AboutEdward Joseph Ramirez, MD, FACOG 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
My US measurements were as follows. Yolk sac of 4.0mm and CRL of 21.6mm. I know when I ovulated and I should have been 8w5d. The tech mentioned that the yolk sac was quite small (and when questioned said something about a link with Down Syndrome!!). Is this correct? Or am I worrying about nothing?? :)
Thank you so much.
Answer Hello Jane from Ireland,
Your CRL measurement is consistent with 8 weeks 6 days gestational age, so it is consistent with your dates. There is no foundation for the comment regarding the yolk sac size and Down's syndrome. You should report that comment to your doctor and include the anxiety that it caused. That is an inappropriate comment for an ultrasound tech to make, creating undue worry.
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
