. Myomectomy can...

Infertility/Fertility: Successful Sex, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Tim from India, First you should know that having regimented sex is counter-productive. That means, it makes the sex worst. You two need to get the idea of making a baby out of your mind and just have enjoyable sex at the right time of the month....

Infertility/Fertility: spotting after ovulation, spotting after ovulation, pregnancy implantation
spotting after ovulation, pregnancy implantation, implantation bleeding: Hello Asma from Canada, I am sorry but I cannot explain the cause of the bleeding. It could be from many sources and/or possibilities. It may be nothing or it could be an abnormal sign. I do not think that it is from implantation or pregnancy. Implantation...

Infertility/Fertility: What supplements can i take to imptove my chances of implantation, implantation failures, gynecology center
implantation failures, gynecology center, facebook: Hello Vicky, There are no natural supplements that I know of that can help with implantation. I do add aspirin 81mg per day, Heparin and Medrol to my patients that have had implantation failures or failed IVF cycles because these meds have been shown to...

Infertility/Fertility: TTC, lack of ovulation, ivf program
lack of ovulation, ivf program, gynecology center: Hello Maria from the U.S., The pill makes you have regular cycles because it takes over ovarian function and artificially induces the period at the end. Once you stopped the pill, you went back to your natural ovarian function, which is abnormal. The...

Infertility/Fertility: trying to conceive 2 yeras, oral contraceptive pills, irregular menstrual cycles
oral contraceptive pills, irregular menstrual cycles, irregular menstrual cycle: It s not normal to have irregular menstrual cycles. A specialist has to get to the bottom of why you don t ovulate on a regular basis so they can best treat you to help you ovulate and get pregnant. A qualified fertility specialist should be able to test...

Infertility/Fertility: trying to concieve, ovarian cysts, wellington florida
ovarian cysts, wellington florida, center for reproductive medicine: Clomid can delay menses, typically until day 32-34, especially if a woman who doesn t need it takes it (Clomid is designed for women with irregular cycles who don t ovulate normally on their own). It can also form ovarian cysts which have the potential...

Infertility/Fertility: trying to concieve, home pregnancy test, elevated fsh level
home pregnancy test, elevated fsh level, fibrin deposition: Hello Iela from the U.S., It is probable that you did not ovulate and therefore your cycle is late or you formed an ovarian cyst. Your doctor needs to see you to determine what is going on and treat you appropriately. In terms of getting pregnant, the...

Infertility/Fertility: ttc in indiana, ovulation induction, genetic abnormality
ovulation induction, genetic abnormality, ovulation kits: Hello Hcharles from the U.S., I do not recommend going backwards and doing the tests again. How old are you? I am not sure what your doctor means by a progesterone challenge test . Did he mean Clomid challenge test, which is used to see if your ovaries...

Infertility/Fertility: unexplained infertility, endometrial biopsy, unexplained infertility
endometrial biopsy, unexplained infertility, frozen embryo: Hi Lisa, You said you had every test done I can imagine. So, I have a few questions for you, so I can try to give you answers based on your responses to my questions: 1) What did your endometrial biopsy show? Please ask for a copy of the report and...

Infertility/Fertility: 1298c, aspirin per day, ivf program
aspirin per day, ivf program, mg aspirin: Hello Sally from the U.S., I would certainly recommend a 81 mg aspirin per day. It can t hurt. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com...

Infertility/Fertility: Artificial insemination is it a good option when u hav polycystic ovaries?, iui attempts, arcuate uterus
iui attempts, arcuate uterus, fertility medications: Hello Nicole from Norway, IUI (intrauterine insemination) is certainly an option for you, especially if you have been found to be completely normal except for ovulation (PCO). Because IUI is a natural treatment method, meaning your body has to go through...

Infertility/Fertility: what to avoid when just did embryo transfer, manicure and pedicure, sex intercourse
manicure and pedicure, sex intercourse, gynecology center: Hello Jenn from the U.S., There are no specific activity restrictions because essentially it is as if you just had intercourse and are waiting to see if you become pregnant. Normal (non-IVF) couples don t take any precautions and do just fine. If it is...

Infertility/Fertility: Bioidentical progesterone cream Progonol with Susten, ivf program, progesterone cream
ivf program, progesterone cream, vaginal insertion: Hello Nans from India, Yes. Extra progesterone will not be detrimental and could potentially help with implantation. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program...

Infertility/Fertility: becoming a surrogate for my sister, infertility specialist, egg retrieval
infertility specialist, egg retrieval, gynecology center: Hello Coral from Canada, I am sorry to hear about your sister, but the good news is that we do have the technology to help her have a child in exactly the way you mention. It is called IVF with surrogate. Your sister needs to contact an IVF center immediately....

Infertility/Fertility: my chances of pregnancy?, conventional ivf, ivf cycles
conventional ivf, ivf cycles, scar tissues: Hello Kristy from the U.S., From your description, it sounds like you have stage IV endometriosis, which significantly decreases your chances of a natural pregnancy. The problem is that it will be very difficult for the egg to find and get into the tube....

Infertility/Fertility: not conceiving after early miscarriage, menstrual cramps, fallopian tubes
menstrual cramps, fallopian tubes, third child: Hi Jackie, If you re depressed about your miscarriage, you should consider talking to a therapist about it. Also, depression can be a possible hindrance towards getting pregnant again (as you said, you may be trying too hard!). Finally, realize that...

Infertility/Fertility: cyst, scar tissue formation, ivf program
scar tissue formation, ivf program, gynecology center: Hello Maria from the U.S., How is it that you know there is a cyst? Usually these can only be diagnosed by pelvic exam or ultrasound. Have you had these? If there is a persistent cyst present, it is worrisome because it could indicate some type of...

Infertility/Fertility: Early Period, misleading internet info, sign of pregnacy, ivf program
sign of pregnacy, ivf program, gynecology center: Hello Stacy from Canada, 40 day menstrual cycles are not normal. That is a sign of an ovarian dysfunction. If you had a period in 28-30 days instead, that is more normal and the bleed could have just been a normal menses from a normal cycle. Certainly,...

Infertility/Fertility: Elevated progesterone and clomid, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, fallopian tubes: Hi Tracy, The possibility of being pregnant is not possible to predict, as it depends on SO many different factors... These include, and are not limited to, your partner s sperm numbers and function, the status of your fallopian tubes, your cervical mucous,...

Infertility/Fertility: Endo & Lupron, lupron injections, gynecology center
lupron injections, gynecology center, scar tissue: Hello Bridget from the U.S., It will take anywhere from 2-4 months for the ovary to reset and your cycles to resume. The only reason you need to wait for a period to start trying is because that is the only way you will know that the ovarian function has...

Infertility/Fertility: Fertility treatment in Saudi, international health center, ivf program
international health center, ivf program, middle east countries: Hello Sarah from the U.K., I am sorry but I am not familiar with any clinics or sources in Saudi Arabia (I m also not very confident of the care there). Sorry that I cannot help with this. There might be an international health center or hospital staffed...

Infertility/Fertility: Fertility treatment in Saudi, infertility clinic, riyadh
Infertility/Fertility: Fertility treatment in Saudi, infertility clinic, riyadh, infertility

Infertility/Fertility: fertility, viable sperm, dead sperm
viable sperm, dead sperm, fertility specialist: Hi Milo, I m not totally sure of what you re asking by injecting sperm from a squeeze pump , but if a man does not have viable sperm then his sperm can t fertilize an egg. He should be evaluated by a qualified male fertility specialist. That way, it...

Infertility/Fertility: follicle size, progesterone levels, center for reproductive medicine
progesterone levels, center for reproductive medicine, ovidrel shot: It s doubtful that a follicle grew too much in two days, UNLESS your blood progesterone was too high on the day you took the Ovidrel shot. What were your estradiol and progesterone levels on cd 13 and cd 15? Thanks, Ann, Dr. Roseff - Director Palm Beach...

Infertility/Fertility: fsh level in childern & effect on their growth, premature puberty, pediatric endocrinologist
premature puberty, pediatric endocrinologist, going through puberty: Hello Shantilal from India, You need to stop seeing the doctor that you are seeing. They are completely and utterly wrong. your daughter s FSH is elevated because she does not have full ovarian function yet! That won t occur until she starts going through...

Infertility/Fertility: High FSH level, high fsh level, fertility specialists
high fsh level, fertility specialists, fsh test: Hello Mali12 from Iran, I am surprised that you are able to search the web. I thought the government had tighter controls. The FSH level is only valid for interpretation if it is done on cycle day #2 or 3. I would recommend that you have it repeated...

Infertility/Fertility: hcg levels, gynecology center, monterey california
gynecology center, monterey california, facebook: Hi Brandy, That is a good level at 12 days post retreival. We can t interpret how many are there based on the levels. It is too early. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey...

Infertility/Fertility: INFERTILITY/FERTILITY, ivf program, causes of infertility
ivf program, causes of infertility, fertility drug: Hello Again, YES, one can get pregnant with only one tube but the statistical chances are lower. The reason is that most causes for tubal blockage affect BOTH tubes, it is just that one tube was affected more than the other. But patients do get pregnant...

Infertility/Fertility: Infertility, early stage cervical cancer, wellington florida
early stage cervical cancer, wellington florida, center for reproductive medicine: Hi Desire, It s NOT normal to only menstruate twice in 5 years, and in fact it s not healthy either. There are MANY reasons why someone would not menstruate regularly, and they don t generally have anything to do with treatment of early stage cervical...

Infertility/Fertility: Infertility, egg donors, wellington florida
egg donors, wellington florida, center for reproductive medicine: Hi Fatina, The incidence of genetically abnormal pregnancies (such as Down Syndrome) goes up as a woman ages. This starts to become fairly significant around age 35. Also, the likelihood an egg will fertilize goes down with age, and the risk of miscarriage...

Infertility/Fertility: Injectables without IUI, pco patients, ovulation induction
pco patients, ovulation induction, multiple pregnancy: Hello Jodi from the U.S., If you were successful with Clomid 100 mg, then why change to injectables? That is a fairly low dose of Clomid that you used. Clomid can be used up to 250mg, and most PCOD patients will require the higher doses to adequately...

Infertility/Fertility: Integram, ivf program, bhcg levels
ivf program, bhcg levels, cyclogest: Hello Again, Because the use of Immunoglobulin in IVF is controversial, there is no set protocols or dosages. Therefore, I cannot comment on the dosage or times of delivery. In my experience, however, it is given at the beginning of the cycle, after the...

Infertility/Fertility: IVF cycle - outcome doesn't seem right, poor sperm quality, mirena iud
poor sperm quality, mirena iud, dna fragmentation: Hi Alison, Sorry to hear your cycle didn t go well. There are many possible reasons for embryos not progressing. These include, and certainly aren t limited to: Poor quality eggs; Poor techniques in the IVF lab; Poor sperm quality; Sperm DNA fragmentation...

Infertility/Fertility: immature eggs, egg development, wellington florida
egg development, wellington florida, mother of twins: No, Marline - Adenomyosis doesn t affect egg development. Some reasons for poor egg maturity include advanced female age (over age 37) and diminished ovarian reserve (what were your cycle day 3 FSH, estradiol, AMH, and antral follicle (egg) counts?). How...

Infertility/Fertility: infertility, center for reproductive medicine, hsg
center for reproductive medicine, hsg, written authorization: I think you should see a board certified RE who can best serve your needs, given your age and history of blocked tubes, and long-standing infertility. Hope this helps, Donetta, Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington,...

Infertility/Fertility: infertility, ivf success rates, wellington florida
ivf success rates, wellington florida, center for reproductive medicine: Hi Lisa, An FSH is meaningless without an estradiol measured on the same day - What was it? Your AMH? The success rate for IVF varies from center to center. At our center, we have amongst the highest IVF success rates in the country, but our rate may...

Infertility/Fertility: ivf treatment, ovary cyst, good egg
ovary cyst, good egg, donor eggs: Hi Brandy, Four fertilizations from 13 eggs greatly concerns me. That may indicate either an egg problem, sperm problem, or embryology lab problem. Or, maybe your 13 eggs weren t mature? Something is amiss here.... If you don t conceive on this IVF...

Infertility/Fertility: Lovenox during pregnancy, low dose aspirin, wellington florida
low dose aspirin, wellington florida, donor eggs: Hi Tina, The combination of low dose aspirin and Lovenox is often used to prevent clots. It has a high degree of effectiveness. Its efficacy though depends on the underlying factors related to blood clotting in each individual, so the efficacy will vary...

Infertility/Fertility: Male infertility-Semen Analysis, pus cells, fertility specialist
pus cells, fertility specialist, male infertility: Hi, There are several possible reasons for these test results. It s ONLY possible to determine what is going on with you (why these results are so poor) by having you undergo a complete history, physical examination, and further testing. You need to see...

Infertility/Fertility: Menstrual Cycle since Miscarriage., birth control pills, menstrual cramps
birth control pills, menstrual cramps, menstrual bleeding: Hello Ann from the U.S., I don t think you need to worry about your menstrual bleeding pattern. It can be completely normal. Bleeding patterns vary quite a lot. As long as your menses are on a fairly normal schedule that is an indication of ovulation...

Infertility/Fertility: MFI, male factor infertility, ivf cycle
male factor infertility, ivf cycle, donor sperm: Hello Lori from the U.S., I agree with your statement that technically the FET was successful. In fact, the FET cycle WAS successful. Remember, IVF can only give you the opportunity to become pregnant. It cannot MAKE you pregnant because the last two...

Infertility/Fertility: ovarian cyst, hemorrhagic cyst, ivf program
hemorrhagic cyst, ivf program, gynecology center: Hello Thamina from UAE, If in fact the cyst was bleeding, the surgery needs to be done now/today. So, based on that fact, I don t think that the cyst is bleeding. It is possible you have a hemorrhagic cyst which means that there is blood within the...

Infertility/Fertility: ovulation, progesterone level, wellington florida
progesterone level, wellington florida, center for reproductive medicine: No, B, it s not normal to ovulate every other month. However, I would NOT base it on a BBT. Consider seeing a doctor who can measure a progesterone level in your blood a week after presumed ovulation... Dr. Roseff, Director - Palm Beach Center for Reproductive...

Infertility/Fertility: PCOS Blocked Tube, fertility medications, health insurance coverage
fertility medications, health insurance coverage, ovulation kits: Hello Sophia from the U.S., I guess I can be your second opinion. As you have described, you have two problems thus far: PCOD and tubal blockage. Certainly if PCOD were the only problem, ovulation induction with Clomid, Femara or injectables would be...

Infertility/Fertility: Pills advise, abdominal myomectomy, lo estrin fe
abdominal myomectomy, lo estrin fe, birth control pill: Hello Diana from the U.A.E., First of all, the patch is NOT the only birth control pill available. There are lots and lots of different kinds of pills and it is just a matter of finding a pill that is appropriate for your body (i.e. does not cause side...

Infertility/Fertility: Progesterone level - early pregnancy, bhcg levels, ultrasound at 6 weeks
bhcg levels, ultrasound at 6 weeks, progesterone levels: Hello Again, I m glad that things are going well and hope that the 8 week scan will be reassuring and put your fears at rest. I don t quite agree with the corticosteroid protocol at this point. I don t think I can recommend continuing it any further,...

Infertility/Fertility: pcos?, transvaginal sonography, ultrasound report
transvaginal sonography, ultrasound report, ultrasound image: Hello again, The fact that you have PCO appearing ovaries and a history of irregular menses makes the diagnosis for PCO. You don t have to be a classic PCO with the elevated LH/FSH ratio or increased facial hair or increased weight gain. If you fit...

Infertility/Fertility: pcos/clomid/provera, ovulation induction, ivf program
ovulation induction, ivf program, insulin resistance: Hello Michelle from South Africa, My first recommendation to you would be to change doctors and find a fertility specialist. I am leery about the doc treating you currently because the treatment methods are not proper. In answer to your question, provera...

Infertility/Fertility: period after laparoscopy, home pregnancy test, ivf program
home pregnancy test, ivf program, gynecology center: Hello Lorraine from the U.K., Whenever a woman is late for or missed a period, we do a pregnancy test. Stranger things have happened and I see miracles all the time. In your case, with tubal abnormalities, if you become pregnant, there is the risk of...

Infertility/Fertility: period after laparoscopy, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, laporoscopy: Hi Lorraine, Sometimes the manipulation can disrupt a menstrual cycle, and sometimes anesthesia may have an effect. One MUST rule out pregnancy, though, even in the face of having had a menstrual period prior to the surgery (so a sensitive pregnancy test...

Infertility/Fertility: periods, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Julie from the U.S., It is not unusual to have spotting prior to the onset of a period. This occurs because of the declining hormone levels if pregnancy does not occur. If pregnancy occurs, the hormones are maintained so the period does not come....

Infertility/Fertility: possible pregnancy?, birth control pills, sugar pills
birth control pills, sugar pills, taking pills: Hello Tuba from Turkey, If I understand you correctly, last month you took a complete pack of birth control pills. 4 days after the last pill, you started your period so you started a new pack of pills on the second day of your period. However, the next...

