Infertility/Fertility/IVF - Implantation

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QUESTION: I have a question about my IVF cycle.
I had a day 5 embryo transfer on Tuesday – Dec 4th [fertilization happened on Nov 30th] and this morning when I was on deep sleep, within sleep itself I had orgasm and as back in my mind I knew I shouldn’t have that, I immediately woke up from sleep . But than for a minute I felt pain on my uterus. Because of that pain I realized, that bad dream caused my uterine contraction may be. Does it mean,  I lost everything. Please let me whatever is the fact. This never happened to me with my other two failed ivf cycles.

Thanks so much

ANSWER: Hello Soma from the U.S. (Minnesota),

Orgasm will not cause you to lose your pregnancy or not implant.  Keep in mind that once the embryo is replaced into your uterus, it becomes a natural process again, just as if you were trying on your own.  Certainly, many many women continue to have sex, with orgasms, after ovulation without knowing that there is an embryo in the uterus.  They certainly continue to get pregnant.  If the pregnancy does not occur, it is not because of your dream, it may be from other factors, such as the embryo not hatching out of the shell, not attaching to the uterus or the endometrium not growing around the embryo or the embryo may not be genetically normal.  I don't think you need to worry, and certainly not to the point where you can't enjoy your dreams.

Good Luck,

Dr. 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 twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate

---------- FOLLOW-UP ----------

QUESTION: Thanks so much for your response. I really do appreciate this

I have an another question please. My blood report came positive in Dec 14th . But since then I have ache (not Sharp ) on either left or right lower abdomen or groin or either legs . It's not constant, but comes and goes. does it mean , I am having blood flow issue in the uterus . I am in low dose aspirin . Please let me know your thoughts in this please .
Can it cause early miscarriage?
Thanks again
Best regards

Soma

ANSWER: Hello Again,

Congratulations.  The symptom is not specific and may not indicate anything abnormal.  As the uterus grows with a pregnancy it can cause such nonspecific symptoms as well.  Of course, there are other possible causes of these symptoms but description of the symptoms alone is not sufficient to make a diagnosis.

Good Luck,

Dr. 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 twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate




---------- FOLLOW-UP ----------

QUESTION: Thanks again Dr. Remirez,
What could be the other possible causes if this ache ?

Thanks so much
Soma

Answer
Hello Again,

Possible causes include:

Muscle aches
Uterine growth from the pregnancy/cramping (ligament stretching)
Ovarian enlargement (refill of follicles) from ovarian stimulation
Ovarian cyst
Early ectopic pregnancy (unlikely at this point)

Good Luck,

Dr. 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 twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate  

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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 19 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, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

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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