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About Edward 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
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You are here: Experts > Health/Fitness > Women's Health > Infertility/Fertility > recurrent miscarriage/ttc
Expert: Edward Joseph Ramirez, MD, FACOG - 11/4/2009
Question
I'am 36 and dh is 28.I have 3 children age 19,15 &12 from a previous marriage.He does not have any children.I had a m/c May 08 at 8w6d but baby stopped growing at 6weeks is what I was told.It had to of been right after my u/s 6w3d and we got a heartbeat of 109.Then I had another m/c July 09.It happened right at 6 weeks.I was on my 3rd cycle clomid 50mg when I got pg.I'am on my 6th cycle of clomid,3rd cycle of 100 mg.It looks like this cycle may be a bust also.After my last m/c I had a reccurrent m/c panel.Everything was normal.Years ago I had a borderline ana test and rh factor.I'am on a baby aspirin a day and 0.4mg of folic acid and prenantal vitamin.I had a leep done a few years back after an abnormal pap but it ended up being normal.I'am wandering what could be causing me to m/c each pg at 6 weeks.Why is it taking so long for me to get pg again?Could this all be age related?Any suggestions on what I should do?I really want another child.
Answer
Hello Tammy from the U.S.,
The most common reason for miscarriage is based on spontaneous genetic abnormalities due to decreasing egg quality. This decreasing egg quality is an age related factor. So, yes, the most likely reason for your miscarriages thus far, are due to your age. It seems to increase from the age of 35 on.
The only way to overcome this "age factor" is to keep trying, and be prepared for additional miscarriages, and the majority will be successful eventually, or proceed to IVF whereby more eggs can be retrieved, increasing the chances for a health egg to implant.
I also use heparin 2000U injections twice per day and progesterone on my patients that have had recurrent miscarriages. This is to decrease the immunologic response.
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on facebook and twitter with me at @montereybayivf
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