Infertility/Fertility: pregnancy, sex intercourse, chances of pregnancy
sex intercourse, chances of pregnancy, pregnancy rate: Hello Taylor from the U.S., Your chances of pregnancy this month, as specifically as I can tell, would be approximately 18%, which is the per month pregnancy rate in under 30 year olds. I can t give you a more specific number because you have not done...

Infertility/Fertility: progesterone, balanced translocation, infertility evaluation
balanced translocation, infertility evaluation, infertility specialist: Hello Sheree from Australia, I m afraid that I can t interpret it for you because you did not provide the units attached to the result. Different units are used in different countries and so the number is different. Just a side note, if you have been...

Infertility/Fertility: Recurring infections with each menstruation, arcuate uterus, polycystic ovarian syndrome
arcuate uterus, polycystic ovarian syndrome, burning sensations: Hi Nicole, There are MANY different types of infections, and I can t know which type you re referring to without testing you at my Center. It s NOT normal to keep getting infections, and the infections are not part of the polycystic ovarian syndrome. ...

Infertility/Fertility: should i see a repro endocrino, reproductive endocrinologist, extreme nausea
reproductive endocrinologist, extreme nausea, week late period: Hi, Yes, it sounds like it would clearly be in your best interest to see a board certified RE. You ve been ttc for two years! Also, with irregular periods, it s important to find out WHY you re irregular, as it can potentially impact your health, as well...

Infertility/Fertility: request, fertility specialist, wellington florida
fertility specialist, wellington florida, center for reproductive medicine: The treatment of a non-growing follicle is based on many factors and will vary depending on the underlying cause of non-growth. Follicles may not grow depending on things we find by taking a good medical history, performing a physical examination, doing blood...

Infertility/Fertility: Superfact on the 5 th day of embryo transfer, negative feedback loop, fsh and lh
negative feedback loop, fsh and lh, ovulation induction: Hello Peggy from Iran, Suprefact (Buserellin) is a GnRH agonist (gonadotropin releasing hormone agonist). In low doses, it induces the release of FSH and LH from the pituitary, but in high doses, through the negative feedback loop, it blocks the release...

Infertility/Fertility: stage 4 endo;cyst;clomid, fertility doctor, fertility drugs
fertility doctor, fertility drugs, natural pregnancy: Hello Again, Boy that was a quick response. The cyst that you have is called an Endometrioma. It is an endometriotic cyst or tumor. Draining it is not sufficient because the endometriosis is still located within the cyst and it will refill as it has...

Infertility/Fertility: Should I start the antagonist?, egg quality, lh surge
egg quality, lh surge, baby with the bathwater: Hi Bertie, Hmmmm, tough one. If we don t use an antagonist, there s a chance of premature ovulation or luteinization. If we use it and someone over-suppresses, then she may not do well. One reason for bottoming out an estradiol after starting antagonist...

Infertility/Fertility: swimming after ambryo transfer, embryo transfer, wellington florida
embryo transfer, wellington florida, center for reproductive medicine: Hi Sara, I don t want to tell you anything that may go against what your RE wants you to do, so I suggest you contact him/her and ask... Good luck!!!!!!!!!!!!!!! Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine PERSONALIZED/Individualized...

Infertility/Fertility: UNABLE TO CONCEIVE AFTER RIGHT TUBE REMOVAL, pain during intercourse, blood work
pain during intercourse, blood work, obgyn: Hello Amanda from the U.S., You have what we call tubal factor infertility. What this means is that the tubes are damaged and so pregnancy is not occurring. With a history of possible PID and an ectopic pregnancy, that means that there was some type...

Infertility/Fertility: What if?, surrogate agency, ivf program
surrogate agency, ivf program, gynecology center: Hi Evan, In order to serve as a Surrogate, you would need to contact a Surrogate agency. They are usually the ones that arrange those things. There are agencies all over the country and an internet search will direct you to many. Sincerely, Edward...

Infertility/Fertility: Adenomyosis?, heavy menstrual bleeding, blood sugar readings
heavy menstrual bleeding, blood sugar readings, ortho novum: Hello Ramya from the U.S., Adenomyosis should not affect your ability to get pregnant or carry a pregnancy. In fact, pregnancy is a very good treatment for adenomyosis. With the pelvic pain that you had there is the possibility of endometriosis in the...

Infertility/Fertility: Allergy to semen, fluconazole 150mg, metal taste
fluconazole 150mg, metal taste, nystatin: Hello Claire from Australia, It is not very common but women can develop an allergy to semen, since it is a protein. It is a difficult problem to treat. Basically, you need to use a condom to avoid the contact with the semen. Sometimes, if enough time...

Infertility/Fertility: Cancelled ivf/wrong dose of trigger., egg maturation, mature eggs
egg maturation, mature eggs, gynecology center: Hello Again, Certainly if you had lots of follicles, they are correct that there could be a significantly increased risk for a multiple pregnancy. I still think that they should have tried the retrieval, however. Good Luck, Edward J. Ramirez, M.D.,...

Infertility/Fertility: Complex Atypical Hyperplasia, complex atypical hyperplasia, endometrium biopsy
complex atypical hyperplasia, endometrium biopsy, endometrial hyperplasia: Hello Jaime from the U.S., Endometrial hyperplasia with atypia is considered a pre-cancerous state because if left untreated, it will turn into uterine cancer. You doctor is correct in not doing a hysterectomy if you want to retain your fertility in order...

Infertility/Fertility: chemical pregnancy, factor v leiden, low dose aspirin
factor v leiden, low dose aspirin, chemical pregnancies: Hello Annie from Romania, Artificial insemination is a technique used to get patients pregnant. Getting pregnant does not seem to be the problem with you if you have had several chemical pregnancies. Your problem is called recurrent miscarriage. There...

Infertility/Fertility: congential hypothyroidism/PCOS, ortho novum 777, breech presentation
ortho novum 777, breech presentation, congenital hypothyroidism: Hello Heather, None of the information that you have given me leads to a diagnosis of PCOS. The dosage you were previously given of Metformin was not therapeautic. Metformin needs to be at least 1500 mg per day. I am not sure what your question is or...

Infertility/Fertility: D&C?, scar tissue formation, non viable pregnancy
scar tissue formation, non viable pregnancy, infertility problems: Hello Crystal from Canada, The problem is that you might have some retained products from the pregnancy, in which case the pregnancy test will still be positive. A D%26C would be recommended in that case. One way of knowing is that usually there will...

Infertility/Fertility: Early ovulation and IVF outcome, ivf cycles, ivf program
ivf cycles, ivf program, ovulation tests: Hello Anna, It seems that your ovaries are sensitive to the stimulation, but that should not prevent you from getting pregnant. The two biggest worries would be (1) if the endometrial lining of the uterus has enough time to prime itself and (2) if the...

Infertility/Fertility: Lots of Spotting and Cramping, endometriosis, progesterone
Infertility/Fertility: Lots of Spotting and Cramping, endometriosis, progesterone, docs

Infertility/Fertility: High LH in IVF Cycle, ovarian cyst, bad egg
ovarian cyst, bad egg, good egg: Hi Kris from the U.S., Let me answer your last question first. The E2 rises because the follicle is growing. It does not rise without follicular growth. We check it at the beginning of the cycle to make sure there is no exogenous E2 production, such...

Infertility/Fertility: hypogonadotropic hypogonadism, ivf program, gynecology center
ivf program, gynecology center, thyroid hormone: Hello Again, The pregnancy takes over hormone production, so you should not have problems producing breast milk. Your disease should not affect your baby unless it is due to some sort of congenital/genetic disease that is passed to your child. Congratulations,...

Infertility/Fertility: Infertility/no ovulation, fertility medication, fertility drugs
fertility medication, fertility drugs, fertility specialist: Hello Marie from the U.S., I do not recommend the laparoscopy at this time for any reason, and I would recommend that you go see a fertility specialist, not your general Ob/Gyn doc. You were able to get pregnant spontaneously twice. That indicates that...

Infertility/Fertility: Ultrasound report after using clomid, arcuate uterus, ultrasound report
arcuate uterus, ultrasound report, fertility medications: Hello Again, This is definitely a question that should be answered by your doctor! That is what you pay him/her for. The ultrasound shows characteristics of PCO, as you know, and does not show any signs that the Clomid dose you are using is sufficient...

Infertility/Fertility: im cant have children anymore, surrogate agency, seragant mother
surrogate agency, seragant mother, gynecology center: Hello Amy from the U.S., This is not the forum for finding a surrogate for you. I m afraid you will have to contact a surrogate agency. There are lots of them on the web and are located all over the U.S. Once you contact them and contract them, they...

Infertility/Fertility: implantation, chances of pregnancy, gynecology center
chances of pregnancy, gynecology center, monterey california: Hello Terri from the U.S., I am not surprised that the hpt was negative. It is too soon. 7/8 was only 3 days after transfer. 7/14 is a more appropriate date to check the pregnancy test, and the blood test is a lot more sensitive than the hpt (urine)....

Infertility/Fertility: Am I infertile?, ivf program, chlamydia infection
ivf program, chlamydia infection, infertility evaluation: Hello Damita from the U.S., Infertility is defined as a reproductive age woman who fails to become pregnant after 1 year of unprotected intercourse. You are in your peak fertile years until 30 years old, and has a statistical chance of pregnancy that is...

Infertility/Fertility: infertility after nuva ring, birth control pills, brown coloring
birth control pills, brown coloring, insurance changes: Hello Again, I answered most of your questions with the last letter, but in terms of feeling cysts at the time of the pelvic exam/pap, unless the cysts are large they cannot be felt. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director...

Infertility/Fertility: i have a infertility question!, reproductive endocrinologist, tilted uterus
reproductive endocrinologist, tilted uterus, fertility specialist: Hi Jessica, Here s what you need to do: Most women who take Clomid conceive within an average of 3 cycles. You wrote that you took Clomid for over a year!!! WOW!!! So... You need to see a real fertility specialist (Board Certified Reproductive Endocrinologist),...

Infertility/Fertility: Lots of Spotting and Cramping, ovulation pains, low progesterone
ovulation pains, low progesterone, uterine cavity: Hello Gillian from the U.S., I m afraid that I cannot make a diagnosis without further examination and information. I would also not want to plant ideas in your mind that might be completely off base. There are too many possibilities and they need to...

Infertility/Fertility: Low Estradiol/High Cortisol, pain management clinic, emotional lability
pain management clinic, emotional lability, cortisol level: Hello Rebecca from the U.S., At this point, I would recommend that you go see an endocrinologist. Neither of the tests you cite are abnormal, but the cortisol level actually has to be checked in a certain way, not just a random draw. Your endocrinologist...

Infertility/Fertility: Low estrogen levels after miscarriage., low estrogen levels, menstural cycles
low estrogen levels, menstural cycles, time of ovulation: Hello Jackie from the U.S., Your blood tests are within normal limits. A cycle day #3 FSH or estradiol will show these two hormones at their lowest levels in the cycle. That is why we do the test on that day. If you want to see what your estrogen level...

Infertility/Fertility: luteal phase defect?, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Carrie from the U.S., There is certainly a possibility that you could have a luteal phase defect considering that your luteal phase is short. You are correct on all counts in your analysis. The treatment would be to add progesterone after ovulation...

Infertility/Fertility: luteal support for IVF, ivf treatments, ivf program
ivf treatments, ivf program, crinone 8: Hello Laura from Canada, The dosage of prometrium that your doctor has prescribed is certainly adequate for luteal phase support but is not the mainstay with IVF treatments. The gold standard is injectable progesterone 50 mg per day starting on the day...

Infertility/Fertility: Mensuration Issue, time intercourse, nadini
time intercourse, nadini, hello doctor: Hello Nadini from India, Normally, if the cycle is a regular cycle, as in your February, March and April cycles, it is an indication that you are ovulating. When you have an irregular cycle, especially if you skip, and you are not pregnant, then that is...

Infertility/Fertility: NT measurement, triple blood test, b hcg
triple blood test, b hcg, ivf program: Hello Elizabeth from Australia, Your NT level of 2.8 is within normal limits at the 13 week gestational age and your risk calculation of 1:2300 is very very very low. I do not think that you need to worry. However, NT measurements in addition to the triple...

Infertility/Fertility: we need you, new health care, supreme genius
new health care, supreme genius, good doctors: Hello Ileana from Miami, U.S., Thank you for the complements and the invitation. I am afraid I like California too much to move to Miami. However, if the state continues to increase taxation, I might consider it. I have been truly blessed to provide...

Infertility/Fertility: Ovarian Reserve, depot lupron, pregnancy losses
depot lupron, pregnancy losses, ivf program: Hello Deanna, Thanks for the additional info but I ll stay with my previous answer. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com Monterey,...

Infertility/Fertility: Ovarian Reserve, gestational surrogacy, egg quality
gestational surrogacy, egg quality, blastocyte: Hello Deanna from the U.S., Since your pregnancies were know to be genetically normal, this is not an indication that you have poor egg quality. Poor egg quality leads to abnormal embryos (genetically) because the chromosomes within are fragile and break...

Infertility/Fertility: ovulating, reproductive endocrinologist, ivf program
reproductive endocrinologist, ivf program, fertility specialist: Hello Terry from the U.S., After a miscarriage, it can take a little while for the ovaries to re-set and function normally. Once the first menses starts, it should then function normally. If it does not then that is an indication that the ovaries are...

Infertility/Fertility: Not ovulating often, multiple miscarriages, wondering about tests, mg prometrium, multiple miscarriages
mg prometrium, multiple miscarriages, typical pregnancy: Hello Amanda from South Dakota, Thank you for reading my blog. I hope the information was useful. It certainly sounds like you have an ovulation problem, and Clomid would be an appropriate treatment. However, because you have had three miscarriages,...

Infertility/Fertility: Pcos, arcuate uterus, ivf program
arcuate uterus, ivf program, pelvic ultrasound: Hello Cindy from Norway, PCOS does not cause any abdominal symptoms. It is an ovarian dysfunction where ovulation does not occur and therefore there is a hormonal imbalance. This is NOT the reason for the kicking sensation you are having. I would recommend...

Infertility/Fertility: Pelvic Tubercolosis, scar tissue formation, chances of pregnancy
scar tissue formation, chances of pregnancy, egg quality: Hello Nadine from Switzerland, First, there is no vaccine for tuberculosis, unfortunately. Pelvic tuberculosis is caused by contact with tuberculosis, the same form that affects the lungs. The bacteria migrates down to the pelvis and affects the pelvic...

Infertility/Fertility: Please Help !, american society for reproductive medicine, recurrent miscarriages
american society for reproductive medicine, recurrent miscarriages, reproductive endocrinologist: Hello Hager from the U.S., You have a diagnosis/classification of recurrent abortion/miscarriage. You need to go see a reproductive specialist called a reproductive endocrinologist. This doctor will take a complete history and do some specialized testing...

Infertility/Fertility: Poly Cystic Ovaries, ivf program, infertility specialist
ivf program, infertility specialist, pelvic ultrasound: Hello Ranjana from India, Your doctor should be doing some additional tests besides just prescribing the birth control pill. Certainly the BCP will get your cycling normally, but does nothing to evaluate the source of the bleeding. The standard tests...

Infertility/Fertility: Possible miscarriage?, emotional roller coaster, crinone gel
emotional roller coaster, crinone gel, bhcg levels: Hello Deborah from the U.S., First, let me answer your last question. Based on your symptoms and bHCG levels, you CANNOT make a diagnosis of imminent miscarriage. It can go either way, but I tend to focus on the good side. The bHCG levels doubled as...

Infertility/Fertility: Prometrium dose, blighted ovum, progesterone levels
blighted ovum, progesterone levels, prometrium: Hello Monica from the U.S., Unfortunately, neither of the specialists you saw were specialists in infertility or recurrent miscarriage so there has been a wide variation in dose. The perinatologist is closer to the correct dose, whereas your gynecologist...

Infertility/Fertility: pcos and feeling movement, infertility problem, ivf program
infertility problem, ivf program, infertility specialist: Hello Again, I can t figure what it might be other than intestines. If you were pregnant enough to feel and see movement, you would be pretty far along and there would be no question that you were pregnant. I would strongly suggest that you go see your...

Infertility/Fertility: how and when did i get pregnant, ivf program, gynecology center
ivf program, gynecology center, unprotected intercourse: Hello Neaca from the U.S., More than likely the period you had on 24 November was not an actual period, and ovulatory bleeding or some other dysfunctional bleeding. If in fact that the only day you had unprotected intercourse was 23 November, then that...

Infertility/Fertility: Regarding Concieving, ivf program, gynecology center
ivf program, gynecology center, calendar method: Hello Ishanika from India, I use the following calendar method: CD#1 - the first day of your menses (first day of flow). Count each day in sequence. CD#10 - stop recreational intercourse. CD#13-17 have intercourse each of these days, once per day,...

Infertility/Fertility: sergancy, fertilization ivf, vitro fertilization
fertilization ivf, vitro fertilization, ivf program: Hello Amy from the U.S., If you have ovaries, then you can achieve pregnancy using a surrogate. You would need to undergo a treatment process called In Vitro Fertilization (IVF), in order to stimulate the ovaries to grow multiple eggs, then extract them...

