| Subject | Date Asked | Expert |
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| Absent periods | 11/6/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am a 26 year old female. I have always had regular periods until three months ago. I was on birth ...
A: An elevated insulin level on its own does not make the diagnosis for PCOS. However, approximately ...
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| no periods | 11/6/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Firstly, thanks for volunteering. I am writing from Israel In our circles dates are for marriage ...
A: Not having regular menstrual cycles in a woman over the age of 16 is abnormal. That means that ...
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| Clomid vs injections | 11/6/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Dr. Ramirez, My husband and I have been trying for 10 mos, both 33 yrs old, we tried clomid for one ...
A: Yes, the injectables have a higher chance for multiples because they are stronger medications. They ...
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| trying to get pregant need tips | 11/6/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: i have had two babies to another boyfriend but now i am marrying some who is great now he has never ...
A: Everything that you mentioned is certainly a very good idea. The smoking and drugs will definitely ...
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| Pregnant? | 11/6/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I have been searching all over the net to find out if it is possible to conceive about 6 weeks after ...
A: S., I'm a little confused by your question, but hopefully I'll get it right. You certainly can ...
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| IUI | 11/5/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: My name is Kris and I am from Maryland. My question is about my IUI. On cd12 I went to my RE for a ...
A: S., Your doctor's method is a little different that mine or what is usual With a 27, 20 and 17 mm ...
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| why are my E2 levels dropping while on follistim? | 11/5/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am a 29/f with PCOS, secondary amenorrhea, non-IR, normal weight. We've done Follistim + Ovidrel ...
A: S., If the E2 drops despite the follistim, that is an indication that the follicle is either not ...
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| recurrent miscarriage/ttc | 11/5/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I'am 36 and dh is 28.I have 3 children age 19,15 &12 from a previous marriage.He does not have any ...
A: Clomid will not influence the "quality" of the eggs. That is already inherent within the egg ...
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| Regarding Missed Abortions!! | 11/4/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I get conceived naturaly. But the baby's heart beat stops when it grows to 58-65 days and the doctor ...
A: You will need to discuss your options with your doctor. Because you are young, your miscarriages ...
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| infertility | 11/4/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: my husband and I have been trying to concieve for 2.5 years been to infertility doctor and have ...
A: S., There is a chance that IUI could work, but it is not a good chance with the morphology problem ...
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| recurrent miscarriage/ttc | 11/4/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I'am 36 and dh is 28.I have 3 children age 19,15 &12 from a previous marriage.He does not have any ...
A: S., The most common reason for miscarriage is based on spontaneous genetic abnormalities due to ...
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| ivf failure | 11/4/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Ramirez, I am Asian, age 33, menarche at age 11, and we have gone through three failed IUI attempts ...
A: S., I have to admit that I am a little skeptical of your results. Based on your age, you should ...
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| i have been trying to get pregnant | 11/3/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: i have had two babies to another boyfriend but now i am marrying some who is great now he has never ...
A: You mentioned that he has been responsible for a pregnancy in the past, but it was a tubal pregnancy ...
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| Pregnancy problem | 11/3/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am 33 years old and I get miscarriage in week 4 last month and my doctor told me I can try anytime ...
A: Boy you certainly have been getting some confusing information. After a miscarriage, you will need ...
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| imbalance? | 10/30/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: i miscarried in april, during the miscarriage i stopped sweating and had a fluxating temp. (between ...
A: S., Temperature regulation is most often an indicator of thyroid function, which is responsible for ...
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| Regarding Missed Abortions!! | 10/30/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I get conceived naturaly. But the baby's heart beat stops when it grows to 58-65 days and the doctor ...
A: If you have had 8 miscarriages in the early first trimester, you have a disorder called recurrent ...
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| Dermoid Cyst | 10/30/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I'm writing from Fallon Nevada I went in for an appointment with my MD a few weeks ago after trying ...
A: S., A skilled gynecologist will usually remove the Dermoid cyst without sacrificing the ovary. ...
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| Estrogen Levels | 10/30/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am going through IVF and have had a huge surge in my estrogen levels from one day to the next ...
A: S., As the ovary is stimulated and more follicles are recruited and they get bigger, they produce ...
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| ttc | 10/29/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: my name is lilly. I am 21 years old and I'm from oregon. Me and my husband have been ttc for about ...
A: If you are continuing to have irregular cycles, then it is an indication that the ovaries are not ...
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| clomid resistent | 10/29/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am 35 (husband is 41) living in WI, USA. I am TTC #2, and would like to avoid injectibles. For ...
A: S., The only alternative would be a drug called Femara (Letrozole). It works like Clomid ...
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| Vaginal Tear/Pain | 10/29/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I have a girlfriend who I have been sexually active with for over a year. We live a few hours apart ...
