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About Edward Joseph Ramirez, MD, FACOG
(Top Expert on this page)

Expertise
I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience
I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

   

You are here:  Experts > Health/Fitness > Women's Health > Infertility/Fertility

SubjectDate AskedExpert

cramping12/24/2009Edward Joseph Ramirez, MD, FACOG
  Q: since day 5 after my embryo transfer, i've been having period-like cramps in my lower belly. is ...
  A: This symptom is non-specific. It can indicate either pregnancy or pre-menstruation. You cannot ...
my problem to get preggy12/24/2009Edward Joseph Ramirez, MD, FACOG
  Q: i am so thankful coz i read your post and i do hope you can answer me clear whats bothered in my ...
  A: If you have a period regularly, meaning approximately the same time each month (the average is 28 ...
Shocked by chemical pregnancy12/24/2009Edward Joseph Ramirez, MD, FACOG
  Q: i had difficulties getting pregnant with baby #1, but after 10 months concieved naturally had a ...
  A: S., It seems that you had a chemical pregnancy, which is a very early miscarriage. It is possible ...
Clomiphene and ovulation day12/23/2009Edward Joseph Ramirez, MD, FACOG
  Q: Ramirez, I am taking clomiphene to strengthen my ovulation (I have a luteal phase defect and ...
  A: In 30% of infertility cases, the contributing factor is both from the male and female. That seems ...
Premature menopause and ovarian stimulation?12/22/2009Edward Joseph Ramirez, MD, FACOG
  Q: I was treated for lymphoma (non-hormonal cancer) in 2007 at the age of 30. As a consequence of the ...
  A: Yes, there are reported incidences of pregnancies with POF. We suspect that is because the ovary ...
consecutive missed spontaneous abortion12/22/2009Edward Joseph Ramirez, MD, FACOG
  Q: Doctor, I have suffered two consecutive missed spontaneous abortions at approx 7 weeks. I was on ...
  A: Miscarriages usually occur from a spontaneous abnormality of the developing embryo. In other words, ...
Conception and patency of F. tube12/22/2009Edward Joseph Ramirez, MD, FACOG
  Q: Greetings doctor, I have only one tube patent (left). My query is what are the chances of ...
  A: Pregnancy can certainly occur from the opposite side of the patent tube. When ovulation occurs, it ...
lutienized unruptured follicle12/17/2009Edward Joseph Ramirez, MD, FACOG
  Q: iam 25 years old,married 3 months ago.my periods are regular recurring every 26-29 days,average ...
  A: This semen analysis is normal. We don't usually evaluate the motility past 1 hr so the 2 and 3 hrs ...
Can I be pregnant despite a period?12/17/2009Edward Joseph Ramirez, MD, FACOG
  Q: I had a 3 day embryo transfer on 12/7. On the 15th, I began spotting and on the 16th it became more ...
  A: S., Yes. We do see a large incidence of bleeding with IVF for unknown reasons. Some suspect that ...
no period!12/17/2009Edward Joseph Ramirez, MD, FACOG
  Q: you have helped me in the past and now I have another question! I was using 400mg/day of ...
  A: S., It can take up to 7 days for the period to start after stopping progesterone. I don't think ...
Prolactin12/17/2009Edward Joseph Ramirez, MD, FACOG
  Q: i am 40 yrs old and was told 15 years ago i had high prolactin and adenoma because i missed 3 months ...
  A: Prolactin will only affect ovulation if it is very high. You should have a fasting prolactin level ...
IVF & Miscarriage12/16/2009Edward Joseph Ramirez, MD, FACOG
  Q: I recently went through IVF and was able to get pregnant. However, the baby never developed and by ...
  A: S., HPT's are not sensitive enough to detect all pregnancies and can have false negatives. So in ...
irregular spotting12/16/2009Edward Joseph Ramirez, MD, FACOG
  Q: Here is my story. I am 32 and have been diagnosed w/PCOS. Mt doc putt me on chlomid of which I have ...
  A: I'm afraid that I can't explain the spotting completely. It could be just dysfunctional bleeding ...
IVF - Embryos Arrested at 8 Cells12/16/2009Edward Joseph Ramirez, MD, FACOG
  Q: I hope you can help me as honestly don't know where to go from here as been such a tough journey. ...
  A: Let me answer your questions in order: 1. I think it might be reasonable to try a different ...
marriage12/16/2009Edward Joseph Ramirez, MD, FACOG
  Q: We want twins or at least one child within the first year of our marriage, because our marriage is ...
  A: Your major problem is going to be the age of your fiance's eggs, in terms of your ability to achieve ...
rhythm/timing methods12/16/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am interested in using the Rhythm method, inconjunction with the mucus method or even if necessary ...
  A: These methods are very unreliable as there is no way to know exactly when ovulation occurs. If you ...
nicked uterine artery?12/15/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am a "mostly" healthy 30 yo female, G2 P2, with chronic HTN, obesity, and history of 1 run of VTAC ...
  A: S., In answer to your questions: 1. No a nicked artery is not a big deal if it was repaired. In ...
Premature menopause and ovarian stimulation?12/15/2009Edward Joseph Ramirez, MD, FACOG
  Q: I was treated for lymphoma (non-hormonal cancer) in 2007 at the age of 30. As a consequence of the ...
  A: K., Premature ovarian failure is defined by the lack of menstrual cycles and an FSH level greater ...
lutienized unruptured follicle12/15/2009Edward Joseph Ramirez, MD, FACOG
  Q: iam 25 years old,married 3 months ago.my periods are regular recurring every 26-29 days,average ...
  A: It sounds like you had a good natural cycle with one ovulatory sized follicle. It is difficult to ...
4 fresh and 2 failed FET12/15/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am a Registered Nurse 34 years old and I have a 13 year old. My husband is 32. We have tried 6 ...