Infertility/Fertility: surrograte, fertility clinic, gynecology center
fertility clinic, gynecology center, monterey california: Hello Julie from the U.S., As long as you have a healthy uterus and uterine cavity, your age, or the age of the woman is of no consequence in terms of being a surrogate. Age is only an issue for the eggs. If your uterus is healthy, there is no reason...

Infertility/Fertility: Thin Lining of Uterus, estrogen receptors, genetic abnormality
estrogen receptors, genetic abnormality, fertility specialist: Hello Megan from the U.K., A thin lining could certainly be due to an over-vigorous D%26C leading to scarring in the uterus. This is called Asherman s syndrome. A procedure called hysteroscopy can be done to evaluate the uterus cavity for this. However,...

Infertility/Fertility: unable to conceive, semen analysis, chances of pregnancy
semen analysis, chances of pregnancy, gynecology center: Hello Steph from the U.S., If you are under the age of 35 years old, then I think that IUI would be an option for you. The sperm findings are abnormal, but there is a small chance. Your chances of pregnancy under the age of 35 would be 20-24% per cycle,...

Infertility/Fertility: In Vitro Fertilization, vitro fertilization, artifical insemination
vitro fertilization, artifical insemination, artificial insemination: Hello Kim from Canada, Let me answer your last question first since it is the simplest to answer. After ANY pregnancy, conceived naturally or by fertility treatment, the soonest you could become pregnant is as soon as your ovaries begin to cycle again....

Infertility/Fertility: bleeing, ectopics, scar tissue
ectopics, scar tissue, early pregnancy: Hello Dameil from the U.S., First, despite my being on the internet and answering lots of questions from around the world, I am afraid that I have to admit that I don t know what af means. Even light bleeding could mean a period, but it could mean...

Infertility/Fertility: Clomid and age, multiple miscarriages, ivf program
multiple miscarriages, ivf program, gynecology center: Hello Melodie from the U.S., There is no age limit for the use of Clomid. Because you have recently been successful, it would be a good idea to try that method again. The problem with age is the eqq quality. That is the hurdle that you have to get over....

Infertility/Fertility: Conceive, fertility drugs, ivf program
fertility drugs, ivf program, infertility evaluation: Hello Vanessa from the U.S., If you have not had a hysteroscopy done yet, then you need to have this done before you proceed any further. A hysteroscopy is a procedure whereby a scope is passed through the cervix to examine the uterine cavity. One of...

Infertility/Fertility: clomid/side effects/fertility, home pregnancy test, clomid side effects
home pregnancy test, clomid side effects, side effects of clomid: Hello Kristin from the U.S., The definition of a period is flowing red blood. Brown is considered a discharge and not a period. I can t tell you exactly what the bloating was caused from or why you had the discharge. It is not usually a side effect...

Infertility/Fertility: complicated..., ivf program, fertility specialist
ivf program, fertility specialist, vaginal muscles: Hello Russell from the U.S., The effects of Mirena should wear off after 2-3 months, or as soon as one month, after the removal. The ovaries should then return to their normal function and your GF should be able to get pregnant. If she is not having normal...

Infertility/Fertility: cramping 5 DPO, corpus luteum cyst, ruptured ovarian cyst
corpus luteum cyst, ruptured ovarian cyst, pregnancy implantation: Hello Carrie from the U.S., The cramping you are having is way too early for a pregnancy. Implantation has not even occurred yet. It is mostly likely due to a ruptured ovarian cyst or corpus luteum cyst. That is why they did not see anything on ultrasound,...

Infertility/Fertility: one day menstrual period, lack of ovulation, ivf program
lack of ovulation, ivf program, gynecology center: Hello Leeane from the Philippines, This only means that you did not have much of a uterine/endometrial lining so there was not much to shed. That is the basis for the menstrual bleeding. It is not an abnormality, but an indication that you did not have...

Infertility/Fertility: E2 level and IVF outcome, poor sperm morphology, male factor infertility
poor sperm morphology, male factor infertility, mature eggs: Hello Laura from Canada It looks like your doctor was surprised by your hyperstimulation and it was lucky that you didn t develop hyperstimulation syndrome. Basically a decreasing estradiol means that some of the follicles died off i.e. stopped developing....

Infertility/Fertility: Endometriosis, jock itch, bladder infections
jock itch, bladder infections, fallopian tubes: Hello Kelly from the U.S., 1. Endometriosis is a disease of the pelvis that causes the pelvis to become inflamed. It is due to implants of endometrial tissue that pass back through the fallopian tubes at the time of menstruation then implant into the...

Infertility/Fertility: Facial Bleach, gynecology center, monterey california
gynecology center, monterey california, monterey bay: Hi Bella from the U.K., Yes, it is safe. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com Monterey, California, U.S.A. for additional...

Infertility/Fertility: Fertility and X Rays, veterinarian medicine, ivf program
veterinarian medicine, ivf program, lead apron: Hello Emily from Canada, At this point the amount of radiation you take for a standard X-ray is negligible in terms of future fertility. The main type of radiation exposure that is a problem is radiation therapy for cancer. MRI s have not impact, but...

Infertility/Fertility: Follistim/HCG/IUI, supplemental progesterone, ivf program
supplemental progesterone, ivf program, gynecology center: Hllo Amy from the U.S., Your breasts have glands within them that are very hormonally responsive. That is why most women will have breast tenderness in the luteal phase (after ovulation until the period). More than likely, that is the cause of your breast...

Infertility/Fertility: Multiple Miscarriages, kerala india, dr edward
Infertility/Fertility: Multiple Miscarriages, kerala india, dr edward, 7 months

Infertility/Fertility: fertility, ovulation induction, ivf program
ovulation induction, ivf program, infertility problem: Hello Katie from the U.K., You are not ovulating correctly. The irregularity of your cycles is an indication of an ovarian dysfunction. My recommendation would be to go on a treatment called ovulation induction as long as there are no other problems....

Infertility/Fertility: follow up question to post ovulation cramping, luteal phase defect, cramping after ovulation
luteal phase defect, cramping after ovulation, endometrial biopsy: Hi Carrie, Sorry for the delay in getting back to you. I just answered your question. A luteal phase defect is diagnosed by a pre-menstrual (just before menstrual like cD#27) endometrial biopsy and not necessarily by a luteal phase progesterone level....

Infertility/Fertility: HCG Trigger Shot and Menstrual Cramps, ivf program, menstrual cramps
ivf program, menstrual cramps, gynecology center: Hello K from the U.S., The HCG shot should not change the quality of the menstrual cramps. It only stays in your system for 3-7 days. The most likely cause of your cramping is from ovulation itself. Usually a corpus luteum cyst will form and sometimes...

Infertility/Fertility: Hoping for a donor egg despite being fertile, donor ivf, fertility medications
donor ivf, fertility medications, ivf center: Hello Again, I can t imagine that you would have difficulty finding a clinic that would allow you to do a donor IVF cycle with your explanation. Some clinics might want you to have counseling to make sure, but I doubt that the majority would. You are...

Infertility/Fertility: hcg, ivf program, bhcg levels
ivf program, bhcg levels, trimester ultrasound: Hi Again, Dating cannot be done by bHCG levels. It is only reliable by ultrasound and a first trimester ultrasound is the best time for dating a pregnancy. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: Infertility, irregular menstrual cycles, ivf program
irregular menstrual cycles, ivf program, fertility specialist: Hello Mahira from Pakistan, I m afraid I cannot tell you what your chances of pregnancy are based on the limited amount of information that you have given me. I would recommend, however, that you bypass your gynecologist and go to a fertility specialist....

Infertility/Fertility: Infertility, iui attempts, hcg injections
iui attempts, hcg injections, writing from india: Hello again, When I use injectable medications, my goal is always to try to have up to 3 ovulatory follicles. That is what increases the chances. If there are three eggs ovulated there is a higher chance that on will get to the tube and fertilized. If...

Infertility/Fertility: IUI, pregnancy rates, luteal phase
pregnancy rates, luteal phase, time lisa: Hello Lisa, I presume that your consultant does not do IVF and therefore is not a fertility subspecialist? In any case, you have proven that you can get pregnant by natural means, so indeed you have a dilemma. Let me see if I can help you sort it out...

Infertility/Fertility: IVF protocol, embryo quality, gonal f
embryo quality, gonal f, fertility rate: Hello Thomas from Denmark, The good news is that your wife s ovarian response is still good and strong. She has done very well on her current stimulation protocols. The problem that you have is not so much the external quality of the embryos formed, they...

Infertility/Fertility: infertility?, ovulation induction, fertility drugs
ovulation induction, fertility drugs, infertility treatments: Hello Lynn from the U.S., Questions: #1 - I m not sure that I am the best person to ask this question to. It might be best to ask directly to a patient(s) or a therapist. There are a log of blogs and facebook sites composed of fetility patients. I m...

Infertility/Fertility: infertility after ectopic pregnancy, scar tissue formation, birth control pills
scar tissue formation, birth control pills, progesterone levels: Hello Kristi from the U.S., Your problem could actually be due to several factors, the least of which would be stress. The fact that you had an ectopic pregnancy means that the fallopian tube or tubes were compromised. That is something caused scar...

Infertility/Fertility: infertility/pcos, puregon 50, retroverted uterus
puregon 50, retroverted uterus, hcg injections: Hello Again, You are correct that if you are ovulating on the medication, then your PCOS is being treated appropriately and you should have the same chances of pregnancy as anyone trying normally. Keep in mind that a young woman that ovulates normally,...

Infertility/Fertility: ivf#3, chemical pregnancy, fetal tissue
chemical pregnancy, fetal tissue, chromosomal abnormalities: Hello Lori from the U.S., Although you haven t had a successful pregnancy yet, it is just around the corner. You have accomplished all that IVF can do, which is to give you the opportunity to become pregnant. IVF cannot make you pregnant, nor can it insure...

Infertility/Fertility: Lupron Trigger, ivf program, gynecology center
ivf program, gynecology center, treatment of endometriosis: Hello Linda from the U.S., The lupron you are reading about is for the treatment of endometriosis and not the same dose that is used for the trigger. The endometriosis dosage is 3.75 mg or 11.25 mg, whereas the trigger dose is 0.5 mg. There are no known...

Infertility/Fertility: MISGARRIAGE, abnormal chromosomes, embryo quality
abnormal chromosomes, embryo quality, week old fetus: Hello Vicky from South Africa, Thank you for following me on All Experts. You might also want to look up my blog where I also have detailed questions and answers. The embryo quality at transfer may not have been bad, but we do not have the technology...

Infertility/Fertility: Miscarriage/Clomid/IUI, clomid ovulation, ovulation induction
clomid ovulation, ovulation induction, iui procedure: Hello Chrissy from the U.S., First, I think it may be time for you to see a real fertilty specialist so that you can get on the right treatment plan. Second, the morphology of your husband s sperm, of 4%, is severely low. IUI is not the optimal treatment...

Infertility/Fertility: Misscarriages and abnormality found in morphological scan, gynecology center, misscarriages
gynecology center, misscarriages, anamolies: Hello Sasi from the UAE, PGS is the new term used for PGD. PGS stands for preimplantation genetic screening (previously they used the word diagnosis ). It is a good way to screen embryos for genetic abnormalities prior to transferring the embryos into...

Infertility/Fertility: Misscarriages and abnormality found in morphological scan, ivf program, embryo stage
ivf program, embryo stage, gynecology center: Hello Sasi from the UAE, PGS will screen for any chromosomal abnormality. However, development of the fetus occurs after that point so it does not guarantee that the fetus will be without any congentical abnormalities. These later defects could be due...

Infertility/Fertility: Misscarriages and abnormality found in morphological scan, sex chromosomes, ivf program
sex chromosomes, ivf program, genetic counselor: Hello Sasikala from the U.A.E., Yes, by chromosomal analysis I mean karyotyping. It will check more than sex chromosomes. It should check for all chromosomes, including the sex chromosomes(46 total). There are other genetic tests that can be done (again...

Infertility/Fertility: Multiple Miscarriages, ivf pregnancy rates, thyroglobulin antibody
ivf pregnancy rates, thyroglobulin antibody, follicle cyst: Hello Geetha from India, The chances of pregnancy are certainly very dependent on the clinic that you are going to. You should check out your clinic s IVF pregnancy rates for your age group. Here in the U.S., the PR for 39 year olds average 37.2 (in our...

Infertility/Fertility: miscarriage and no success with clomid, clomid 50mg, progesterone level
clomid 50mg, progesterone level, cervical mucus: Hello Lori from the U.S., I think the easiest way to answer your questions is to take them individually one at a time: 1. Since you are stimulating with the Clomid (and I presume you are ovulating more than one egg per cycle because that is the purpose...

Infertility/Fertility: miscarriage and thyroid, thyroid cancer, radioactive iodine
thyroid cancer, radioactive iodine, cancer specialist: Hello Milli from the U.S., Thyroid cancer itself should not affect your fertility, if in fact you are still fertile at 47 years old. Even if the thyroid were removed, the hormone can be replaced so the ovaries would not see any difference. Radioactive...

Infertility/Fertility: Need advice on fertility treatment, infertility specialist, chances of pregnancy
infertility specialist, chances of pregnancy, intrauterine insemination: Hello Mary from the U.S., Just based on your age, time is working against you. For that reason alone, I think you need to go directly to the expert. Find an infertility specialist in your area, not a general Ob/Gyn, but one who performs all levels of...

Infertility/Fertility: ovulation for women over 30, clearblue ovulation, home ovulation
clearblue ovulation, home ovulation, ovulation kit: Hello Micha from Canada, A woman can actually undergo testing at any age. The 1 year requirement is not set in stone (at least not here in the U.S.). The perplexing part of your story is that you state you have regular menstrual periods like clockwork....

Infertility/Fertility: PCOS Provera and clomid, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Lavanya from Canada, Yes. This shows that the Clomid is not working at this dose. You need to see a fertility specialist. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey...

Infertility/Fertility: Positive OPK after thermal shift, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Laura from the U.S., There is no problem with your temp and OPK findings. They are recording the same change (so it is a lot of work for you to be doing both). The temperature change is due to the LH surge then progesterone increases that increases...

Infertility/Fertility: Pre-Eclampsia, pre eclampsia, ivf program
pre eclampsia, ivf program, gynecology center: Hello Laura from the U.S., I am sorry but I am not a Perinatologist so have limited knowledge of high risk obstetrics. However, that being said, I have not read anyhing relating Vitamin D and preeclampsia, and I do a lot of readin to maintain my Board...

Infertility/Fertility: Prometrium/Ovulation, clearblue ovulation test, ovulation kit
clearblue ovulation test, ovulation kit, ovulation predictor: Ronda from the U.S., I don t know why you have the diagnosis of PCO if you have very regular cycles, but there is a variant of PCO that you would fit into. You would not need to take Metformin, however. Did your doctor check an insulin level or how did...

Infertility/Fertility: preg info, 11 dpo, estimated date of confinement
11 dpo, estimated date of confinement, ivf program: Hello Tara from the U.S., Gestational age dating is based on the first day of the last menstrual period, which is usually the most accurate way to date the pregnancy. The second most accurate is a first trimester ultrasound between 6-8 weeks. The margin...

Infertility/Fertility: Secondary Infertility, molar pregnancy, secondary infertility
molar pregnancy, secondary infertility, fertility experts: Hello Gina from New Zealand, Yes, previous cesarean sections, like all abdominal or pelvic surgery, can lead to secondary infertility through the formation of pelvic scar tissue. This tissue will then inhibit movement of the egg to the fallopian tube....

Infertility/Fertility: TTC Post Abdominal Myomectomy, ultrasound clinic, sperm count test
ultrasound clinic, sperm count test, ovulation tests: Hello Again, Light brown discharge is old blood, so there was some bleeding that occurred from the uterus. That could mean several things. It could just be breakthrough or abnormal bleeding due to anovulation, it could mean that the menstrual bleeding...

Infertility/Fertility: I can't get pregnant, ivf program, west palm beach
ivf program, west palm beach, moral judgements: Hello Christina from the U.S., If you don t feel comfortable having this discussion with your current gynecologist, then find one that you feel comfortable with. We hear everything there is to hear, and our job is NOT to give moral judgements or criticize,...

Infertility/Fertility: 8 mature follicles and chance of multiples?, chances of twins, ivf program
chances of twins, ivf program, gynecology center: Hello Rebecca from the U.S., I m afraid that I cannot give you a specific statistic as to your chances of a super-multiple pregnancy ( 2#. Overall, the chances of twins with Clomid is 12% if three eggs are ovulated. If 8 eggs are ovulated then of course...

Infertility/Fertility: not able to concive from last 3 years, breast cancer drug, sperm problems
breast cancer drug, sperm problems, insulin resistance: Hi, A sperm count of 2 million per ml is extremely low and would be a reason for decreased fertility. He needs to be tested and treated for severe sperm problems. Most women who take a drug like Ovofar conceive within about 2-3 months, if it s going...

Infertility/Fertility: cervical mucus after ovulation/conception, cervical mucus after ovulation, pregnancy 4 months
cervical mucus after ovulation, pregnancy 4 months, estrogen stimulation: Hello Krystal from Australia, I have been ill this week so was unable to answer right away. I appologize. By now, you should have had your pregnancy test and know what the result is. I don t know if your question is still relevant after knowing the result....

