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Infertility/Fertility/Questions
| Subject | Date Asked | Expert |
| One Fallopian Tube and 38! | 2/9/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez! I am 38 and trying to conceive my 2nd child. I did 2 rounds of IVF at 35 and had a ... A: S. (Wisconsin), 1. Yes, your RE is correct that it does not alternate but is random. Also, your ... | ||
| corticosteroid therapy | 2/9/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, I was an IVF patient and am now 25 weeks pregnant with twins. I have PCOS (just as an ... A: I am also trained as an Ob/Gyn (infertility specialists have to train in this first before ... | ||
| PCO | 2/9/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: i am asking about a PCO case, 27 years old, menarche at 17, irregular periods, then ammenorhea for ... A: More than likely the cylo progynova was not an adequate enought hormonal dose to lead to a ... | ||
| Prometrium extends luteal phase but does not change cycle (early ovulation) | 2/8/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: My husband and I have been trying to conceive for almost 2 years now. After a long wait, we finally ... A: Well you almost have the right answers to your own questions. The Prometrium does nothing more than ... | ||
| Late ovulation | 2/8/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I have very regular 29-31 day cycles, until we start trying to conceive. With my last two ... A: S.(Michigan), There is nothing that I know of that would cause your ovaries to dysfunction only ... | ||
| low progesterone.... | 2/8/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, I am a 33 yo female. I recently had a miscarriage on 11/30/2011 at 6 weeks. At 4.5 weeks, ... A: S. (Georgia), I am sorry to hear about your miscarriage. If you were able to get pregnant ... | ||
| Infertility/Fertility/duoluton L Tablet | 2/7/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Edward, Yore clarification on Infertility/Fertility/duoluton L Tablet to Sarika was very ... A: Duoluton is a birth control pill. If you take it during breastfeeding, it can possibly stop your ... | ||
| no eggs in second IVF retrieval | 2/6/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am 31 years old, have never been pregnant. My husband and I haver been trying to conceive for ... A: S. (New York), There is a finding called "empty follicle syndrome" where no eggs are within the ... | ||
| does this test result mean that i can get pregnant? | 2/1/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: i'm 25 yrs old trying to get pregnant for 3 months now, i checked with my doctor and took this test ... A: These tests are normal and show that your ovaries, thyroid and pituitary are functioning correctly. ... | ||
| Low AMH levels | 2/1/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, Its Dina from Boston... again! I hope I am not wearing out my welcome! Its just that you ... A: I'm afraid I can't comment on the specific protocols because there are lots of ways to do the same ... | ||
| Had no embryos after pgd...please help | 1/29/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: After months of iui, we had a month where I overtimed and converted to ivf as I had 10 follicles. I ... A: S. (California), Whether or not to do PGD is really a personal decision and should be in ... | ||
| Low AMH levels | 1/27/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, Its Dina from Boston... again! I hope I am not wearing out my welcome! Its just that you ... A: S. (Boston), Certainly from the information you gave me, it sounds like there is an egg quality ... | ||
| prometrium and cramping | 1/26/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I was diagnosed with mild endometriosis 3 years ago. I had undergone laparoscopy. I have been trying ... A: The prometrium is not the source of your pain or cramping. It does n ot have that effect. ... | ||
| Chemical Pregnancy | 1/26/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Good day i had a chemical pregnancy about 3 weeks ago. What is normal cervical mucus? I have been ... A: Sorry for the delay in getting back to you. Normal cervical mucous is either white or clear with no ... | ||
| Tubal ligation- cycles stopped | 1/26/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I had my 4th child by c-section the end of July 2011. I had a tubal ligation done at the same time. ... A: S. (Ohio), A tubal ligation should not affect ovarian function unless the blood flow to the ovaries ... | ||
| Infertility/Fertility | 1/26/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Good day! I am only 16 yrs.old, I have irregular menstruation. I haven't had menstruation for more ... A: I am shocked that your doctor would do an ultrasound. The lack of menstruation is not a reason to ... | ||
| Nil Sperm | 1/25/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: , I am married 7 years back and I have no children yet. I am 37 years old. I took ayurvedic ... A: Based on the two semen analyses, you are not ejaculating any sperm and therefore are not fertile. ... | ||
| fertility treatment | 1/24/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: My husband i have been trying for the past 18 months.i am 29 years old.the initial treatment was ... A: At this point, you should have a blood pregnancy test and an ultrasound to see what is going on. If ... | ||
| Immature follicles | 1/24/2012 | Scott Roseff, MD, FACOG |
| Q: I am about 31 years old and trying to conceive almost two years are gone doctors told me i have ... A: There are several reasons why someone would have immature follicles, and it's important to undergo ... | ||
| 3rd failed IVF attempt- new protocol? | 1/23/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Dr. Ramirez, I just had my 3rd failed IVF cycle and I'm looking for some guidance. A little ... A: The Menopur (FSH/LH) is started at the same time as the Follistim (FSH). I don't recommend any ... | ||
