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Infertility/Fertility/PCOS, Hypothyroidism, Miscarriage


I am 32...I recently went through an fet cycle with a thin lining but ended up with a miscarriage at 6wks...My thyroid went crazy after transfer and I got the worst sinus infection ever and I was cramping...But my RE didn't prescribe me lovenox or medrol...I was on high dosage vitamin e, vivelle patches, estradiol Valerate injections and estradiol 3x daily vaginally and the only thing that stimulated my lining was follistim injections..I really need your help on a good protocol for fet..Childless in Alabama

Hello Vanita from the U.S. (Alabama),

There are many different protocols for FET cycles.  There is no one "golden rule" or "gold standard".  However, what you are asking for would require a review of your medical records and a formal consultation.  It is not answerable in this forum.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  I now provide personalized fee for service consultations/advice/direction via email and payable via Pay Pal.  If interested, contact me via my email at  This service will allow you to have your own personal on-demand infertility expert  


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Edward Joseph Ramirez, MD, FACOG


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.


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.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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