Infertility/Fertility: Deviry 10 mg to sustain pregnanacy, first trimester pregnancy, ivf program
first trimester pregnancy, ivf program, fertility drug: Hello Nans from the U.S., Deviry is a progesterone and is used to induce a period if one does not occur spontaneously. It is not a fertility drug and not used for luteal phase support or first trimester pregnancy support. It should not be used for these...

Infertility/Fertility: Due dates, ivf program, dates of conception
ivf program, dates of conception, gynecology center: Hello Mark from the U.S., Due dates and dates of conception are approximate only. They are not exact. However, paternity tests are exact, unless the lab made a mistake with the specimen. Now a days, most labs do more than simple paternity testing by...

Infertility/Fertility: my daughter can't have children, scar tissue formation, fertility specialist
scar tissue formation, fertility specialist, achieving pregnancy: Hello Joyce from the U.S., The first recommendation is for her to see a fertility specialist. Not a general Ob/Gyn but someone who does all levels of infertility testing and treatments, including IVF. Having had surgery and one ovary removed, it is...

Infertility/Fertility: Empty follicle, ivf cycles, regular periods
ivf cycles, regular periods, pcod: Hello Madhavi from India, I m afraid that I had a lot of difficulty understanding your dialogue, but in essence it seems you have failed 2 IUI and 2 IVF cycles. I don t understand the protocols that you used, but again, I seem to understand that you didn...

Infertility/Fertility: Endo & Clomid, infertility patient, ovulation induction
infertility patient, ovulation induction, visible lesions: Hello Again, You are right on both counts. It can be from the BCP (breakthrough bleeding) or from the endometriosis. It is difficult for me to know which is occurring. If it is from the endometriosis, a pelvic examination will show bleeding from the...

Infertility/Fertility: Endometrin and vaginal bleeding, vaginal progesterone, ivf program
vaginal progesterone, ivf program, ivf icsi: Hello Laura from Canada, I have found it fairly common to have vaginal spotting with vaginal progesterone. It is probably just cervical and this has no bearing on the pregnancy. Spotting can also occur with an abnormal pregnancy so the pregnancy has to...

Infertility/Fertility: Estrace and Progesterone prescription, endometrial proliferation, progesterone levels
endometrial proliferation, progesterone levels, ovarian cysts: Hello Again, Natural progesterone is available in some health food stores. In most cases it is a cream. I can t give you a dose because I don t use that formulation. It is too late to have ultrasounds in this cycle, but if the cycle fails, just tell...

Infertility/Fertility: Estrace vaginally, cervical mucus, ivf program
cervical mucus, ivf program, gynecology center: Hello Joanne from the U.S., Estrace is estrogen. Estrogen is required to prime the endometrial lining for implantation, that is why it is used. It can be used orally but the preferred method is vaginally because that way more of the estrogen gets to the...

Infertility/Fertility: Failed IVF cycle...WHY?, implantation failure, unexplained infertility
implantation failure, unexplained infertility, embryo transfer: Hello Christy from Canada, Of course I cannot tell you specifically what did not work. That is not possible. However, I think that the difficulty with transfer could have had a major impact on the failure. Studies have shown that the embryo transfer...

Infertility/Fertility: What FET protocol do you use for 'difficult' PCOS patients?, ivf with icsi, pcos patients
ivf with icsi, pcos patients, bmi 21: Hello Grace from the U.K., I have never heard of such as thing as OHSS with an FET cycle. I ll have to do some research on that and see if that actually happens. If not, your docs might want to write your case up as an unusual case. Since you have...

Infertility/Fertility: What questions to ask my RE? Or should I move?
Infertility/Fertility: What questions to ask my RE? Or should I move?

Infertility/Fertility: fertility, premature menopause, egg quality
premature menopause, egg quality, chances of pregnancy: Hello Joey from the U.S., First let me refer you to my blog, Women s Health and Fertility Blog, where I talk about decreased ovarian reserve and what it means. Hopefully it will give you some insight and hope. Decreased ovarian reserve should not mean...

Infertility/Fertility: fertility, hypertension in pregnancy, pregnancy and childbirth
hypertension in pregnancy, pregnancy and childbirth, pregnancy diabetes: Hello Adam from Pakistan, There are definitely drawbacks to getting married to a 40 year old virgin. A woman s fertility is very closely tied to her age. A woman s peak fertile age is 16-29 years old. At that time she has an 85% chance of pregnancy per...

Infertility/Fertility: gonal-f dosage, recombinant fsh, male baldness
recombinant fsh, male baldness, severe pms: Hello Jane from the U.S., First of all, I have to caution you about trying to second guess your doctor. Sometimes that may not be good. I would presume that your doctor had a logical reason for selecting your protocol. You were originally scheduled...

Infertility/Fertility: Hi, birth control pills, fertility medications
birth control pills, fertility medications, secondary amenorrhea: Hello Daniella from the U.S., Secondary amenorrhea (not having periods after having them regularly) is NOT a cause for endometriosis. These are two different disorders and if you get endometriosis in the future is not because of your menstrual disorder....

Infertility/Fertility: HSG after early miscarriage., stopping birth control pills, birth control pills
stopping birth control pills, birth control pills, hsg test: Hello Jackie, Your doctor is doing what most doctors do, which is try to do something . You are correct that the HSG is not warranted. And, your doctor is correct that sometimes mucous can block the tubes and the HSG serves as a treatment to push out...

Infertility/Fertility: hot tummy, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, medicine specialist: Hi Tomi, No, it s not normal to have a hot abdomen during menses. I suggest you see a qualified gynecologist who may be able to get to the bottom of this issue. Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine PERSONALIZED/Individualized...

Infertility/Fertility: Infertility, infectious disease problems, recurrent miscarriages
infectious disease problems, recurrent miscarriages, ivf program: Hello Nikki from the U.S., I presume that by not enough to carry the baby you are referring to recurrent miscarriages. In that case, yes, there is a disorder called recurrent miscarriage or habitual abortion is the medical term. There are various conditions...

Infertility/Fertility: Infertility, home pregnancy test, donor ivf
home pregnancy test, donor ivf, progesterone supplementation: Hello, I just answered your previous follow-up question. :) You are taking the thyroid hormone because you need it, I presume. In that case, you need to continue to take it. It does not affect your ability to get pregnant or the ICSI. Good Luck Again,...

Infertility/Fertility: Infertility?, complex hyperplasia with atypia, lletz procedure
complex hyperplasia with atypia, lletz procedure, depo provera: Hello Debbie from Australia, Complex hyperplasia with atypia is an endometrial diagnosis and not a cervical diagnosis. It is a worrisome diagnosis because of the possibility that it could develop into a uterine cancer. It needs to be treated and in a...

Infertility/Fertility: Infertility & Duoluton L, infertility specialist, gynecology center
infertility specialist, gynecology center, birth control pill: Hello Again, You need to go back to an infertility specialist. Your new doc is giving you bad advice. Sure, the birth control pill will level out the hormones (because it suppresses the ovary completely), but these will return to their previous state...

Infertility/Fertility: IVF, ultrasound guidance, achieving pregnancy
ultrasound guidance, achieving pregnancy, gynecology center: Hello Sahina from the UK, Studies have shown that getting up immediately after transfer is not detrimental to achieving pregnancy so you don t need to worry. Implantation will occur 3-4 days after the transfer. The embryos still need to continue to develop...

Infertility/Fertility: IVF, ivf program, gynecology center
ivf program, gynecology center, embryo transfer: Hello Sahina, Thank you for your questions. I appologize for the delay. I did not have access to the internet on a recent trip. It is too early for pregnancy symptoms at this point. Some patients do not get sypmtoms until well after 8 weeks gestational...

Infertility/Fertility: icsi, vaginal progesterone, ivf program
vaginal progesterone, ivf program, gynecology center: Hello from India, A brownish discharge is very nonspecific and does not necessarily mean anything. We often will see vaginal spotting because of the vaginal progesterone. I don t think you should worry about this at this time. Wait for the pregnancy...

Infertility/Fertility: infertile?, oral contraceptive pills, microgynon 30
oral contraceptive pills, microgynon 30, wellington florida: Hi Sarah, There s no evidence linking oral contraceptive pills to subsequent infertility. Indeed, a woman s fertility declines as she ages, starting when she s in her mid-20 s!, so there may be something about age rather than the contraceptive pill behind...

Infertility/Fertility: infertility, infantile uterus, ivf program
infantile uterus, ivf program, evidence based information: Hello Khaled from Germany, By infantile uterus I presume you are referring to an underdeveloped uterus. There is not specific treatment for this condition i.e. nothing that can make it develop normally after the fact. However, I am not sure what it...

Infertility/Fertility: infertility, ovulation induction, fertility specialist
ovulation induction, fertility specialist, gynecology center: Hello Rashimi from India, If you are not seeing a fertility specialist, then it is time that you do. I know that there are a lot of them in India, although I don t know any specifically and cannot attest to their quality. Of course, I could help you more...

Infertility/Fertility: infertility, ivf program, egg size
ivf program, egg size, fertility drugs: Hello Preeti, First of all, 8 months is not enough time for you to be worried. It takes the average women under 30 years old, 8-12 months to achieve pregnancy, so you may just not have tried long enough. I am not sure why your doc is using fertility meds...

Infertility/Fertility: infertility/pcos-husbands marijuana use, dna fragment, chemical pregnancy
dna fragment, chemical pregnancy, fertility treatment: Hi Krystal, Sperm DNA can be damaged from marijuana smoking, and I test my patients for this when they are TTC. I also counsel my patients that they should stop smoking while TTC. The effects of pot on sperm can persist for up to three months after stopping.......

Infertility/Fertility: infertility statues of my patient., tsh levels, cervical mucus
tsh levels, cervical mucus, wellington florida: Hi Dr. Sushma, In the United States, it s illegal for me to tell you (or anyone else) what to do with medical care if that patient is not under my own care in my practice (sorry)... I would think, though, that as a practicing gynecologist you would realize...

Infertility/Fertility: Can Leukocytospermia affect pregnancy, white blood cells, white blood cell
white blood cells, white blood cell, use of antibiotics: Hello Ramya from the U.S., Leukocytospermia just means that there are a high number of white blood cells present. Often that is due to prostatitis, which could kill sperm. The treatment is the use of antibiotics. More than likely you achieve pregnancy...

Infertility/Fertility: LH during an IVF cycle, embryo quality, working in singapore
embryo quality, working in singapore, puregon: Hello Alison, I m probably not going to be able to give you a great answer for your question because whether or not to use LH is currently still being debated. There have been some studies showing decreased egg/embryo quality or poorer response when LH...

Infertility/Fertility: Lithium/Depakote use and conception, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, medicine specialist: Hi Karen, I m not aware of any studies showing that those meds induce birth defects if a man takes them while trying to conceive. Hope this helps, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine PERSONALIZED/Individualized Successful...

Infertility/Fertility: Low E2 levels with mature follicles, mature follicle, ivf program
mature follicle, ivf program, mature eggs: Hello Kristin from the U.S., With IVF the rule of thumb is that each mature follicle will produce 150-200 estradiol. Your level is certainly low for the number of follicles that you have and probably indicates that the follicles are not mature enough yet....

Infertility/Fertility: medication, corpus luteum cyst, ivf program
corpus luteum cyst, ivf program, prometruim: Hi Again, If your bHCG did not rise, then that is not a good sign. I agree with your doc and would recheck it one more time 48 hrs after the last one. I would not recommend stopping any medications just yet. Both the prometrium (progesterone) and estradiol...

Infertility/Fertility: Ovulation/Period, ovulation period, center for reproductive medicine
ovulation period, center for reproductive medicine, written authorization: No, Sabrina, it s not normal and not healthy. This happens perhaps once per year to normal women, but if it happens more than once it is suggested she see her doctor to get to the bottom of why it s happening. Ovulation is hard to determine in an abnormal...

Infertility/Fertility: Ovulation Worries, diabetes insulin resistance, birth control pills
diabetes insulin resistance, birth control pills, facial hair growth: Hello Nikki from the U.S., PCO is diagnosed by a myriad of tests and NOT by ultrasound alone. Basically you only need to meet two of the criteria found in PCO. One is a menstrual dysfunction, like you have, and the other can be things like ovarian appearance...

Infertility/Fertility: PCOS, just too fat, or both?, birth control pills, trimester miscarriages
birth control pills, trimester miscarriages, vaginal ultrasound: Hello Rachel from the U.S., PCOS is a clinical diagnosis and there is not only one criteria to make the diagnosis. Basically if you have any two of the features of PCO, then the diagnosis is made (assuming you don t have any other reason for the ovarian...

Infertility/Fertility: Period/Ovulation Concerns, birth control pills, reproductive endocrinologist
birth control pills, reproductive endocrinologist, ovulation concerns: Hi, It s not normal to go without menstrual periods off of birth control pills, and it s critically important to be SURE of why you don t menstruate regularly on your own. If you are the one who has assumed you don t menstruate based on exercise and a...

Infertility/Fertility: No Periods, No Pregnancy, pco patients, infertility patient
pco patients, infertility patient, irregular menstrual cycles: Hello Desiree from Canada, At this point, it is clear that you have an ovulatory dysfunction. There is a reason for this, and this needs to be evaluated to find the specific reason. The most likely source is PCO, which is what I would assume. Irregular...

Infertility/Fertility: Polycystic Ovarian Disease or Syndrome and/or amenorreah, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Penny, Sorry for the delay in responding to your question. I have been away and did not have access to the internet. In some cases of PCO, reduction of the weight to normal levels will lead to normal functioning of the ovaries and regular menstrual...

Infertility/Fertility: WHY ARE THERE NO PREGNANCY SYMPTOMS AFTER POSITVE BETA?, low dose aspirin, progesterone dosage
low dose aspirin, progesterone dosage, ivf program: Hello Lisa-Marie, Your numbers are looking good and pregnancy symptoms are very non-specific. I recently had a similar patient who swore each time she had a blood draw, that she was no longer pregnant because she didn t have any symptoms. In fact, she...

Infertility/Fertility: Progesterone levels, clomid, ovidrel, early miscarriages, progesterone level
early miscarriages, progesterone level, progesterone levels: Hello Vanessa, I have absolutely no idea what the heck the nurse meant by best quality ovulation. In fact, I didn t even know you could tell if it were a good quality or bad quality. It s supposed to be either ovulation or no ovulation. Or maybe...

Infertility/Fertility: getting the pill and then going off to treat infertility?, ivf program, infertility evaluation
ivf program, infertility evaluation, intrauterine insemination: Hello Rose from the U.S., The answer to your first question is absolutely NO. That is a wives tale propagated by Gynecologists that don t know better. Chronic vaginal infections can certainly kill the sperm, and thereby prevent pregnancy. But, you...

Infertility/Fertility: pregnancy after myomectomy, ttc journey, uterine polyp
ttc journey, uterine polyp, abdominal myomectomy: Hello J from the U.S., Basically at this point you have two choices: you could attempt IVF without the myomectomy or have the mymectomy first before IVF. The studies are controversial regarding the influence of fibroids on pregnancy rates in IVF. Some...

Infertility/Fertility: What questions to ask my RE? Or should I move?, factor v leiden, anticardiolipin antibodies
factor v leiden, anticardiolipin antibodies, hobart tasmania: Hello TazIVFer from Tasmania, Let me take your questions in sequence and answer them the best that I can. 1. The D#3 frozen embryo certainly can be thawed and cultured to align with the D#4. My recommendation would be to thaw both, one day apart, and...

Infertility/Fertility: Repeated Implantation Failure, low dose aspirin, implantation failure
low dose aspirin, implantation failure, estrogen patches: Hello Prav from Australia, I will first refer you to my blog where I have an entry regarding implantation failure. It is one of the most popular entries in my blog. Secondly, there are many factors regarding implantation that cannot be influenced. ...

Infertility/Fertility: ranitidine & ovulex, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Awa from the U.K. It is safe to take these medications together but if you are having trouble to get pregnant, neither of these medications will help with that. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility...

Infertility/Fertility: recurrent miscarriage and ovulation problems, recurrent pregnancy loss, injectable fertility drugs
recurrent pregnancy loss, injectable fertility drugs, pregnancy losses: Hi, Injectable fertility drugs are usually not indicated as a method for preventing miscarriage, so I doubt there would be any utility in giving injectables to someone who keeps losing pregnancies as a sole method of preventing another loss. I will say...

Infertility/Fertility: Secondary Amneorrea, birth control pills, fertility medications
birth control pills, fertility medications, ivf program: Hi Again, Adequate levels of thyroid hormone is measured by a blood test. We usually use TSH. If your thyroid replacement is adequate, the TSH levels should be in the normal range. An vaginal ultrasound is only for anatomical abnormalities. It can...

Infertility/Fertility: sex, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Christianah, Yes this is normal. The vagina is essentially a pouch. The semen has no where to go except out. It is sperm, within the semen, that attaches to the cervix and gets into the uterus and tubes for fertilization. Not the semen. Sincerely,...