| Thought I had perfect ovulation, now doubts | 1/22/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I never thought I would reach the point where I would start asking questions online like this but ... A: S. (Indiana), I don't think you need to worry about the Femara. It could be that the dosage used ... | ||
| 3rd failed IVF attempt- new protocol? | 1/22/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Dr. Ramirez, I just had my 3rd failed IVF cycle and I'm looking for some guidance. A little ... A: Let me take your questions sequentially for ease. 1. I don't have any feelings one way or the ... | ||
| implantation failure | 1/21/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, Thank you for this service you give. I’m 35, my husband is 36, and we’ve been TTC for a ... A: S. (California), 1. In terms of implantation failure, your question is very broad and I can't ... | ||
| recurrent miscarriage, prometrium and baby aspirin | 1/19/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am writing from Montana. I had a misacarriage in 1997, 98 and a tubal in 99. i was diagnosed with ... A: S.(Montana), The medications are good precautions and do not hurt. Most miscarriage occur because ... | ||
| Trying to conceive after a miscarriage. | 1/19/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am 30 years old and writing to you from Hertfordshire (just North of London), England. I have ... A: K., The bHCG or pregnancy hormone test can drop precipitously if all the pregnancy tissue is ... | ||
| Excencephaly - Autopsy Report | 1/19/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am Chitra(Age 26) writing from Coimbatore, India I have posted about my condition few months back ... A: I'm afraid that the pathology/autopsy report does not provide any additional information to your ... | ||
| IUI vs intercourse | 1/19/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am 37. I have been married since three years. I conceived twice in my first year of marriage and ... A: The basic premise of all infertility treatments is that the treatment has to treat the problem, ... | ||
| Follicle not growing | 1/19/2012 | Scott Roseff, MD, FACOG |
| Q: Doctor, I’m 27 this year. Started trying to conceive since February 2011. Successfully pregnant in ... A: If someone has regular menstrual cycles approximately every 28 days apart and has an hCG level of ... | ||
| fertility treatments | 1/18/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I am from NY. Hi I am a 34yr old woman with a 3yr old girl. It took me about 7 mths to conceive her ... A: S., Have you had ALL the infertility tests including laparoscopy? If all the tests were done and ... | ||
| fertility treatments | 1/18/2012 | Scott Roseff, MD, FACOG |
| Q: I am a 34yr old woman with a 3yr old girl. It took me about 7 mths to conceive her (no fertility ... A: I'm not a big believer in "unexplained infertility". I can't tell you how many times I've seen ... | ||
| Follicle not growing | 1/18/2012 | Scott Roseff, MD, FACOG |
| Q: Doctor, I’m 27 this year. Started trying to conceive since February 2011. Successfully pregnant in ... A: No, 8 mm is not too thin. The uterine lining compacts after ovulation (called decidualization). If ... | ||
| wants to concieve | 1/18/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: sir I m suffering from PCOD.My doctor is giving me susten 300 and ovigyn-D can u plz tell me how ... A: I had to look these medications up because I was not familiar with these brand names. It amazes me ... | ||
| provera/clomid | 1/18/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: i have a few questions, but mainly would like to make sure i understand my Dr's instructions. My ... A: The first instruction is wrong. You're probably not seeing the right doctor and are being given ... | ||
| Secondary infertility | 1/17/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: Ramirez, It's been 14 months since my husband and I have been trying for our second child. I have a ... A: An HSG only shows that the tubes are open. It cannot detect scar tissue within the tubes and there ... | ||
| Will follicle rupture at 14mm? | 1/17/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I'm from Malaysia, and I'm 28 this year. Started trying to conceive since February 2011. ... A: It is unlikely that the left 14 mm follicle ovulated. It did not reach ovulatory size, which is 18 ... | ||
| delayed period... | 1/16/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I'm 28 yrs old and I'm trying to have a baby. i have tried for some time now but to no avail. i ... A: When you say that an ultrasound was done and "everything was in order", does that mean you had an ... | ||
| Shrinking follicles | 1/15/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I have a gorgeous 5yr old boy, fell pregnant with no problems but had to have caesarian. Anyway have ... A: K., You present a very curious history, and I'm not sure I can explain it. You were stimulating ... | ||
| Period after miscarrage & d&c | 1/15/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: I had a miscarriage on 11/28/11. I was about 10 1/2 weeks pregnant. I blead for a week and stopped. ... A: S.(Washington), It can take 4-6 weeks for the ovary to reset and begin the natural cycle leading to ... | ||
| follicle not rupturing | 1/15/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: i,m 32 yrs old and have been trying to conceive for the last 3 yrs. All my tests are normal. I had a ... A: In terms of the follicle not rupturing, I am still not convinced that this is the case. If I ... | ||
| Clomid | 1/15/2012 | Edward Joseph Ramirez, MD, FACOG |
| Q: my name is Tara from England. Please can you help me with a question I have regarding Clomid. I ... A: K., There is no risk of taking Clomid on the alternative days, but I have to admit that I have ... | ||
Infertility/Fertility
Answers by Expert:
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
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