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About Scott 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, Murphy AA. Helpful techniques in laser laparoscopy. Contemp. Ob/Gyn. 1988; 32:149-68.
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.
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You are here: Experts > Health/Fitness > Women's Health > Infertility/Fertility > secondary infertility on clomid
Expert: Scott Roseff, MD, FACOG - 10/25/2009
Question
Hi, I have two children (we were trying for 6 months for the first, 1 month for the second) and my husband (31 years old) and I (31) are trying for a third baby. We have been trying for 6 months, but I had been charting my ovulation for 3 months prior to trying. I was not getting positive home ovulation tests. My OB/GYN put me on 50 mg Clomid days 5-8. It has been 6 months of trying and I have gotten positive home ovulation tests each month. I have only gotten positive ovulation tests on Clomid. Is it possible not to ovulate but still regularly get your period? I had an HSG which was normal, and my husband did a SA with a "slight" morphology issue (1% were abnormal). I was referred to a infertility clinic and have just started 50mg Clomid twice a day for days 3-8. We are scheduled to undergo IUI this month. My husband's SA will be performed again with this procedure to see if his morphology issue is consistent. I am worried that I could be on Clomid too long or that it is depleting my lining. All of my bloodwork results have been normal. Is the IUI the right thing for us to do? Thank you!
Answer
Hi,
Most women who don't have a positive ovulation predictor kit (but do have regular menstrual cycles) are ovulating (despite not having an LH surge on the kit). If a woman ovulates regularly and normally, and if she takes Clomid anyway, it may PREVENT her from getting pregnant or cause a miscarriage. The package insert for Clomid states it's a drug that is taken when a woman does NOT ovulate....
IF she needs Clomid, and IF ovulation occurs at one pill per day, then increasing to two pills daily has generally no benefit. The package insert clearly states that once the proper/lowest effective dose to establish ovulation is reached, there's generally no advantage to increasing the dosage therafter....
Finally, IF someone needs two pills daily to ovulate, they're taken together (and NOT twice daily)....
Hope you find a good, Board Certified Reproductive Endocrinologist who will take great care of you!!!
I hope this helps,
Dr. Roseff - Director
Palm Beach Center for Reproductive Medicine
Wellington, FL
Visit us on the web at www.reproendo.com
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Since Dr. Roseff doesn't know your entire history and hasn't examined you, any medical information given to you may be incomplete or inaccurate. Dr. Roseff and his staff are not responsible for any actions taken or not taken due to the educational information contained within these communications. All 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 any message may be reproduced, printed, or posted anywhere else without the express written authorization of Dr. Roseff.
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