Infertility/Fertility: timing of egg retrieval, egg banking, ivf program
egg banking, ivf program, egg retrieval: Hello Lyn from the U.S., Because of the 1 hr delay, there is certainly the possibility that some follicles may have ovulated, but I think it would be unlikely. It is fairly common to not get 100% in egg retrieval. In fact, my threshold is 60%. In your...

Infertility/Fertility: tissue wouldn't grow for keryotype/dna test, recurrent pregnancy loss, molar pregnancy
recurrent pregnancy loss, molar pregnancy, reproductive endocrinologist: Hi Erica, In order to do a chromosome analysis on the pregnancy tissue, the cells from the tissue need to be grown in a dish first. If the pregnancy tissue stopped growing a while ago, the cells won t grow in the dish when the tissue is removed from the...

Infertility/Fertility: vagina itch, vagina itch, ivf program
vagina itch, ivf program, gynecology center: Hello Olusegun, No it is not normal to have vaginal itching around or at the time of menses. Itching around the vagina is usually a sign of some type of infection. Yeast infections are the most common and are more prevalent at the time of menses, as well...

Infertility/Fertility: xrays and fertility, fertility specialist, egg quality
fertility specialist, egg quality, natural decline: Hello Claire from Ireland, You certainly have had a lot of radiation exposure, and certainly high doses of radiation, such as that achieved with radiation therapy, can damage the eggs to the point of making them infertile. One cannot be sure of that at...

Infertility/Fertility: amenorrhea, ovulation induction, spontaneous ovulation
ovulation induction, spontaneous ovulation, lack of ovulation: Hello Krista from the U.S., You and I are neighbors since I am in Northern California as well. If your FSH and LH were normal (hard to know since you did not give me the specific values), that shows that your hypothalamus and pituitary are functioning...

Infertility/Fertility: Bi-monthly periods?, polycystic ovarian disease, irregular menstrual cycles
polycystic ovarian disease, irregular menstrual cycles, ivf program: Hi Kate, Sorry for my misunderstanding because of the term bi-monthly which is twice per month (bi-yearly is twice per year, etc.). In any case, if you skip periods that is a sign that your ovaries are not functioning correctly and you probably have...

Infertility/Fertility: Brown spotting, ivf program, infertility specialist
ivf program, infertility specialist, gynecology center: Hello Judy-Ann from the U.S., If this bleeding is not usual for you, then you need to be checked. So, I would recommend that you see your gynecologist and have a blood pregnancy test done. If it is negative, then your doc can check you out to see what...

Infertility/Fertility: bleeding after embryo transfer, ivf program, ivf cycle
ivf program, ivf cycle, ivf icsi: Hello Again, I am sorry for your result, but keep trying. IVF is not a perfect technology. The last two steps the body has to go through to become pregnant are natural steps that we have no control over. So for that reason, there is not a 100% pregnancy...

Infertility/Fertility: Chocolate Cysts, chocolate cysts, lupron depot
chocolate cysts, lupron depot, chocolate cyst: Hello Shazia from India, Since you have been able to get pregnant several times in the past, it shows that everything probably can work. More than likely the endometriosis is the problem. I would recommend that you proceed with laparoscopy to remove the...

Infertility/Fertility: Clomid, ovulation disorder, cookbook method
ovulation disorder, cookbook method, ivf program: Hello Rene from the U.S., Clomid would not have any affect on your period. The period stopping was probably because it was due to stop. Clomid is used to recruit and grow follicle and eggs for ovulation. It is indicated for women that have an ovulation...

Infertility/Fertility: Complex Hyperplasia with atypia, complex hyperplasia with atypia, fertility medication
complex hyperplasia with atypia, fertility medication, irregular menstrual cycles: Hello Sally from the U.S., First, the complex hyperplasia is a pre-cancerous condition so it has to be treated first. Once this is adequately treated, as confirmed by repeat biopsy, then you can proceed to trying for pregnancy. The treatment of this should...

Infertility/Fertility: Currently in IVF cycle, birth control pills, fsh lh
birth control pills, fsh lh, estrogen levels: Hello Alexis from the U.S., The CD#7 estradiol level is an indication that you are not responding to stimulation at this dose. It has nothing to do with the birth control pill or the length that you took it. 300IU of only Gonal-F is a very low dose. ...

Infertility/Fertility: which center to chose?, reproductive endocrinologist, cutting edge technology
reproductive endocrinologist, cutting edge technology, personal bias: Hi Cristin, Yes, there are many things I think you should look for. I (with a personal bias) believe that IVF centers such as mine fulfill each and every appropriate criterion one would want to look for in choosing an IVF clinic. Characteristics of...

Infertility/Fertility: clomid pregnancy and periods, home pregnancy test, ivf program
home pregnancy test, ivf program, gynecology center: Hello Deli Nkambule from South Africa, If you have not had a blood pregnancy test, that is what I would recommend that you do first. If it is negative, then you should be given progesterone for 5 days to induce a period. I cannot explain why you have...

Infertility/Fertility: clomid troubles, ivf program, gynecology center
ivf program, gynecology center, heavy periods: Hello Austin, I think that this new flow is your real period and this should define your cycle. If you want, you can restart the cycle using Clomid on cycle day #3-7 or 5-9 then proceed from there to see how you respond. Good Luck, Edward J. Ramirez,...

Infertility/Fertility: Embarrassing question about fertility treatment and body hair, excess body hair, basal body temperature
excess body hair, basal body temperature, ovulation prediction: Hello Darlene from Canada, I don t think that you need to feel embarrassed about showing your body to your doctor. We would not be offended nor surprised by anything, especially body hair. There are certain racial groups that tend to have increased body...

Infertility/Fertility: Empty Follicle & Resistance to Stimulant Drugs, stimulant drugs, ivf cycle
stimulant drugs, ivf cycle, pcos patients: Hello Angelbaby from Malasia, First, you don t have empty follicle syndrome. That is when no eggs are retrieved. Often in PCOS patients, there are lots of small follicles counted so that the number is high. However, these smaller eggs do not have the...

Infertility/Fertility: Endometriosis, infertility specialist, chemical pregnancy
infertility specialist, chemical pregnancy, stomach pains: Hello Kailee from the U.S., I think you are worrying unnecessarily. Most women in their peak fertile years (16-29) will take up to 8 months to get pregnant. 85% will be pregnant by 1 year of trying. For this reason, we do not consider a woman to be infertile...

Infertility/Fertility: elevated estrogen levels, elevated estrogen levels, ovarian cyst
elevated estrogen levels, ovarian cyst, fertility specialist: Hello Again, That high a level does not make sense. A normal peak estradiol level at ovulation in a natural cycle is around 200. Something has got to be producing the estradiol, or stimulating the ovaries. They need to keep looking. In terms of other...

Infertility/Fertility: Fertility, mirena coil, ivf program
mirena coil, ivf program, hysterscopy: Hello Caroline from Ireland, Mirena is a progesterone IUD (hormonal) and so will alter your natural cycles. That is probably the reason why you are having dysfunctional bleeding. You need to give your cycle a month or two to get back to its usual state....

Infertility/Fertility: Fertility Question, infertility specialist, tubal blockage
infertility specialist, tubal blockage, natural fertility: Hello Danielle, So, based on what you told me, you have two definite problems: endometriosis and tubal blockage, and one potential problem: age (decreased natural fertility rate). The fact that you have two previous children is a very good sign and will...

Infertility/Fertility: Follicle Size, negative pregnancy test, fertility specialist
negative pregnancy test, fertility specialist, donor egg: Hello Kate from the U.S., I would hate to give your sister false hope, but the fact that she had follicles is a good sign. I am not sure why they cancelled the cycle, however. Did the follows stop growing after several ultrasounds? Sometimes it can take...

Infertility/Fertility: FSH, LH testing.....???, irregular menstrual cycles, ivf program
irregular menstrual cycles, ivf program, gynecology center: Hello Shana, In order to interpret the FSH, LH and Estradiol properly, it needs to be drawn on the cycle day #2 or 3 (cycle day #1 is the day your period starts). The only other test that is time specific is the progesterone which needs to be done on cycle...

Infertility/Fertility: FSH and lining, infertility specialists, infertility specialist
infertility specialists, infertility specialist, lh surge: Hello Stephanie from the U.K., I am concerned by the protocol that your doctor is using. It tells me that he is not an infertility specialist. Taking the Puregon in a everyother day method is not proper because the blood stream does not see a steady dose...

Infertility/Fertility: High FSH, high fsh, hormonal levels
Infertility/Fertility: High FSH, high fsh, hormonal levels, thyroid

Infertility/Fertility: Needing help on falling pregnnat, I am on heaps of prescription medication, good luck, circumstances
Infertility/Fertility: Needing help on falling pregnnat, I am on heaps of prescription medication, good luck, circumstances

Infertility/Fertility: What next after poor embryo quality?, ivf clinic, stim
Infertility/Fertility: What next after poor embryo quality?, ivf clinic, stim, fertilization

Infertility/Fertility: Wierd Cycles After Discontinuing Nuvaring, nuva ring, irregular periods
Infertility/Fertility: Wierd Cycles After Discontinuing Nuvaring, nuva ring, irregular periods, rign

Infertility/Fertility: follicle size, ivf program, mature egg
ivf program, mature egg, gynecology center: Hello Gerri from the U.S., I m sorry to say but those follicle sizes are way too big. The trigger should be given when the follicle is between 18-23 mms. Once larger than that, the egg becomes over mature and non-viable. In some cases the follicle will...

Infertility/Fertility: follow up question doctor, ivf program, insulin resistance
ivf program, insulin resistance, gynecology center: Hello Jannahmaeil from the Philippines, Yes, you should stop the metformin once you become pregnant. The usual reason for metformin is for insulin resistance (elevated insulin levels) as can be found in some, but not all, PCOD patients. The usual dosage...

Infertility/Fertility: HCG Level, pregnancy hormone levels, abnormal pregnancy
pregnancy hormone levels, abnormal pregnancy, wellington florida: Hi Maria, So sorry to hear that your pregnancy hormone levels have dropped. I can t diagnose your condition, since that s illegal (you re not my patient). As a generalization, dropping hCG levels prognosticate poorly for pregnancy outcome. There are...

Infertility/Fertility: High FSH, anti thyroid antibodies, antithyroid antibodies
anti thyroid antibodies, antithyroid antibodies, ivf program: Hi Again Yes, your antithyroid antibodies could have an affect on your fertility but is probably not the reason why your FSH level is high. The elevated FSH level is more of a significant problem in relation to your fertility and the reason why I pointed...

Infertility/Fertility: hi doctor, polycystic ovarian disease, birth control pills
polycystic ovarian disease, birth control pills, ovulation induction: Hello Again, By yellow body I presume your doctor is referring to a corpus luteum cyst and this does not necessarily mean that you are pregnant. A simple blood pregnancy test could confirm whether or not you are pregnant. Good Luck, Edward J. Ramirez,...

Infertility/Fertility: Infertility - CT Scans and x-ray exposure, intravenous pyelogram, gynecology center
intravenous pyelogram, gynecology center, kidney stones: Hello Erin from Australia, My first comment, after talking with a Urologist friend of mine, is why you are having CT scan every year? Since it is already known that you have kidney stones, it doesn t make any sense to keep checking for them. Ordinarily,...

Infertility/Fertility: Irregular periods and trying to get pregnant, fertility medication, ivf program
fertility medication, ivf program, fertility specialist: Hello Praveena from the U.S. Prometrium does not induce ovulation, it simply causes a withdrawal bleed. If you have irregular periods, it is a result of something causing your ovaries to not work correctly. An evaluation needs to be done to determine...

Infertility/Fertility: IVF, low dose aspirin, egg quality
low dose aspirin, egg quality, egg donation: Hello Again, I agree that there is a lot of conflicting information on the Internet, and in general, chat rooms are not the best source. Because most of this chat rooms are made of lay people and patients, their breadth of knowledge is limited to their...

Infertility/Fertility: IVF question, art statistics, ivf statistics
art statistics, ivf statistics, gynecology center: Hello Sarah from the U.S., I am surprised that your doctor has not answered this question for you. It should have been part of your counseling in discussing your treatment options or second IVF cycle. Please keep in mind that pregnancy rates vary according...

Infertility/Fertility: IVF: should i use my own eggs?, fsh levels, chances of pregnancy
fsh levels, chances of pregnancy, fertility specialist: Hello Jackie, I apologize for causing you this strife. I don t want you to give up, rather, I am just here to give you advice and opinion. Certainly you can see that my opinion is greatly different from your doctor s. California is not a mandated state...

Infertility/Fertility: Am I infertile?, ovulation induction, ivf program
ovulation induction, ivf program, fertility specialist: Hello Lisa from the U.K., By now, any residual effect from the implants should have worn off, so the irregular cycles that you have are for a different reason. I assume, from what your doctor told you about producing more male hormone , he has diagnosed...

Infertility/Fertility: about infertility, ivf program, mature egg
ivf program, mature egg, gynecology center: Hello Sangeeta from India, You should do a pregnancy test at this point. I recommend a blood pregnancy test rather than a home kit because it is more sensitive. If you are taking progesterone, that will prevent you from having a period until you stop...

Infertility/Fertility: iui query, follicle size, gynecology center
follicle size, gynecology center, monterey california: Hello Val from India, IUI s are done when the follicle reaches ovulatory size, NOT scheduled in advance. Your doctor needs to keep following you with the ultrasound to determine when it is ready to ovulate and HCG injection is given. That is usually when...

Infertility/Fertility: Lupron Depot, lupron depot, definitive diagnosis
lupron depot, definitive diagnosis, treatment path: Hello Colleen from the U.S., It has always been my recommendation to make the diagnosis rather than assume it as your doctors have. The only way to make the diagnosis is to do a laparoscopy. It has two benefits: it will make a definitive diagnosis...

Infertility/Fertility: late ovulation, irregular ovulation, ivf cycles
irregular ovulation, ivf cycles, ivf program: Hello Chris from Australia, Yes, with patients that have irregular ovulation, sometimes they will ovulate late. I cannot give you any statistic in terms of your chances for pregnancy based on your history, other than the statistical chances at age 36,...

Infertility/Fertility: long cycles, ovulation disorder, progesterone levels
ovulation disorder, progesterone levels, ivf program: Hello Melissa from the U.S., First, you need to go see the right doctor. You obviously have some type of ovulation disorder and this needs to be corrected with the appropriate treatment. Clomid may be the appropriate treatment if the problem is only ovarian,...

Infertility/Fertility: MTHFR - Miscarriages - Infertility, reproductive endocrinologist, immunology associates
reproductive endocrinologist, immunology associates, infertility specialists: Hello Christina from the U.S., The reason you cannot find an Ob that will help you in this regard is because you are exceeding their knowledge base. You need to see someone who is expert in miscarriages i.e. a reproductive endocrinologist/infertility specialist,...

Infertility/Fertility: miscarriage, chances of pregnancy, genetic issues
chances of pregnancy, genetic issues, pot luck: Hello Tracy from the U.K. I am sorry to hear of your losses. 1. Being overweight or obese does NOT increase your chances of a miscarriage. It can decrease your chances of pregnancy because the hormones are usually affected but that is not universal....

Infertility/Fertility: Needing help on falling pregnnat, I am on heaps of prescription medication, sleep doctor, human resources manager
sleep doctor, human resources manager, prescription medication: Hello Sioban from Australia, I m afraid that there is not a natural answer for you, and I think that is what you are seeking. Your cycles are regular, and as you mentioned, your tubes and uterus are normal. The diagnosis of endometriosis would require...

Infertility/Fertility: What next after poor embryo quality?, poor sperm morphology, embryo quality
poor sperm morphology, embryo quality, embryo development: Hi Berta from the U.K., I am really surprised at the poor embryo development. Certainly abnormal sperm could be the culprit and before going to donor eggs, you might consider donor sperm first because it is less expensive. However, that is not my recommendation...

Infertility/Fertility: Pain in ovary, heavy painful periods, birth control pills
heavy painful periods, birth control pills, pain in left ovary: Hello Jen from the U.S., You will need to wait and see what the fSH and LH levels are after a natural cycle. This test is not valid after birth control pills. If the FSH and LH levels are within normal limits, that indicates that the ovaries are probably...

Infertility/Fertility: PCOS and getting pregnant, fertility specialist, ovarian cyst
fertility specialist, ovarian cyst, facog: Hello Mer from the U.S., The usual dose of Metformin (glucophage) is 500 mg three times per day for a total daily dose of 1500 mg. This is the minimum dosage that has been found to be effective for the treatment of hyperinsulinemia in PCOS. Less than...

Infertility/Fertility: Polycystic ovaries, polycystic ovaries, ovulation induction
polycystic ovaries, ovulation induction, fertility drugs: Hello Sara from the U.K. First, I would recommend that you look at my blog where I have written extensively about PCO (polycystic ovaries). It will help you to understand this disorder and the difficulties it presents. In terms of whether your docs...

Infertility/Fertility: Primary Infertility, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello again, Danazol is an appropriate follow-up treatment for endometriosis. It is not my preference, however, because of side effects. I prefer Lupron. There is no reason to suspect that you can t get pregnant based on your age. In fact, you are...

