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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.

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

Prometrium & Miscarriage12/2/2008Edward Joseph Ramirez, MD, FACOG
  Q: my husband and I have been TTC since Nov '06. In Feb '08, we got pregnant. I miscarried in March at ...
  A: You are being treated appropriately with the Prometrium/Progesterone, which is to help with the ...
Prometrium & Miscarriage12/2/2008Scott Roseff, MD, FACOG
  Q: my husband and I have been TTC since Nov '06. In Feb '08, we got pregnant. I miscarried in March at ...
  A: Progesterone can possibly delay bleeding from a miscarriage or failed pregnancy. It varies and does ...
When Exactly Did i Ovulate?12/1/2008Edward Joseph Ramirez, MD, FACOG
  Q: i'm a 34 yrs old female. I got my period on 11/30 when i woke up. Started lightly bleeding around ...
  A: Where are you writing from? You have a lot of questions, many of which I cannot answer because ...
laparocopsy?12/1/2008Edward Joseph Ramirez, MD, FACOG
  Q: I'm 41 years old, from the UK and only just started trying for a family. All tests are fine so far ...
  A: I think that you have to take your age into consideration as the number 1 problem. Your chances for ...
6 weeks delay11/30/2008Sarah Conlon
  Q: I had my last period Oct.16,2008 and i don't have my cycle until now, i test already twice first was ...
  A: Home pregnancy tests are very reliable, so I would say that if they're negative, you are not ...
Normal clomid routine?11/30/2008Sarah Conlon
  Q: I am 29 years old, not overweight and trying to get pregnant. I went off the pill 6 months ago. ...
  A: Usually Clomid is used for about 3 months, and if there is no success, other medications will be ...
Clomid, Follistim, HCG shot, positive OPK 36 hours later on the morning of IUI #211/30/2008Sarah Conlon
  Q: I did my first Clomid cycle (days 3-7) and followed up with a follistim shot on day 9. U/S on day ...
  A: The HCG shot usually doesn't work within 12 hours. It sounds like they did the IUI according to the ...
progesterone cream11/29/2008Edward Joseph Ramirez, MD, FACOG
  Q: I'm want to use progesterone cream to induce my period. Went off the pill 4 months ago and still no ...
  A: As long as the progesterone cream you use has adequate dosage of progesterone, then the regimen as ...
IUI question11/29/2008Edward Joseph Ramirez, MD, FACOG
  Q: I have just started on a new round of Clomiphene IUIs after 2 unsuccessful IUIs in a space of 2 ...
  A: This would be considered number 3 if you did not get pregnant from the others. The maximum number ...
new to this11/29/2008Edward Joseph Ramirez, MD, FACOG
  Q: Good evening sir, I am new to infertility forums ,so please excuse me if I sound confused. I have ...
  A: Yes, it is still possible for you to become pregnant and IVF is your best and only option. I would ...
What causes ovulation to fail after HCG trigger?11/29/2008Edward Joseph Ramirez, MD, FACOG
  Q: Dr Ramirez, I wrote to you once before and you kindly helped me. I am a 38 year old woman who has ...
  A: You don't mention if your doctor actually checked to see if you had follicles that were ready to ...
PCOS and trying to conceive11/29/2008Sarah Conlon
  Q: My name is Jennifer and I am 26 yrs of age and I have been trying to conceive for the past 2 yrs.. ...
  A: Your doctor should refer to you to a reproductive endocrinologist who can look into the next step of ...
early surge? / number of IUIs11/27/2008Sarah Conlon
  Q: I am on my 2ww after an IUI on Nov 24. I developed 4-5 follicles on 150mg Clomiphene, of which the ...
  A: Depending on your insurance the the state you live in, this may or may not count as your 3rd IUI ...
trying to get pregnant11/25/2008Sarah Conlon
  Q: hi iam 26 and i have been trying to conceive for about 3years and went to see my obgyn and she said ...
  A: Your doctor should have given you a treatment plan to help you get pregnant since it's been 3 years. ...
Please Help!!!11/25/2008Edward Joseph Ramirez, MD, FACOG
  Q: Edward, I am 34yrs and My wifes is now 31yrs and We have been trying have a baby for last 3 years ...
  A: First of all, you wife is still plenty young and the biological clock is not yet an issue. It won't ...
With multiple immature follicles11/25/2008Edward Joseph Ramirez, MD, FACOG
  Q: I really ask your opinion about my case. I am 25 year old and just married last July and i dont have ...
  A: Where are you writing from? You don't mention if you have regular periods or not. If you have ...
Infertility/Balanced Translocation11/25/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am carrier of reciprocal balance translocation. I had several miscarriages in the past 3 years. ...
  A: I'm sorry, I don't have enough information to answer this question. You would need to provide me ...
IUI & IVF11/24/2008Sarah Conlon
  Q: This past Saturday and Sunday 11/22/08 and 11/23/08 I got Inseminated. I used clomid 5 pills one a ...
  A: Usually IUI is recommended for no more than 3 times and then you can move to IVF. However, ...
Clomid and metformin11/24/2008Sarah Conlon
  Q: I am 39yrs old and have two beautiful daughters (3yrs, and 18months) with my husband. In an effort ...
  A: Clomid on its own can work for many people. It has about a 15% success rate and generally works if ...
whats causing this11/24/2008Edward Joseph Ramirez, MD, FACOG
  Q: Well a week ago i had sex for the first time in a year,9 months ago i gave birth after the ...
  A: Ovulation is a possibility, as are many other possible explanations. Your description of symptoms ...
KY Inserts During 1st Trimester11/24/2008Edward Joseph Ramirez, MD, FACOG
