AboutScott Roseff, MD, FACOG Expertise I can answer questions relating to ALL aspects of female infertility.
Experience I am Board Certified in Reproductive Endocrinology/Infertility.
Organizations Medical Advisory Board, Serono Labs, Inc.
Speaker's Bureau, TAP Pharmaceuticals, Inc.
The American Society for Reproductive Medicine
American Association of Gynecologic Laparoscopists
The International Society for Gynecologic Endoscopy
The Society of Laparoendoscopic Surgeons
The International Federation of Gynaecologic Endoscopists
U.S. International Foundation for Studies in Human Reproduction, Inc.
The Endometriosis Association
Fellow, The American College of Obstetricians & Gynecologists
American Medical Association
The Academy of Medicine of NJ
NJ Obstetrical & Gynecological Society
The NY Reproductive Medicine Society (Steering Committee)
The Society of Reproductive Endocrinologists
Resolve - National Chapter
Resolve - New Jersey - Executive Board
Publications Kettel LM, Roseff SJ, Berga SL, Mortola JF, Yen SSC. Hypothalamic-pituitary-ovarian response to clomiphene citrate in women with polycystic ovary syndrome. Fertil Steril. 1993;59:532-8.
Fischer UG, Wood SH, Bruhn J, Roseff SJ, Mortola JF, Rivier JE, Yen SSC. Effect of human corticotropin-releasing hormone on gonadotropin secretion in cycling and postmenopausal women. Fertil Steril. 1992;58:1108-12.
Kettel LM, Roseff SJ, Bangah M, Burger HG, Yen SSC. Circulating levels of inhibin in pregnant women at term: simultaneous disappearance with oestradiol and progesterone after delivery. Clin Endocrinol. 1991;34:19-23.
Kettel LM, Roseff SJ, Chiu TC, Bangah ML, Vale W, Rivier J, Burger HG, Yen SSC. Follicular arrest during the midfollicular phase of the menstrual cycle: a gonadotropin-releasing hormone antagonist imposed follicular-follicular transition. J Clin Endocrinol Metab. 1991;73:644-9.
Roseff SJ, Kettel LM, Ulmann A, Bangah ML, Rivier J, Burger HG, Baulieu E, Vale W, Yen SSC. Accelerated dissolution of luteal-endometrial integrity by the administration of antagonists of gonadotropin-releasing hormone and progesterone to late-luteal phase women. Fertil Steril. 1990;54:805-10.
Roseff SJ, Murphy AA. Laparoscopy in the diagnosis and therapy of chronic pelvic pain. In Clinical Obstetrics and Gynecology. JB Lippincott Co., Philadelphia. 1990.
Roseff SJ, Murphy AA. Pelviscopy. In Manual of Endoscopy, by the American Association of Gynecologic Laparoscopists, Edited by DC Martin, GL Holtz, M Wenof. Santa Fe Springs. 1989.
Roseff SJ, Bangah M, Kettel LM, Vale W, Rivier J, Burger HG, Yen SSC. Dynamic changes in circulating inhibin levels during the luteal-follicular transition of the human menstrual cycle. J Clin Endocrinol Metab. 1989;69:1033-9.
Roseff SJ, Bernard JM. Seasonal changes in carbohydrate levels in tissues of Carex lacustris. Can. J. Bot. 1979; 57:2140-44.
Education/Credentials Postgraduate Fellowship training in Reproductive Endocrinology & Infertility was done at The University of California, San Diego, School of Medicine.
Awards and Honors Mellon Fellow in Reproductive Endocrinology and Infertility, 1988, awarded for academic excellence in the Reproductive Sciences, for research efforts aimed at development of novel contraceptives.
Wyeth Service Award for Physician Education and Training in Norplant Contraceptive Implants.
Certificates of Service and Appreciation from Our Lady of Mercy Medical Clinic, Guadalajara, Jalisco, México, 1978-1982.
Question My PCP recently referred me to a fertility specialist at my request because I
notice that I may have a luteal phase defect. In the past six months of
charting, my LP has varied from 9 to 17 days, so I'm suspecting a hormonal
issue. Low progesterone is my guess because I don't have really high temps
during my luteal phase, and I get very sore breasts for about a week each
cycle. I have regular cycles, am ovulating, and am seeing a thermal shift each
cycle.
I had CD 3 bloodwork done while waiting to see the specialist, and I'm
confused by the results because the lab paperwork says I am likely post-
menopausal based on the progesterone & estradiol test, yet at reproductive
endocrinology websites, I seem to fall in the optimum fertility ranges for all
six hormones at this time in my cycle.
I'm guessing that the lab doesn't look at where you are in your cycle, but only
takes an average of the whole cycle and compares your figure to that number.
I'm 35 and electing to become a single mom by choice since time and a
potential husband are not on my side right now. Because of this, it's
expensive to try to get pregnant. I won't see the fertility specialist for several
weeks and would like to try to conceive again this cycle if the hormones look
okay, so I'm trying to figure out what my CD 3 screening means. Can you
provide some input? Here are the labwork results:
Progesterone - 0.6
Prolactin - 11.4
FSH - 6.5
TSH - 1.25
Estradiol - <35 (no exact number provided on the labwork)
LH - 3.7
I know CD 3 numbers don't tell the whole picture without LH surge day and 7
days past ovulation bloodwork (and maybe a couple ultrasounds and an HSG
test), but based just on those figures alone, am I in the post-menopausal
range or still fertile?
Answer Those levels are in the normal range for a woman who tests on cycle day 3.
Good luck!
Dr. Roseff, Director - Palm Beach Center for Reproductive Medicine In Wellington, Florida;
PERSONALIZED/Individualized Successful care by a Board Certified reproductive medicine specialist in a warm and caring setting....
See why we're DIFFERENT at http://www.reproendo.com/different.htm
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Since I don't know your entire history and haven't examined you, any medical information given to you may be incomplete or inaccurate. Therefore, Dr. Roseff and his staff can not be responsible for any actions taken or not due to the information contained within these communications. These communications are for educational and informational purposes only, and should never be used to replace the information and care rendered by your own doctor. No part of this message may be reproduced, printed, or posted anywhere else without the express written authorization of Dr. Roseff.
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