Infertility/Fertility: Provera, no withdrawal, fsh lh, estrogen stimulation
fsh lh, estrogen stimulation, reproductive endocrinologist: Hello Mandy from the U.S., In general, provera is given as the first line medication to induce a period but when it does not work, that is an indication that there was no uterine lining to slough (which is what causes the bleeding in a period). The next...

Infertility/Fertility: pcos question, lapascopy, intrauterine insemination
lapascopy, intrauterine insemination, chances of pregnancy: Hello Jennifer, You have two problems that have to be addressed in the treatment: 1. sperm abnormality 2. endometriosis Without addressing these three problems, you will not have an increased chance of pregnancy. The laparoscopy was appropriate...

Infertility/Fertility: Why No period after spotting 1 day?, ivf program, endometrial biopsy
ivf program, endometrial biopsy, gynecology center: Hello Lisa from the U.S., There are multiple possibilities, too numerous to go over in this forum. I think it would be good idea for you to see your gynecologist. She/He will do an exam, check a pregnancy test and possibly order some other testing such...

Infertility/Fertility: no period, but want to conceive, polycystic ovarian disease, fsh and lh
polycystic ovarian disease, fsh and lh, fsh and lh levels: Hello Tina from the U.S., The answers to your questions are all NO, except for the last question which is YES. I think the problem is that you are seeing the WRONG doctors and that is why there are no answers. It is obvious to me that you have an ovarian...

Infertility/Fertility: please help, ivf program, misscarage
ivf program, misscarage, fertility specialist: Hello Michelle from the U.S., Your irregular periods are not related to the miscarriage. The problem lies in the fact that your ovaries are not functioning correctly. There are several reasons why the ovaries would not function correctly and therefore...

Infertility/Fertility: Could I be pregnant?, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sarun from the U.S., Neither your temperature nor your OPK are reliable because you have dysfunctional cycles. If you have not had a period, you need to have a pregnancy test done. That is always a possibility. Good Luck, Edward J. Ramirez,...

Infertility/Fertility: What protocol? Also, excess estrogen, egg quality?, excess estrogen, egg quality
excess estrogen, egg quality, follistim: Hello Maurie from the U.S., Before I answer the specifics of your questions, let me precede with the disclaimer that (1) there are lots of variations of protocols and opinions in the world regarding stimulation and none are absolute (meaning apply to all...

Infertility/Fertility: Regular late ovulation/long cycles, ovulation induction, ovulation kit
ovulation induction, ovulation kit, late ovulation: Hello April from the U.S., I guess the answer to your question is how invasive you want to be at this time. Clomid, albeit a low level fertility drug and treatment, is still more invasive than trying naturally. If you wanted to be natural you certainly...

Infertility/Fertility: TTC and weird irregular period, ivf program, gynecology center
ivf program, gynecology center, chemical pregnancy: Hello Mary from the U.S., The period where you were trying for pregnancy could have been a pregnancy but ended in an early miscarriage. We call that a chemical pregnancy and a blood pregnancy test would have to have been done to check that. I presume...

Infertility/Fertility: I am thin, I think it's PCOS, my OB said it's not, ultrasound appearance, irregular menstrual cycles
ultrasound appearance, irregular menstrual cycles, reproductive endocrinologist: Hello Jannahmaeil, PCOS is not defined by ultrasound appearance but it can be one of the components. The first required component is an ovarian dysfunction, usually manifest by irregular menstrual cycles. You then need a second component and your ultrasound...

Infertility/Fertility: trying to conceive four months no luck!, ovulation predictor kit, urine pregnancy test
ovulation predictor kit, urine pregnancy test, ivf program: Hello Again, I don t think you need to draw any conclusions from this, and worry unnecessarily. It all could just be a normal variant. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF...

Infertility/Fertility: tsh, wellington regional medical center, west palm beach
wellington regional medical center, west palm beach, cold hands and feet: Hi Carrie, I m sorry to hear your RE won t treat your thyroid. Yes - I m a strong believer in treating any TSH over 3.0 in someone who is trying to conceive. There s a great demand on the thyroid in pregnancy, and I want it normalized prior to pregnancy....

Infertility/Fertility: Wierd Cycles After Discontinuing Nuvaring, reproductive endocrinologist, ivf program
reproductive endocrinologist, ivf program, infertility specialist: Hello Mae from the U.S., Sometimes after using a prolonged hormonal medication like the Nuva ring, the ovaries can take a little time to regulate, but that usually is only 4-5 months after stopping. Your have been going too long now for this to be a residual...

Infertility/Fertility: What is wrong with me?, reproductive endocrinologist, infertility patients
reproductive endocrinologist, infertility patients, gynecology center: Hello Jen from the U.S., Of course I cannot tell you what is wrong with you by the internet. But, have you done a laparoscopy to check for pelvic adhesive (scar tissue) disease or endometriosis? In my patients, I have found that in 99% of cases where...

Infertility/Fertility: Anti-sperm antibodies?, antibody titer, sperm antibodies
antibody titer, sperm antibodies, excessive mucus: Hello Again, Just because you have a high FSH, that does not mean that you cannot achieve a pregnancy either by fertility treatment or naturally. The FSH is only an indication of how well the ovary is functioning and therefore how well it will respond...

Infertility/Fertility: My clomid dosage, ovulation induction, fertility expert
ovulation induction, fertility expert, gynecology center: Hello Again, It does not make a difference. Good Luck, Dr. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay IVF Program www.montereybayivf.com Monterey, California, U.S.A. for additional...

Infertility/Fertility: Confused, yonkers ny, sonogram
yonkers ny, sonogram, horrible pain: Hello Lia from the U.S. (New York), You are correct in that once an ovary and tube are removed it cannot grow back. I am not sure what they saw on the ultrasound but it is suspicious. Either your previous ultrasounds were wrong or this one is wrong. ...

Infertility/Fertility: Duoluton L need quires, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sri from India, Duoluton is a birth control pill. It works by over-riding your ovaries and controlling your cycle directly. The onset of the period is caused by stopping the active hormones at the end of the cycle. Normally there is a set of periods...

Infertility/Fertility: Egg Quality, birth control pills, ivf with icsi
birth control pills, ivf with icsi, mature eggs: Hello Jae from the U.S. (Virginia), Thank you for writing. I ALWAYS tell my patients that IVF CANNOT make you pregnant. It an only give you the opportunity to become pregnant. Normally there are 9 steps for a woman to become pregnant. IVF can accomplish...

Infertility/Fertility: False Negative after Beta- Miscarriage, luteal phase defect, healthy pregnancy
luteal phase defect, healthy pregnancy, biochemical pregnancy: Hello Dina from the U.S. (Boston), Certainly what you have gone through is very unusual. It shows that late implantation exists. I usually do my first bHCG at 8-9 days post embryo transfer. I do two bHCG s, one at that time and another 48 hrs after....

Infertility/Fertility: Follicle size and ovidrel shot, ivf program, gonal f
ivf program, gonal f, gynecology center: Hello Nessa from the U.S. If the follicles grow normally, they should increase by 2 mms each day. That means that they will be 19 and 16 mms the next day. I NEVER trigger without knowing the follicle size for sure. That is sloppy care. In addition,...

Infertility/Fertility: HCG shot too early?, egg white cervical mucus, basal temp
egg white cervical mucus, basal temp, sonograms: Hello Cynthia from Brazil, HCG is given when the follicle is 18-24 mms. The exact time is dependent on your doctor s references. I usually will give HCG when the follicle is 20 mms. If there are medium follicles and I think that these follicles might...

Infertility/Fertility: hi, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Stephanie from the Philippines, What you are going through is not normal. I would recommend that you go see your Ob/Gyn doctor for an evaluation and treatment. It sounds like your ovaries are not functioning properly. Are you breast feeding? If...

Infertility/Fertility: Hydrosalpinx of right fallopian tube..., loestrin birth control pills, open appendectomy
loestrin birth control pills, open appendectomy, birth control pills: Hello Jamie from the U.S. (Tennessee), Of course I cannot make a diagnosis via the internet. There are a myriad of possibilities causing your discomfort including an ovarian cyst, ovarian torsion, adhesions, intestinal problems, etc. I ll have to leave...

Infertility/Fertility: Infertility, prolactin and infertility, elevated prolactin
prolactin and infertility, elevated prolactin, prolactin level: Hello Lyl from Switzerland, Without knowing what your prolactin level is, it is difficult for me to assess the need for treatment or not. If the level is less than 20, then no treatment is required. If above, I will usually treat with low dose dostinex...

Infertility/Fertility: keen to concieve, ovulation induction, infertility evaluation
ovulation induction, infertility evaluation, lh levels: Hello Shellee from India, First, let me reassure you that your lab tests, including FSH level, are all normal. I would presume that you have regular menstrual cycles which is an indication that you are ovulating so Clomid is probably not the appropriate...

Infertility/Fertility: lubricants and getting pregnant, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Jenny from the U.S. (New York), The rule of thumb is that lubricants like KY can interfere with sperm mobility and therefore to pregnancy. Some lubricant can kill sperm but it depends completely on the formulation. Johnson and Johnson does make...

Infertility/Fertility: Mid cycle spotting..., basal body temp, vaginal lesions
basal body temp, vaginal lesions, ivf program: Hello Myra from the U.S. (Texas), I am not too concerned with this discharge/spotting but more concerned about the length of your cycles. They are too long which means that there is some abnormality with your ovarian function. I would recommend seeing...

Infertility/Fertility: PCOS - exencephaly - Irregular periods, coimbatore india, irregular periods
coimbatore india, irregular periods, gestational period: Hello Again, This is a question you should be asking your doctor. His office nurse or the doctor himself should be available to you to answer questions or concerns. Don t let him get away with not providing adequate or good care. The brownish discharge...

Infertility/Fertility: No Period After Surgery, birth control pills, pelvic adhesions
birth control pills, pelvic adhesions, ovarian cysts: Hello Alice from the U.S. (North Carolina), It is not common for your cycles to stop from surgery unless the ovaries or uterus were removed, or if there was some complication, such as a TIA or stroke that affected the brain. More than likely the missed...

Infertility/Fertility: Pregnancy and Diet !!, iron deficiency anemia, glucose tolerance test
iron deficiency anemia, glucose tolerance test, pregnancy induced diabetes: Hello Jugnu from Saudi Arabia, You have to eat a healthy and balanced diet. Do not change your diet unless directed to do so by your doctor or a dietician. A random glucose of 124 is meaningless. A fasting glucose should be done and if that is over 100,...

Infertility/Fertility: Progesterone after ivf, progesterone supplements, fertility center
progesterone supplements, fertility center, gynecology center: Hello Adakin from Canada, Your reading is correct. Most programs, if not all, will continue the progesterone until at least 8 weeks. I continue until 10 weeks and some programs will continue until 12 weeks. There is no harm, but if removed prematurely,...

Infertility/Fertility: Provera, local health department, ivf program
local health department, ivf program, gynecology center: Hello Again, I have to admit that I am rather confused by your question and as to what is going on. By stating that on 10/26 was the same day and last day my period had started do you mean that you started a period on that day but bled for only one day,...

Infertility/Fertility: regarding spot bleeding, ivf success rates, ivf program
ivf success rates, ivf program, pco patients: Hello Again, I would recommend that you look at my Blog under Bleeding after Embryo transfer . Hopefully that will reassure you that the spotting you have is very common and does not mean anything, so you shouldn t worry. Good Luck, Dr. Edward J....

Infertility/Fertility: Teratospermia, sperm formation, ivf program
sperm formation, ivf program, gynecology center: Hello Drago from Slovenia, The cause is unknown. It occurs from malformation of the sperm within the testicle as the sperm is being developed, so it has to be a condition that affects the testicle at that level. Possible causes include some autoimmune...

Infertility/Fertility: 3 IVF failures and immune testing, implantation failure, quality embryos
implantation failure, quality embryos, ivf failures: Hello Ria from India, Your body does not distinguish between your naturally conceived embryos or IVF produced embryos. The fact that you were able to get pregnant naturally shows (1) that you can get pregnant naturally (without IVF) and (2) that you can...

Infertility/Fertility: Antithyroid antibodies and IVF, implantation failure, thyroid antibodies
implantation failure, thyroid antibodies, antithyroid antibodies: Hello Ria from India, In terms of why your previous cycles failed, I cannot answer that question. I would need to do an extensive review of your medical records from those two cycles and that is not possble on this venue. In terms of other testing,...

Infertility/Fertility: Conceiving again after infertility, spotting after ovulation, ovulation disorder
spotting after ovulation, ovulation disorder, sub chorionic hemorrhage: Hello Suzanne from the U.S. (California), The purpose of Clomid is to induce ovulation if there is an ovulation disorder. Since you now have regular menstrual cycles, you do not need Clomid. Based on the spotting after ovulation, there is a possibility...

Infertility/Fertility: country?, ivf program, gynecology center
ivf program, gynecology center, fertility treatment: Hi, I just sent your answer. Sorry for the delay but I can t always get to these questions on a daily basis as I am also a practicing Physician with a pretty busy practice. Dr. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility...

Infertility/Fertility: Cramps in 2 week wait, beta hcg, baby aspirin
beta hcg, baby aspirin, gynecology center: Hello Again, I don t have any magic formulas for you to use, and without reviewing your medical records, find it difficult to make specific suggestions. It is highly unusual for a woman that is young in your age group, to fail four cycles. I think that...

Infertility/Fertility: Duoloton l, infertility questions, ivf program
infertility questions, ivf program, convenience sake: Hello Mahesh from India, If your wife is late for her period, and you suspect she might be late, then the first thing you need to do is a pregnancy test. Douloton will NOT work to stop the pregnancy, should NOT be used if she wants to continue the pregnancy...

Infertility/Fertility: Very early period?, post vasectomy, ivf program
post vasectomy, ivf program, gynecology center: Hello Melissa from the U.S. (Wisconsin), I could answer your question by giving you a list of diagnoses that cause abnormal bleeding, but I don t think that will be of any help. Basically you need to see a Gynecologist and undergo an evaluation to see...

Infertility/Fertility: Endometrin, progesterone supplements, ivf patients
progesterone supplements, ivf patients, center for reproductive medicine: Hi Reena, I keep my IVF patients on progesterone, on average, until 10-12 weeks gestation. Wishing you continued success! Dr. Roseff - Director Palm Beach Center for Reproductive Medicine Wellington, FL Visit us on the web at www.reproendo.com ======================...

Infertility/Fertility: Fertility, ivf program, sore breasts
ivf program, sore breasts, gynecology center: Hello Nichole, Tubes cannot regenerate but tubal ligations can fail because either they fuse back together and open a canal or one end of the tube (where it was cut) is open and allowed the egg and sperm to get together. The problem is that there is an...

Infertility/Fertility: fertility, coming off the contraceptive pill, chances of pregnancy
coming off the contraceptive pill, chances of pregnancy, statistical chances: Hello Emma from the U.K. A woman s fertility decreases with age but does not reach zero until menopause(average age 50 years old#. This is not to say that you will be as fertile next year as you are this year, but only to clarify that age is not a good...

Infertility/Fertility: fertility, ovulation disorder, ovulation induction
ovulation disorder, ovulation induction, ivf program: Hello Sneha from India, You have an ovulation disorder and this needs to be treated. The treatment course is called Ovulation induction . There are various medications that are used to accomplish this. The purpose is to correct the ovulation disorder...

Infertility/Fertility: Fertility and progesterone levels, low progesterone, progesterone levels
low progesterone, progesterone levels, fertility treatments: Hello Deb from the U.S. (Ohio), First it would be better if you follow the advise of your doctor and not a nurse, and preferably find a clinic where both instructions are correct and identical. It is possible to have a miscarriage with low progesterone,...

Infertility/Fertility: fertility treatment, primolut n 5mg, sperm antibodies
primolut n 5mg, sperm antibodies, chromosomal abnormality: Hello Again, At this point, you should have a blood pregnancy test and an ultrasound to see what is going on. If a cyst is present, then you should be placed on a birth control pill for 1 cycle. You can then resume another Clomid cycle with the onset...

Infertility/Fertility: follicular cyst, birth control pills, ovarian follicular cyst
birth control pills, ovarian follicular cyst, pituitary hormones: Hi Priya, Birth control pills (contraceptives) contain hormones that can tone down the pituitary hormones that normally stimulate the ovary to produce follicles or follicle cysts. By taking a hormonal contraceptive pill, it has the possibility of helping...

Infertility/Fertility: HCG shot/starting period, ivf program, fertility treatments
ivf program, fertility treatments, gynecology center: Hello Mr. Martinez from the U.S. (San Jose), The HCG injection is generally given when the follicle reaches ovulatory size (18-24 mms) in order to trigger the ovulation. Ovulation will then occur within 24-50 hrs after. We do not have a technology to...

Infertility/Fertility: Can you help me?, birth control pills, facial hair growth
birth control pills, facial hair growth, fertility medications: Hello Again, Birth control pills should work, unless you are unreliable in taking them (not good at taking meds every day). There is not a natural option. Other methods to regulate your cycle but not using birth control pills are less effective and...