  Q: i was wondering if you know if theres any risk in using KY Jelly Vaginal Inserts during 1st month of ...
  A: KY insert are fine as long as you are not too vigorous in putting them in i.e. you don't want to ...
Irregular periods and round 1 of clomid11/24/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am a 30 year old female and I have always had very irregular periods (since age 14). When I was a ...
  A: I think that Clomid is the first level of treatment for you, but the dosage needs to be tailored to ...
trying to get pregnant11/22/2008Sarah Conlon
  Q: I've been with my partner for many years and we have decided to begin to try to have a baby. My gf ...
  A: If your partner is having an absence of periods or irregular periods, it is likely due to ovulation ...
Post Cancer treatment fertility11/22/2008Edward Joseph Ramirez, MD, FACOG
  Q: I'm 39 years old (from NJ)and a 1.5 year survivor of Non-Hodgkins Lymphoma. Went through 6 cycles ...
  A: Unfortunately, your FSH level shows that you are indeed in menopause. I am not sure that you will ...
trying to get pregnant11/22/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am trying to get pregnant for the last 3 months..I am 30 years old now..I Had a D/C/ Miscarriage 4 ...
  A: From the information you have provided, I don't see any reason why you can't get pregnant again. If ...
Fertility (duh)11/22/2008Edward Joseph Ramirez, MD, FACOG
  Q: How common is a pregnacy without any form of birth control? I realize fertility is subjective and ...
  A: What you are asking for is the "fecundity" rate. You could probably search the internet for a ...
Follicular Stage11/21/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am writing from Malaysia. My wife, age 31, has been experiencing irregular cycles for the past 2 ...
  A: It sounds like your wife has an ovulatory disorder, whereby ovulation does not occur. The most ...
Infertility11/21/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am a 23 year old female that is trying to conceive my second child. My husband and I tried for 2 ...
  A: There are many possibilities, and certainly your husband could be one, but it is not related to his ...
CCC Test at 44 years old11/21/2008Edward Joseph Ramirez, MD, FACOG
  Q: Ramirez, I'm 44 yrs. old and recently had a clomiphene citrate challenge test with two ultrasounds. ...
  A: The purpose of the Clomid challenge test is to evaluate if the ovaries will respond well to ...
Getting Prangnant11/20/2008Edward Joseph Ramirez, MD, FACOG
  Q: i was wondering if it is technically possible for woman's pelvic \ vagina muscles to be too lose to ...
  A: Yes, the acidity or environment of the vagina can have an effect on your ability to become pregnant. ...
antibodies in sperm11/20/2008Edward Joseph Ramirez, MD, FACOG
  Q: I've got some problems with infertility, it is about immunologic causes. Which factors can lead to ...
  A: I presume you are referring to anti-sperm antibodies in you. This is where a woman forms antibodies ...
Infertility11/20/2008Edward Joseph Ramirez, MD, FACOG
  Q: I am a 23 year old female that is trying to conceive my second child. My husband and I tried for 2 ...
  A: At your previous age, two years to get pregnant was a long time. 85% of women in your age group ...
enlarged ovaries11/20/2008Edward Joseph Ramirez, MD, FACOG
  Q: hey dr. i really hope u can help me. today was my 1st visit to the gyn and he told me that i have ...
  A: The only option that you have to enhance your chances to get pregnant is to see a Physician. On ...
Weird cycles/infertility?11/19/2008Sarah Conlon
  Q: My husband and I have been trying to conceive for a year now with no luck. I had a loss last year @ ...
  A: It can certainly be a stressful time coping with a miscarriage and this can influence your cycles as ...
Getting Prangnant11/19/2008Edward Joseph Ramirez, MD, FACOG
  Q: i was wondering if it is technically possible for woman's pelvic \ vagina muscles to be too lose to ...
  A: You don't need to worry. The sperm that get into the cervix are usually there before you finish. ...
Ureaplasma11/19/2008Edward Joseph Ramirez, MD, FACOG
  Q: I have done many tests to find out what could be causing infertility and frequent urination(~20 a ...
  A: You are an exception. Usually ureaplasma is easy to treat and not a cause of symptoms. We usually ...
re11/18/2008Edward Joseph Ramirez, MD, FACOG
  Q: I've been for a transvaginal examination today and she said that my womb was fine and heathy and my ...
  A: You need to have an infertility evaluation done. There are 9 steps that your body goes through in ...
Empty Follicle Syndrome11/18/2008Edward Joseph Ramirez, MD, FACOG
  Q: I have recently performed a FIV cycle. I am 31 years old (secondary amenorrhea for 3 years / 54 Kg ...
  A: Where are you writing from? I don't think that you had "empty follicle syndrome" because by ...
periods11/18/2008Sarah Conlon
  Q: i am ttc but only have 2-3 periods a year, just been to see my doctor and she said we have to wait ...
  A: I would recommend seeking another doctor's opinion. The criteria for infertility testing in most ...
infertility issues with high fsh level11/18/2008Scott Roseff, MD, FACOG
  Q: I am 24 years old and my husband is 23 years old. We have been trying to get pregnant for six years ...
  A: For IUI to work, there has to be a sufficient number of good quality sperm available the day of IUI, ...

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Questions by
Active Experts:
TandiSarah ConlonDr. Silvia Schneider Fox
Scott Roseff, MD, FACOGEdward Joseph Ramirez, MD, FACOG 

     
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