  A: S., Your question is difficult to answer without more specific information. In general, you have ...
no periods after surgery for endometriosis12/15/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am 28 years old and had surgery for removal of endometriosis on 30th November. Both my ovaries had ...
  A: Pregnancy certainly is a possibility, so I would recommend that you have a pregnancy test. ...
No Uterus or Ovaries12/14/2009Edward Joseph Ramirez, MD, FACOG
  Q: Ramirez, I'm writing from South Africa. I was born without a uterus and ovaries and have been ...
  A: This abnormality could be due to a genetic disorder or a congenital developmental disorder. I can't ...
Unusual period after clomid12/11/2009Edward Joseph Ramirez, MD, FACOG
  Q: I recently finished my first cycle of Clomid. I used it day #5-9 and had an ultrasound to calculate ...
  A: S., It is not implantation, as that would have occurred several days ago, but it could be an early ...
Clomiphene and ovulation day12/11/2009Edward Joseph Ramirez, MD, FACOG
  Q: Ramirez, I am taking clomiphene to strengthen my ovulation (I have a luteal phase defect and ...
  A: Clomiphene will not cause an underdeveloped egg, but it can cause ovulation to occur more rapidly ...
sexual health12/11/2009Edward Joseph Ramirez, MD, FACOG
  Q: Which tests should be done before marriage to know about sexual health of me and she if my age is 50 ...
  A: I presume you are referring to tests for infectious and sexually transmitted diseases? I would ...
unusual menstrual cycles12/10/2009Edward Joseph Ramirez, MD, FACOG
  Q: I have 4 children ages 2-8 yrs. I have always had regular menstrual cycles and I haven't had any ...
  A: S., It is possible that you have developed a luteal phase defect. To treat this, you would either ...
Follicle Arrest12/10/2009Edward Joseph Ramirez, MD, FACOG
  Q: I have suffered from polycystic ovaries since I was 16. I have a two year old baby which was ...
  A: I am afraid that the term "follicle arrest" is usually when the follicle grows to a certainly point ...
fertility meds & HG12/9/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am to start fertility meds next month ( for an IVF cycle with a surrogate). I had very severe HG ...
  A: People use all kinds of abbreviations and there are too many words that match them. I know of no ...
ICSI12/8/2009Edward Joseph Ramirez, MD, FACOG
  Q: Edward. My husband had a varicolcele grade 3, he has a very low motility (5% after 3 hours). I want ...
  A: You have two options based on the information that you have given me. Since you have not given me ...
fertility meds & HG12/8/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am to start fertility meds next month ( for an IVF cycle with a surrogate). I had very severe HG ...
  A: S., I'm sorry for my ignorance, but what do you mean by "HG"? Are you referring to ...
menstruation and pregnancy12/4/2009Edward Joseph Ramirez, MD, FACOG
  Q: "hi, I had my last period on november 17 which was normal like the last ones.Lasted for 5 days ...
  A: S., With those symptoms it is possible that you are pregnant, but pregnancy is not the only ...
Working conditions while pregnant12/3/2009Edward Joseph Ramirez, MD, FACOG
  Q: My name is Kara and I'm from Seattle, WA. I have a history is 3 m/c since 2007 all around 6w, and ...
  A: The impact of the fibroid depends mostly on its location. I'll have to leave that to your RE to ...
Fsh12/3/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am a 33 year old healthy woman. I was pregnant for the 1st time last November but it was a partial ...
  A: Boy that was a quick response! Well, if you are willing to travel to me, I will be happy to see you ...
Bloody Show and now no more hot flashes12/2/2009Edward Joseph Ramirez, MD, FACOG
  Q: I've been in Menopause over 2 years now (since Aug. 2007). I'm 48 years old. Two weeks ago, I had ...
  A: I'm afraid that I still don't have enough specific information to answer your question. You ...
Working conditions while pregnant12/2/2009Edward Joseph Ramirez, MD, FACOG
  Q: My name is Kara and I'm from Seattle, WA. I have a history is 3 m/c since 2007 all around 6w, and ...
  A: S., I am less convinced of the fibroid being the problem than the chemicals. Studies have shown ...
Homeopathy medicines for ovulation12/2/2009Edward Joseph Ramirez, MD, FACOG
  Q: I have been on irregular periods right from start, on medication for 2 yrs, conceived once but got ...
  A: I know of no success with homeopathic treatment of ovulation disorders. It is obvious that you have ...
Fsh12/1/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am a 33 year old healthy woman. I was pregnant for the 1st time last November but it was a partial ...
  A: S., Something does not compute. If your FSH were really 21, then you would be in menopause and ...
Regarding Missed Abortions!!12/1/2009Edward 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: Congratulations on your pregnancy. Your bHCG hormone tests look good. I would continue all the ...
PROVERA/CLOMID11/24/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am currently taking provera i am on day 9 and still haven't had my period, my doctor said if by ...
  A: S., No. . . You must stop the provera to have a period, so take it up to day #10 then stop. Your ...
Fertility & Depo-Provera11/24/2009Edward Joseph Ramirez, MD, FACOG
  Q: I am 30 years old and was on the Depo-Provera shot for 3 years during which time I did not have a ...
  A: I am surprised that you can't find an English speaking doctor in Argentina. Maybe you should look ...

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Questions by
Active Experts:
Scott Roseff, MD, FACOGEdward Joseph Ramirez, MD, FACOG 

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