Infertility/Fertility: increased metformin now period is late.., ivf program, gynecology center
ivf program, gynecology center, regular periods: Hello Tonia from the U.S. (North Carolina), Metformin should not cause your cycles to become irregular but we consider a cycle to be regular if the period with plus or minus 7 days, so the change you describe can be normal. Good Luck, Dr. Edward J....

Infertility/Fertility: infertility, ivf program, open tubes
ivf program, open tubes, infertility test: Hello Segiy from the Ukraine, If your wife s tubes are blocked, whether or not they can be unblocked will depend on the cause of the blockage. Sometimes the procedure to check for blocked tubes, called a hysterosalpingogram, will unblock the tubes if the...

Infertility/Fertility: Infertility treatment, infertility treatment, fertility treatments
infertility treatment, fertility treatments, treatment question: Hello Again, PCO patients are plagued by the problem of an ovarian dysfunction, meaning that the ovaries are not working properly so that ovulation does not occur. For the reason, the treatments are to get the ovaries to work normally. This is called...

Infertility/Fertility: IVF and shingle, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Ann from Georgia, Yes it is possible that a shingles outbreak could affect an implanting embryo. The immune response would be greatly heightened and could kill the embryo. That may not be the reason for the failure, but is a possible cause. Good...

Infertility/Fertility: Very long irregular cycles, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello JoJo from the U.S. (Boston), You have some type of ovulatory or ovarian dysfunction going on. You need to see a specialist and undergo evaluation. The hormone tests may be normal, but that does not mean that the ovaries are working normally. Until...

Infertility/Fertility: Lower fertility after recurrent miscarriage, dilation and curettage, recurrent miscarriages
dilation and curettage, recurrent miscarriages, fertility rates: Hello James from England, Your wife now would be classified as a habitual aborter/miscarrier and needs to undergo an evaluation for this condition. There are many reasons for miscarriages and so testing needs to be done try to determine what is going...

Infertility/Fertility: Luteal Phase Defect?, progesterone supp, endometrial polyps
progesterone supp, endometrial polyps, estrogen dominance: Hi Kate, So sorry to hear you ve been having such problems. There are lots of reasons for brown spotting, and unfortunately I can t diagnose your condition from afar. Some possible reasons are listed below, and this list is not a full, comprehensive list:...

Infertility/Fertility: Menstratration after abandoned cycle, th1 th2, quality eggs
th1 th2, quality eggs, menopur: Hello Again, I think that two weeks after a failed IVF cycle is a little too soon, but my usual minimum waiting time is 4 weeks (1 month). I place the patient right back on the birth control pill once the period starts and prepare for the next cycle. ...

Infertility/Fertility: Normal cycle, no ovulation?, normal fsh levels, fertility signs
normal fsh levels, fertility signs, fertility test: Hello Jessica from the U.S. (South Carolina), If you have regular and predictable cycles, such as you have explained, then that is an indication that you are ovulating despite what the OPK is showing. If you did not ovulate, you would not have a period....

Infertility/Fertility: possible miscarrage?, progesterone levels, ultrasound exam
progesterone levels, ultrasound exam, center for reproductive medicine: Dear Linda, No, miscarriage is not necessarily imminent, though the numbers you listed are of concern. I hope you re not serious about having to wait four weeks for a follow-up ultrasound exam. What country are you living in? In the U.S., it would be...

Infertility/Fertility: Pregnancy, pregnancy hormone level, home pregnancy test
pregnancy hormone level, home pregnancy test, urine pregnancy test: Hello Tamoyia from the U.S. (Alabama), In order for a urine pregnancy test to turn positive, the pregnancy hormone level (HCG) needs to pass a certain threshold. Less that the threshold would give a negative urine test but a blood pregnancy test can detect...

Infertility/Fertility: Primary Infertility, focal lesion, infertility evaluation
focal lesion, infertility evaluation, ultrasound report: Hello Noor Shaikh from India, Your ultrasound report is completely normal. The calcification in the cervix is an incidental finding and of no significance. Since you have been trying for more than 1 year and are 36 years old, you need to proceed aggressively...

Infertility/Fertility: Semen Analysis Report Evaluation, sperm development, ivf program
sperm development, ivf program, gynecology center: Hello Again, Not knowing what medications were used with your spinal problem, I m afraid I can t give a specific comment on that. In terms of the sperm abnormality, the only possible option is trying a vitamin formulation that is made specifically to...

Infertility/Fertility: Spread of Hepatitis B via IVF, vitro fertilization, hepatitis virus
vitro fertilization, hepatitis virus, infectious disease expert: Hello Jessica from the U.S., You have submitted a very interesting and difficult question. I think that it is unknown territory, and not being an infectious disease expert, I had to do some research myself to try and answer your question. There is an...

Infertility/Fertility: Timing of Hysteroscopy and Endometrial Biopsy, negative beta, endometrial biopsy
negative beta, endometrial biopsy, birth control pill: Hi again, No I don t agree with either of these explanations. If the purpose of the biopsy is to detect a low level of endometritis, then it does not need to be done because it can be treated without the procedure. That is, when you have your period...

Infertility/Fertility: Trying to conceive for 12 months, hysteroscopy laparoscopy, pituitary hormones
hysteroscopy laparoscopy, pituitary hormones, pelvic ultrasound: Hello Laura from Canada, Have you had a hysteroscopy, Laparoscopy, Pelvic ultrasound, hormonal tests? Based on the limited information that you have given me, we know that you are probably ovulating, your tubes are open, the sperm is normal. What we don...

Infertility/Fertility: unicornuate uterus and transabdominal cerclage, full blood count, transabdominal cerclage
full blood count, transabdominal cerclage, pelvic kidney: Hello Lorraine from England, Thank you for the rather long but very concise review of your history. The one remarkable thing I gained from reviewing your history is that it seems like everything was done backwards. That is an editorial comment. Usually,...

Infertility/Fertility: :(, complex hyperplasia with atypia, infertility therapy
complex hyperplasia with atypia, infertility therapy, wellington florida: Hi Elizabeth, As an expert in PCOS, I can tell you that we have a phenomenal degree of success in women with PCOS and hyperplasia. The hyperplasia (with atypia) MUST be treated in a timely and appropriate fashion, after which you can discuss your options...

Infertility/Fertility: 3 Years Infertility, late onset congenital adrenal hyperplasia, congenital adrenal hyperplasia
late onset congenital adrenal hyperplasia, congenital adrenal hyperplasia, adrenal hyperplasia cah: Hello Karrie from the U.K., Sorry for the delay in getting back to you. I had to do a little reviewing to answer your question. 17-OHP is a marker of adrenal function in the valuation of hirsuitism (increased hair growth in a woman). It is a good first...

Infertility/Fertility: 39 & trying to concieve, infertility doctor, fertility blend
infertility doctor, fertility blend, flax oil: Hello Terri from the U.S. (Massachusetts), I don t understand why it would take so long for you to see a specialist. I m sure there are clinics near you that you can get into soon. If not, take a plane to California and I can see you right away. The...

Infertility/Fertility: Causes of chemical pregnancies/implantation problems, low progesterone levels, hcg level
low progesterone levels, hcg level, respiratory virus: Hello Karri from the U.S. (New York), Let me take the second question first since it is the easier of the two to answer. The answer is NO, you can t have an underlying HCG level from cereal or any other source other than pregnancy. Serum pregnancy tests...

Infertility/Fertility: Chocolate Cyst, chocolate cysts, chocolate cyst
chocolate cysts, chocolate cyst, correct medication: Hi Divya, There are different kinds of chocolate cysts, some of which may go away over time (with or without contraceptive pills) and some of which will not go away without surgery. For example, a corpus luteum cyst can be a chocolate cyst, and may go...

Infertility/Fertility: Estrogen and endometrium thickness, estrogen patch, menopur
estrogen patch, menopur, lab reference: Hello Again, 1. The estradiol patch or vaginal suppository would begin with CD#1 or 2. 2. If only 5% of the sperm are anatomically normal (morphology), even with an 85 Million count that means only 3.2 Million are available to actually fertilize the...

Infertility/Fertility: Fertility Problems, reproductive endocrinologist, fertility problems
reproductive endocrinologist, fertility problems, wellington florida: Brittany, You need to see a board certified reproductive endocrinologist who can find out WHY you don t get regular periods. There are many different hormone imbalances that can cause this, and some have potential medical as well as reproductive consequences....

Infertility/Fertility: glucophage and fertility the 2nd time around, estrogen receptors, fertility medication
estrogen receptors, fertility medication, infertility specialist: Hello Jennifer from the U.S. (Oregon), I cannot advocate Metformin unless it is indicated and without doing a blood test, I cannot tell. Since you used Metformin for your PCOD previously, and it did help, then yes, it could work again. I cannot give you...

Infertility/Fertility: Gonadotropins versus Clomid, insulin syringe, fsh lh
insulin syringe, fsh lh, donor egg: Hello Again, 100 mg of Clomid is a low dosage protocol. Clomid can be used up to 250 mg per day. I do recommend a monthly break between stimulation cycles. Good Luck, Dr. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility...

Infertility/Fertility: High risk pregnancy and IGT question, high risk pregnancy, ivf program
high risk pregnancy, ivf program, gynecology center: Hello Jennifer from the U.S.(California), Your OB probably couldn t answer your question because there are no studies or any other reliable source that shows any correlation between metformin and breast milk production. Knowing how both those hormones/chemicals...

Infertility/Fertility: Hypothalamic Amennhorea, thyroid tsh, birth control pills
thyroid tsh, birth control pills, lipid panel: Hi, As a board certified reproductive endocrinologist in practice for 22 years, I m always so surprised to hear how RE s don t want to see women with hormone imbalances (like PCOS or HA) unless they are trying to conceive.... There s a critical need for...

Infertility/Fertility: infertility, male pattern baldness, testoviron depot
male pattern baldness, testoviron depot, ivf program: Hello Raja from India, Make sure you are seeing an ENDOCRINOLOGIST or UROLOGIST for your problem, if in fact you have one. I presume your doctor has prescribed the testosterone because your levels are low, but there has to be a reason for this. You need...

Infertility/Fertility: Injectables or Laparoscopy, injectable fertility drugs, infertility specialist
injectable fertility drugs, infertility specialist, sperm analysis: Hi Paula, While it s illegal for me to tell you what to do next (since you re not a patient under my care), I can give you general guidelines used for most patients in your type of situation. If you re not seeing a board certified RE, you should be....

Infertility/Fertility: Irregular periods, birth control pills, quality eggs
birth control pills, quality eggs, irregular periods: Hello Jessica from the U.S. (Pennsylvania), Your question is certainly logical but there is no definitive answer. We do know for sure that the number of eggs available at the time of puberty is in the order of 500,000 and this decreases in the woman s...

Infertility/Fertility: How late you can trigger, follicle size, wellington florida
follicle size, wellington florida, center for reproductive medicine: I allow my patients to trigger on day 20, as long as the follicle is a good size and their blood (hormone) levels are appropriate (LH, estradiol, and progesterone). I hope this helps, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine ...

Infertility/Fertility: lupron depot and pregnancy, good luck good luck, trying to concieve
good luck good luck, trying to concieve, ivf program: HelloPhoebe from the U.S. (Washington), There is no magic number as to how long it will take for the effects of Lupron to wear off and ovarian function to start again. It can be short, such as a month after or longer. You ll have to wait for your period...

Infertility/Fertility: ovulation question, urine test strips, short luteal phase
urine test strips, short luteal phase, fertility specialist: A short luteal phase ( 12 days) can be due to many reasons, including, and not limited to, high prolactin, abnormal thyroid, diminished ovarian reserve, hypogonadism, and luteal phase defect, etc. Talk to your fertility specialist about being tested to find...

Infertility/Fertility: P.I.D, reproductive endocrinologist, infertility specialist
reproductive endocrinologist, infertility specialist, ectopic pregnancy: Hi, PID can lower the odds of getting pregnant and increase the risk of an ectopic pregnancy. PCOS can lower the odds of getting pregnant, increase the risk of miscarriage, and increase the risk of problems during pregnancy. Therefore, it would clearly...

Infertility/Fertility: PCOS and hyperprolactima TTC, frozen embryo transfer, negative pregnancy test
frozen embryo transfer, negative pregnancy test, fertility specialist: Hello Angela from the U.K.(Ireland), I am sorry to hear about the two OHSS episodes. Sometimes this can be unexpected, but in most cases the doctor should anticipate that you are at risk and use a protocol to prevent it from occurring. This includes low...

Infertility/Fertility: pregnancy?, gestational sac, ultrasound report
gestational sac, ultrasound report, white blood cells: Hello Jade from Australia, The description of fluid within the sac but cannot identify fetal pole or gestational sac seems to indicate that fluid was seen between the endometrial lining. A gestational sac is usually well describe, so I presume that...

Infertility/Fertility: Pregnancy after Ablation, tubal reversal surgery, intrauterine adhesions
tubal reversal surgery, intrauterine adhesions, gestational surrogate: Hello Faith from the U.S.(New York), There have been reported cases of pregnancy after endometrial ablation but that was because the endometrial ablation was not complete. That is, some part of the endometrium was left intact. This lead to cycling of...

Infertility/Fertility: Pregnancy success rate with secondary infertility., body mass index, secondary infertility
body mass index, secondary infertility, hsg test: Hi, Most 26 year old women conceive fairly easily. If you have access to a board certified reproductive endocrinologist, consider seeing one. I ll bet something that may be affecting your fertility may have been overlooked (for example, a high body mass...

Infertility/Fertility: How did I get pregnant, home pregnancy test, ivf program
home pregnancy test, ivf program, gynecology center: Hello Whitnee from Georgia, You probably had an ovarian dysfunction disorder called polycystic ovarian disease. Basically with this disorder, the ovaries are not functioning correctly and so ovaulation (giving off an egg) does not occur. This also leads...

Infertility/Fertility: Primary Infertility, wellington florida, center for reproductive medicine
wellington florida, center for reproductive medicine, tibeten: Hi, If a woman has a 26 day cycle just once, that s not generally a concern. If it happens several months in a row, that can sometimes signify a hormone imbalance. I hope this helps, Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine...

Infertility/Fertility: Recurrent Chemical pregnancies, progesterone in early pregnancy, low progesterone levels
progesterone in early pregnancy, low progesterone levels, mthfr mutation: Hi Karri, I m so sorry to hear about your problems. You are right to be concerned, as it sounds like you are spinning your wheels at this point.... It s impossible to tell you what your next step should be without having further information (and,...

Infertility/Fertility: Short periods, luteal phase, progesterone levels
luteal phase, progesterone levels, infertility evaluation: Hello Liz from the U.S.(Kansas), The Mirena is no longer in your system. The hormone was gone as soon as the Mirena was removed. The light bleeding is not an issue and should not be made into one. It also should not have any affect on your ability to...

Infertility/Fertility: When TTC after miscarriage?, low progesterone level, genetic abnormality
low progesterone level, genetic abnormality, chromosomal breakage: Hello Melissa from the U.S.(Georgia), A recent study shows that a woman is highly fertile within the first 6 months after a miscarriage. The old mantra used to be to wait a few months but that is no longer true. Therefore, you can begin trying again as...

Infertility/Fertility: Unicornuate uterus, baby aspirin, unicornuate uterus
baby aspirin, unicornuate uterus, last option: Hello Anita from the U.S. (Pennsylvania), If the implantation would to occur on the healthy side of the uterus, then yes, there is a good chance that it will survive, but there is no way to make this happen. Even with IVF we cannot place the embryo into...

Infertility/Fertility: 7 days of premenstrual spotting, Dr. says this is normal?, birth control pills, ivf program
birth control pills, ivf program, infertility specialist: Hello Carol from the U.S., I am not sure that I agree with your Gyn doc that 7 days of premenstrual spotting is normal. If the pelvic examination was normal, ie nor source of the bleeding can be seen in the vagina or cervix, then I would probably do an...

Infertility/Fertility: Chemical Pregnancy and IVF, many different reasons, chemical pregnancy
many different reasons, chemical pregnancy, gynecology center: Hello Suzy, A chemical pregnancy and subsequent miscarriage can occur in up to 40% of pregnancies. Your could have been for many different reasons, which we probably cannnot understand or know but the majority of miscarriages occur because of an abnormal...

Infertility/Fertility: Concerned, elevated fsh level, ivf program
elevated fsh level, ivf program, ivf cycle: Hello Amber from the U.S., If you are doing IVF then your doctor should have explained to you what an elevated FSH level means. That puts you in the category of a low ovarian reserve. I am assuming that the FSH levels were taken on the second or third...

Infertility/Fertility: Daily sex and ovulation, center for reproductive medicine, fertile period
center for reproductive medicine, fertile period, daily sex: If you re trying to conceive, Laura, I don t suggest it. Daily sex can cause a sperm count to plummet to very low levels. At the MOST, every other day may help. Hope this answers your question, and I wish you success! Dr. Roseff - Director Palm Beach...

Infertility/Fertility: Depo Provera, depo provera birth control shot, depo provera
depo provera birth control shot, depo provera, ivf program: Hello Haleigh from the U.S., The effects of Depo provera can certainly linger for up to three months but you need to look up the pharmaceutical information to find out the exact amount of time. It certainly can vary. That is not to say that you can t...