A: S., I'm afraid I can't answer this question for you without doing a thorough examination. Your ...
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| Tamoxifen for infertility | 10/28/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: My husband (41) and I (35) are in WI and have been TTC off and on for #2 for the past 3 years. We ...
A: Amenorrhea should not be "unexplained." There must be a reason for it. Hormone blood testing will ...
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| pregnancy/childbirth after back surgery | 10/28/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: My husband and I have been trying to conceive for 14 months. I am 37 years old, and live in South ...
A: S., First of all,keep in mind that chiropractors know absolutely nothing about obstetrics. Second, ...
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| Infertility | 10/28/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am 34 yrs old , I had one cyst each taken off of my ovaries, and my left tube removed last year, ...
A: S., Your chances of conceiving naturally with tubal factors is 1% or less. That doesn't mean you ...
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| Tamoxifen for infertility | 10/28/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: My husband (41) and I (35) are in WI and have been TTC off and on for #2 for the past 3 years. We ...
A: S., Tamoxifen would not work. It is an site specific estrogen, just like Clomid, which works by ...
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| Fertility after Chemo and Radio Therapy | 10/28/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am a 29 year old women who suffered 5 years ago colorectal cancer. I went trhough radio/chemo ...
A: Based on your hormone tests, you still have normal ovarian function. That is, you are still ...
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| Miscarriage Wait | 10/27/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Dr. Ramirez, I'm 37 years old blessed with four young children (3 of them conceived via IUI and ...
A: 1. Hysteroscopy is superior because you are actually looking inside the cavity rather than looking ...
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| Ultrasounds | 10/27/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I hear that early ultrasounds are the most accurate, only off by 3 days either way but then I still ...
A: S., Usually it takes two dating ultrasounds to determine the "approximate" date of delivery ...
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| Miscarriage Wait | 10/26/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Dr. Ramirez, I'm 37 years old blessed with four young children (3 of them conceived via IUI and ...
A: S., It is most likely that the miscarriage was due to abnormal embryos, which is very age ...
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| Failed IVF | 10/26/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Ramirez, I just found out today that my first IVF failed. 5 eggs were retrieved, 4 fertilized, all ...
A: S., Let me answer your question sequentially: 1. Implantation failure can occur from either an ...
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| no period for 2 months from stress | 10/26/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I have been ttc for a couple months now and in july and aug i missed my period due to stress ect.. ...
A: Although stress can affect your cycles, it rarely causes one to miss periods. Usually, it only ...
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| progesterone cream | 10/26/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am using all natural progesterone cream to lengthen my leutal phase. Do you know if it can effect ...
A: S., You should not be starting the progesterone cream until after you ovulate, so the cream should ...
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| SECONDAY INFERTILITY?! | 10/26/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Im 21 a mother of a 3yr old who was concieved on first try was delivered by c-section 7 weeks early ...
A: S. There certainly is something preventing you from getting pregnant, but you will need tdo undergo ...
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| secondary infertility on clomid | 10/25/2009 | Scott Roseff, MD, FACOG |
Q: I have two children (we were trying for 6 months for the first, 1 month for the second) and my ...
A: Most women who don't have a positive ovulation predictor kit (but do have regular menstrual cycles) ...
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| Endometrial Cyst | 10/25/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am awaiting a laparoscopy to remove a 7cm cyst on my left ovary. My symptoms started about 3 years ...
A: K., Yes, an endometriotic cyst is a form of endometriosis. In fact, the finding of an ...
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| 5 IVF failure | 10/24/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Ramirez I am 37 years old. Married for 6 years. After I knew that I have Endometriosis I started ...
A: I would not do a laparoscopy if you are going to continue with IVF. However, I would need to review ...
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| We're doing IUI at home,and i've been told my problem w/conception is stress. | 10/24/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: We're doing at home iui..and i've got pcos,which my ob/gyn is treating w/Glucophage. I'm currently ...
A: S., If you have regular menstrual cycles, that means that you are ovulating. I presume that you ...
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| IVF and my loses | 10/24/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: I am a 41 year old mother of 5 children living and lose twin girls at 5mths pregnant. I also loss ...
A: In answer to your question, yes, the embryos can be easily transferred to another clinic for an FET. ...
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| Ct scans and ovarian damage | 10/16/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: ..I recently had a abdominal CT scan and wonder if it has damaged my ovaries. If so, do the ovarian ...
A: S. Sorry for the delay in this response. I went away for a meeting, and although I answered all my ...
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| Growth hormone during IVF | 10/16/2009 | Edward Joseph Ramirez, MD, FACOG |
Q: Dr Ramirez Thanks for answering my previous question so quickly ! I'm writing again from ...
A: There are no data to support the use of Growth Hormone with IVF. I know that physicians try ...
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