AboutScott 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, 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.
Question I am 22 yrs old and I have a very irregular cycle. During 12 months I only get my menstration about 4 times and the blood is very dark (as if it was old blood) and it is light. I could possibly have PCOS and I was put on metformin, 500mg, to try and regulate my sugar levels so I am able to ovulate. When I was put on metformin I had started a cycle 3 days before (again, old blood). Because metformin brings down a cycle am I going to get another period in a few days and then ovulate or will this be my cycle and it is safe to assume I am going to ovulate soon? I don't know the length of my cycles because they don't come around very often. Also, when my cycle was regular I had long heavy periods and now I don't. I am not even sure if what I am having is even considered a period. Now that I think about it I had my "period" on July 25th and I got it again on August 22nd. Should I use those dates to calculate when I am going to ovulate? What are the pregnancy success rates w/ Metformin and within how long? Thank you in advance for your help.
Answer Hi Alina,
It's not normal to get a period only 4 times a year, and not having a period regularly puts someone at an increased risk for problems such as endometrial cancer. You should consider seeking out the advice of a board certified reproductive endocrinologist (or at the very least a different doctor than who you've been seeing since he/she hasn't been concerned about this)....
Without seeing you here, there's no way for me to know if you will get another period or not after the bleeding that started after Metformin.
It sounds like you can use the 7/25 and 8/22 dates to calculate when you might ovulate next or get another period. Again, due to the potential medical and reproductive repercussions of PCOS, I HIGHLY recommend you seek out the professional advice of a board certified RE as soon as possible.
Good luck,
Dr. Roseff - Director of W.E. C.A.R.E. in West Orange, NJ
PERSONALIZED/Individualized Successful care by a Board Certified specialist
in a warm and caring setting....
www.reproendo.com/different.htm
===============
Since I don't know your entire history and haven't examined you,
any medical information given to you may be incomplete or inaccurate.
Therefore, Dr. Roseff and the W.E. C.A.R.E. staff can not be responsible for
any actions taken or not due to the information contained within these communications.
These 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 this message may be reproduced, printed, or posted anywhere else without the express written authorization of Dr. Roseff.
===============