Infertility/Fertility: Endometrioma and infertility, reproductive endocrinologist, surgical excision
reproductive endocrinologist, surgical excision, hemorragic cyst: Hi Loriana, My understanding is that there s no role for Lupron is shrinking an endometrioma. The decision as to whether or not an endometrioma should be removed depends on several questions, such as how big it is. It s illegal for me to tell you what...

Infertility/Fertility: Fertility meds (maybe) shortening my luteal phase ?? Help, luteal phase defect, pregnancy blood test
luteal phase defect, pregnancy blood test, progesterone levels: Hello Lou from Australia, A shortened luteal phase is called a luteal phase defect. It is not usually caused by the medication you are using for follicular recruitment and stimulation, nor the ovidrel, but it is seen in Clomid cycles. Your doctor should...

Infertility/Fertility: 7 days of premenstrual spotting, Dr. says this is normal?, suppositories, premenstrual
Infertility/Fertility: 7 days of premenstrual spotting, Dr. says this is normal?, suppositories, premenstrual, progesterone

Infertility/Fertility: low progesterone and recent miscarriage, prometrium, luteal phase
Infertility/Fertility: low progesterone and recent miscarriage, prometrium, luteal phase, suppositories

Infertility/Fertility: HCG and U/S, hcg levels, ivf program
hcg levels, ivf program, low progesterone: Hello Lauren from the U.S., It is difficult to make an exact decision based on HCG levels, but the levels are within acceptable range. Doctors usually use the rule that the HCG should double every 48 hrs, but it does not exactly double (100% increase)....

Infertility/Fertility: High FSH and fluctuating TSH w/o meds, fsh level, high fsh
fsh level, high fsh, fertility medications: Hello Katie from the U.S., Happy Birthday! I think you are misinterpreting the meaning of the FSH level. It does not indicate that your ovaries have shut down, are dysfunctioning or have bad eggs. The FSH is only an indication of how the ovaries would...

Infertility/Fertility: HSG or Laparascopic of Fallopian tube, point of wiew, open tubes
point of wiew, open tubes, laparascopic: Hello Monica from Spain, I surely would have treated you differently. There are criteria that we use to suspect an ectopic pregnancy. The main criteria is if the bHCG level is above 3000 and there is no pregnancy within the uterus, then a diagnosis...

Infertility/Fertility: hCg trigger timing, follistim aq, progesterone supplements
follistim aq, progesterone supplements, clearblue easy fertility monitor: Hello Hilary from the U.S., First, let me say that I am a little skeptical of your doctor, as I notice that you are based on your questions. The optimal size for a follicle at ovulation is 18-20 mms. Using Follistim, your cycle should not be timed based...

Infertility/Fertility: help, fertility medications, egg quality
fertility medications, egg quality, fertility treatment: Hello Amanda from Canada, You have to keep in mind that you were very young when you had your previous children and in your peak fertile years. Your fertility has now decreased by more than 50% based on your age. As a consequence it is more difficult...

Infertility/Fertility: hormonal imbalanced problem, scar tissue formation, diagnostic hysteroscopy
scar tissue formation, diagnostic hysteroscopy, fertility medications: Hello Again, I m afraid I cannot tell you what these symptoms are from. It would be a little too early to have signs of a pregnancy. Implantation usually takes 7 days from ovulation to occur, and ovulation takes 36-52 hours from the Ovidrel injection...

Infertility/Fertility: INFERTILITY, follistem, gynecology center
follistem, gynecology center, birth control pill: Hello Anne from the U.S., First let me say that using the birth control pill is NOT just for the doctor s convenience. After many many years of doing IVF worldwide, it has been shown to help increase the chances of success and helps to control the ovary...

Infertility/Fertility: Infertility, follicle size, time span
follicle size, time span, cd 13: Hello Again, I already answered that question specifically so I don t want to be repetative. You need to consult the doctor that is doing the ovulation induction cycle to know when to begin having intercourse. The follicle needs to be 18-20 mms for the...

Infertility/Fertility: Injections, undiagnosed illnesses, bovine serum
undiagnosed illnesses, bovine serum, aids virus: Hello Lindsay from the U.S., Thanks for the very interesting question. As a clinician that has used these medications for many many years, I can attest that there are no risks, side effects or long term effects that I have experienced other than hyperstimulation...

Infertility/Fertility: IVF post Prolactinoma, fsh level, high prolactin
fsh level, high prolactin, reproductive endocrinologist: Hello Jane from the U.K., There are several problem that you report. Let me take them one at a time. You mentioned that you are not have periods since the age of 26 and now your are 42 years old. There must be some explanation for that and the only...

Infertility/Fertility: infertility, corpus luteum cyst, physiologic cyst
corpus luteum cyst, physiologic cyst, ovulation kit: Hello Farheen, The ovulation kit does NOT mean that you ovulated. It checks for a hormonal rise called the LH surge , and is an indirect measure of ovulation. I cannot tell you exactly why you did not have a period, but one reason PCO or other patients...

Infertility/Fertility: infertility/ fertility, infertility evaluation, infertility specialist
infertility evaluation, infertility specialist, ivf program: Hello Again, In order to answer your question, you would need to undergo an infertility evaluation to check each of the steps your body goes through to achieve a pregnancy. There are about 9 tests, which includes testing your boyfriend. Without that,...

Infertility/Fertility: LPD after C-section 14 months ago, serum beta hcg, vitamin b complex
serum beta hcg, vitamin b complex, fertility signs: Hi Again, I m afraid that the additional information does not help to shed light on your current situation. Once you add additional hormones, all bets are off regarding temp charting. The OPK should still work however. Bottom line is I think you need...

Infertility/Fertility: LPD Treatment, low dose aspirin, crinone 8
low dose aspirin, crinone 8, progesterone levels: Hello Nicole from the U.S., If the doctor you are seeing is a fertility specialist (a real one), then this is a very simple question for him or her to answer and he/she should be answering it for you. But since you asked, progesterone is a very easy...

Infertility/Fertility: low progesterone and recent miscarriage, low progesterone, progesterone levels
low progesterone, progesterone levels, endometrial biopsy: Hello Stacey from the U.S., Progesterone levels measured at the mid-luteal phase do not make the diagnosis of luteal phase defect. They are mainly used to confirm ovulation. Any level above 10 confirms ovulation if the test is done in the mid-luteal phase...

Infertility/Fertility: muticustic ovary, birth control pills, fertility medication
birth control pills, fertility medication, history of breast cancer: Hello Again, I understood what you meant and multicystic, polycystic and multifollicular are all describing the same thing ultrasonographically. The reason why this description is made is because this finding can be a characteristic of PCOD. I don...

Infertility/Fertility: Ovidrel does it work the first time?, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Again, First of all, there is NO WAY for anyone to know if there is an egg within a follicle or not. That technology does not exist. Secondly, if you took Fertomid, that would induce the growth of ovulatory follicles, which is the goal. If there...

Infertility/Fertility: Ovulation, ivf program, ovulation test
ivf program, ovulation test, fertility treatments: Hello Martina from Ireland, I am shocked at your question because your doctor should be monitoring you for (1) your response to the medication, (2) how many follicles are growing to ovulatory size so that you don t ovulate too many eggs and (3) when ovulation...

Infertility/Fertility: Not ovulating six months after D&C, reproductive endocrinologist, ivf program
reproductive endocrinologist, ivf program, fsh lh: Hello Terri from the U.S., It sounds like you have some sort of Ovarian dysfunction going on. I cannot tell you exactly what the cause is without doing an evaluation. This should include blood tests (hormone panel consisting of FSH, LH, TSH, Prolactin,...

Infertility/Fertility: ovulation, ivf program, urine dipstick test
ivf program, urine dipstick test, morning after pills: Hello Jay, The morning after pills would have terminated your cycle and therefore altered it from its original form. Therefore, pregnancy would be difficult to predict until you get back to having a normal cycle again. Ovulation may have occurred in the...

Infertility/Fertility: PCOS, clomid, and day 21 blood test, blood test results, chromosome abnormality
blood test results, chromosome abnormality, ovulation test: Hello Chelsea from Australia, I think your doctor is correct in thinking that maybe ovulation was later than expected and you should do the test as recommended. I don t think that you can go my your feelings of being pregnant , since it would be way too...

Infertility/Fertility: No Period for 3 months, endometrial cavity, scar tissue
endometrial cavity, scar tissue, endometrial lining: Hello Olu from the U.S., You bring up several isues so let me see if I can give you the information that you need. Asherman s syndrome, as you know, is the formation of scar tissue within the endometrial cavity. As has been done with you, hysteroscopic...

Infertility/Fertility: Progesterone, natural progesterone suppositories, neural tube defects
natural progesterone suppositories, neural tube defects, low progesterone: Hello Lisa from the U.K., The previous miscarriage was probably not from a low progesterone as you surmised. I cannot tell you what dosage to use with the natural progesterone because I don t know how much progesterone is in it. Is it possible at...

Infertility/Fertility: Progesterone levels ivf, vaginal progesterone, progesterone levels
vaginal progesterone, progesterone levels, gynecology center: Hello Natasha from the U.S., The decreasing levels is a little concerning, and I agree that I don t like the pattern. The levels are still okay, however. My recommendation would be to either increase the dose you are giving by injection, or better, would...

Infertility/Fertility: pain after hcg trigger, hemorrhagic cyst, ovulation pain
hemorrhagic cyst, ovulation pain, ivf program: Hello Carrie from the U.S., Some people will feel ovulation pain and the amount of pain will often depend on how many follicles are ovulated. Of course, the more follicles, the more pain. Since you had four ovulatory sized follicles, that would explain...

Infertility/Fertility: post breat cancer fertility treatment, breat cancer, breast cancer treatment
breat cancer, breast cancer treatment, severe endometriosis: Hello Angela from the U.K., I am very sorry to hear that you had breast cancer at such an early age, but I send my prayers along with hopes that it is resolved. The good news is that most estrogen receptor positive breast cancers have an excellent remission/cure...

Infertility/Fertility: Getting pregnant with number 2, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Kathy from Canada, I cannot tell you how long it will take for you but the majority of women at your age will take 8-12 months to achieve pregnancy. Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology...

Infertility/Fertility: Recurrent Miscarriage, ovulation induction, multiple miscarriages
ovulation induction, multiple miscarriages, abnormal chromosome: Hello Jonni from the U.S., You are correct. Clomid is used for ovulation induction or to increase the number of eggs ovulated, which we call superovulation. I don t know why your doctor would suggest Clomid. Are you sure your doctor is an RE? Miscarriages...

Infertility/Fertility: Tranfers, endometrial cavity, ivf program
endometrial cavity, ivf program, ivf cycle: Hello Sharon from the U.S., Fibroids have not been shown to influence the pregnancy rates with IVF unless the fibroid is within the endometrial cavity. I presume that your doctor did a hysteroscopy or hysterosonogram to check for this prior to commencing...

Infertility/Fertility: TTC #2 concerns, ivf program, fertility specialist
ivf program, fertility specialist, gynecology center: Hello Brandi, I think you may be worrying unnecessarily. We don t define infertility until a woman has been trying unsuccessfully for one year. Although 35 is a significant age from a fertility point of view, it is still not critical. Critical occurs...

Infertility/Fertility: ttc, definition of infertility, donor sperm
definition of infertility, donor sperm, gynecology center: Hello Jonny from the U.K., The definition of infertility is the inability to achieve pregnancy within 12 months. Once your fit this profile, you should undergo infertility testing. I recommend that you have all the tests and not just one or two. The...

Infertility/Fertility: Worried I may have endo., infertility evaluation, hemorhoids
infertility evaluation, hemorhoids, clomid: Hello Jennifer from the U.S., I am wondering if you had any infertility testing prior to starting on the Clomid, or did your non-infertility specialized doctor just put you on the Clomid to help you along? Certainly based on your symptoms, endometriosis...

Infertility/Fertility: 3 mature follicles, ovulation induction, twin gestation
ovulation induction, twin gestation, ivf program: Hello Kristen, I think your instructions were appropriate and the timing correct. Because you are using intercourse, the chances of pregnancy are slightly higher than your natural chances at the age of 30. Your natural chances would be 15% per month,...

Infertility/Fertility: Almost 41 with endometriosis and 3 miscarriages, chemical pregnancies, severe endometriosis
chemical pregnancies, severe endometriosis, egg quality: Hello Melanie from Australia, Keep in mind that statistics is just a reflection of reality but not reality. There are always exceptions. It s purpose is just to give you and idea of the chances. It cannot tell you exactly what will happen. That...

Infertility/Fertility: Alcohol and infertility, alcohol and infertility, definition of infertility
alcohol and infertility, definition of infertility, infertility specialist: Hello Angela from the U.S., The definition of infertility is if a woman under the age of 35 has not achieve a spontaneous pregnancy after 1 year of trying or 6 months if she is 35 years old or older. So, it sounds like you meet that definition and it is...

Infertility/Fertility: adenomyosis/bleeding, infertility evaluation, fertility specialist
infertility evaluation, fertility specialist, gynecology center: Hello Peddy from Nigeria, If you have been trying for pregnancy for a year or more, then you need to see a fertility specialist (preferably one that does IVF in their clinic) to undergo an infertility evaluation. Testing will then be done to determine...

Infertility/Fertility: Blastocyst Grading, implantation pregnancy, quality embryos
implantation pregnancy, quality embryos, implantation rates: Hello Rachel from the U.S., The answer to your question is yes and no. It is ambiguous because grading does not necessarily predict whether implantation, pregnancy or a successful delivery will take place. I have often been surprised when I get a pregnancy...

Infertility/Fertility: Breakthrough bleeding following failed IUI cycle with injectibles?, ivf program, fertility medications
ivf program, fertility medications, breakthrough bleeding: Hello LvW from the U.S., The bleeding episode you are experiencing is not normal after an IUI with using any fertility medications. I would advise that you see your doctor for an evaluation. Just on a side note, at your age, you have a 5-10% chance...

Infertility/Fertility: bimonthly periods, epidural steroids, intravenous steroids
epidural steroids, intravenous steroids, ivf program: Hello Tanja from the U.S., I m afraid I have never heard of epidural steroids causing this side effect. Certainly intravenous steroids can alter your normal hormonal environment and may cause this type of break through bleeding, but epidural injections...

Infertility/Fertility: Chances that luteal phase defect is only fertility issue?, sperm analysis, fertility issue
sperm analysis, fertility issue, fertility specialist: Hello Lisa from Canada, You are facing and have faced the main problem with the Canadian medical system, which I have heard from many many Canadian patients, and that is access to care. To have to wait 5 months to see a specialist is unacceptable in the...

Infertility/Fertility: Chest Xray effect, ivf program, gynecology center
ivf program, gynecology center, monterey california: Hello Sabine, A chest xray is not enough radiation to affect a pregnancy, fetus or developing baby. It takes a lot more radiation than that. Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology Center Monterey Bay...

Infertility/Fertility: Clomid cause you to skip cycles, infertility specialist, pcos patients
infertility specialist, pcos patients, birth control pill: Hello Veronica from the U.S., The irregular cycle is not due to the Clomid but more likely due to the inherent ovarian dysfunction that you have. If fact, if I were your doctor, not only would I have done things completely differently so that this situation...

Infertility/Fertility: Is clomid the best choice, severe endometriosis, hello dawn
severe endometriosis, hello dawn, chances of pregnancy: Hello Dawn B from Canada, You are the type of case that I hate to see. You are seeing the wrong docs, and that seems to be a common factor in Canada. First, you are 38 years old. Your chances of pregnancy are only 2-3% per cycle by any natural treatment...

Infertility/Fertility: clomid and metformin, pcos patients, home ovulation
pcos patients, home ovulation, ovulation kit: Hello M from the U.S., The follicle sizes you gave are normal sizes and not indicative of impending ovulation. Besides, it is a little too early in the cycle for that. Follicles have to reach a minimum of 18 mms in order to ovulate. You will have to...

Infertility/Fertility: clomid and spotting, urine pregnancy test, ivf program
urine pregnancy test, ivf program, infertility treatments: Hello amandahodson from the U.K. I cannot tell you exactly what the recent spotting is, but of course, there is always the possibility of a pregnancy with infertility treatments. The best thing to do is to have a blood pregnancy test done. It is a lot...

Infertility/Fertility: DCIS and IVF, donor ivf, ivf program
donor ivf, ivf program, incidence of breast cancer: Hello Gilna from the U.S., I recently did a literature search and discussed this very subject with colleagues of mine at Stanford University because I had a 27 years old who had breast cancer. My investigation found that there is no correlation between...

Infertility/Fertility: Endometrial thinning, fertility specialist, baby aspirin
fertility specialist, baby aspirin, uterine cavity: Hello Suzanne from the U.S., The fact that you were able to become pregnant shows that you certainly have the potential to become pregnant again. That means that your body did everything it needed to do (9 steps) to achieve the pregnancy. However, your...

Infertility/Fertility: Endometriosis, infertility evaluation, infertility problem
infertility evaluation, infertility problem, fertility status: Hello Lindsay from the U.S., I hate it when Ob/Gyn docs only do one thing and attribute the infertility problem to that one thing. Yes, endometriosis could have been the culprit, but there are several tests that should have been done to check your fertility...