| Subject | Date Asked |
|
| Early miscarriage | 11/10/2009 |
Q: Ramirez, I am 40 years old and have been married to my husband for 3 years.I have one child from my ...
A: S., I cannot acknowledge that you were pregnant and miscarried either. First of all, most chemical ...
|
| RPL - How to Prevent Miscarriage Next Time | 11/10/2009 |
Q: I have been trying to conceive for 3 years, have had 3 miscarriages, all between 6-9 weeks (one was ...
A: S., You seem to have lots of reasons for having miscarriages, but probably the most common and ...
|
| ivf and bad embryos and one vas | 11/7/2009 |
Q: I am trying to understand IVF and how it works. I am healthy in my early thirties as in my wife ...
A: S., I presume from the term "vas" that you mean varicocele? Vas is an anatomic term in the ...
|
| Absent periods | 11/6/2009 |
Q: I am a 26 year old female. I have always had regular periods until three months ago. I was on birth ...
A: An elevated insulin level on its own does not make the diagnosis for PCOS. However, approximately ...
|
| no periods | 11/6/2009 |
Q: Firstly, thanks for volunteering. I am writing from Israel In our circles dates are for marriage ...
A: Not having regular menstrual cycles in a woman over the age of 16 is abnormal. That means that ...
|
| Clomid vs injections | 11/6/2009 |
Q: Dr. Ramirez, My husband and I have been trying for 10 mos, both 33 yrs old, we tried clomid for one ...
A: Yes, the injectables have a higher chance for multiples because they are stronger medications. They ...
|
| trying to get pregant need tips | 11/6/2009 |
Q: i have had two babies to another boyfriend but now i am marrying some who is great now he has never ...
A: Everything that you mentioned is certainly a very good idea. The smoking and drugs will definitely ...
|
| Pregnant? | 11/6/2009 |
Q: I have been searching all over the net to find out if it is possible to conceive about 6 weeks after ...
A: S., I'm a little confused by your question, but hopefully I'll get it right. You certainly can ...
|
| IUI | 11/5/2009 |
Q: My name is Kris and I am from Maryland. My question is about my IUI. On cd12 I went to my RE for a ...
A: S., Your doctor's method is a little different that mine or what is usual With a 27, 20 and 17 mm ...
|
| why are my E2 levels dropping while on follistim? | 11/5/2009 |
Q: I am a 29/f with PCOS, secondary amenorrhea, non-IR, normal weight. We've done Follistim + Ovidrel ...
A: S., If the E2 drops despite the follistim, that is an indication that the follicle is either not ...
|
| recurrent miscarriage/ttc | 11/5/2009 |
Q: I'am 36 and dh is 28.I have 3 children age 19,15 &12 from a previous marriage.He does not have any ...
A: Clomid will not influence the "quality" of the eggs. That is already inherent within the egg ...
|
| Regarding Missed Abortions!! | 11/4/2009 |
Q: I get conceived naturaly. But the baby's heart beat stops when it grows to 58-65 days and the doctor ...
A: You will need to discuss your options with your doctor. Because you are young, your miscarriages ...
|
| infertility | 11/4/2009 |
Q: my husband and I have been trying to concieve for 2.5 years been to infertility doctor and have ...
A: S., There is a chance that IUI could work, but it is not a good chance with the morphology problem ...
|
| recurrent miscarriage/ttc | 11/4/2009 |
Q: I'am 36 and dh is 28.I have 3 children age 19,15 &12 from a previous marriage.He does not have any ...
A: S., The most common reason for miscarriage is based on spontaneous genetic abnormalities due to ...
|
| ivf failure | 11/4/2009 |
Q: Ramirez, I am Asian, age 33, menarche at age 11, and we have gone through three failed IUI attempts ...
A: S., I have to admit that I am a little skeptical of your results. Based on your age, you should ...
|
| i have been trying to get pregnant | 11/3/2009 |
Q: i have had two babies to another boyfriend but now i am marrying some who is great now he has never ...
A: You mentioned that he has been responsible for a pregnancy in the past, but it was a tubal pregnancy ...
|
| Pregnancy problem | 11/3/2009 |
Q: I am 33 years old and I get miscarriage in week 4 last month and my doctor told me I can try anytime ...
A: Boy you certainly have been getting some confusing information. After a miscarriage, you will need ...
|
| imbalance? | 10/30/2009 |
Q: i miscarried in april, during the miscarriage i stopped sweating and had a fluxating temp. (between ...
A: S., Temperature regulation is most often an indicator of thyroid function, which is responsible for ...
|
| Regarding Missed Abortions!! | 10/30/2009 |
Q: I get conceived naturaly. But the baby's heart beat stops when it grows to 58-65 days and the doctor ...
A: If you have had 8 miscarriages in the early first trimester, you have a disorder called recurrent ...
|
| Dermoid Cyst | 10/30/2009 |
Q: I'm writing from Fallon Nevada I went in for an appointment with my MD a few weeks ago after trying ...
A: S., A skilled gynecologist will usually remove the Dermoid cyst without sacrificing the ovary. ...
|
| Estrogen Levels | 10/30/2009 |
Q: I am going through IVF and have had a huge surge in my estrogen levels from one day to the next ...
A: S., As the ovary is stimulated and more follicles are recruited and they get bigger, they produce ...
|
| ttc | 10/29/2009 |
Q: my name is lilly. I am 21 years old and I'm from oregon. Me and my husband have been ttc for about ...
A: If you are continuing to have irregular cycles, then it is an indication that the ovaries are not ...
|
| clomid resistent | 10/29/2009 |
Q: I am 35 (husband is 41) living in WI, USA. I am TTC #2, and would like to avoid injectibles. For ...
A: S., The only alternative would be a drug called Femara (Letrozole). It works like Clomid ...
|
| Vaginal Tear/Pain | 10/29/2009 |
Q: I have a girlfriend who I have been sexually active with for over a year. We live a few hours apart ...
A: S., I'm afraid I can't answer this question for you without doing a thorough examination. Your ...
|
| Tamoxifen for infertility | 10/28/2009 |
Q: My husband (41) and I (35) are in WI and have been TTC off and on for #2 for the past 3 years. We ...
A: Amenorrhea should not be "unexplained." There must be a reason for it. Hormone blood testing will ...
|
| pregnancy/childbirth after back surgery | 10/28/2009 |
Q: My husband and I have been trying to conceive for 14 months. I am 37 years old, and live in South ...
A: S., First of all,keep in mind that chiropractors know absolutely nothing about obstetrics. Second, ...
|
| Infertility | 10/28/2009 |
Q: I am 34 yrs old , I had one cyst each taken off of my ovaries, and my left tube removed last year, ...
A: S., Your chances of conceiving naturally with tubal factors is 1% or less. That doesn't mean you ...
|
| Tamoxifen for infertility | 10/28/2009 |
Q: My husband (41) and I (35) are in WI and have been TTC off and on for #2 for the past 3 years. We ...
A: S., Tamoxifen would not work. It is an site specific estrogen, just like Clomid, which works by ...
|
| Fertility after Chemo and Radio Therapy | 10/28/2009 |
Q: I am a 29 year old women who suffered 5 years ago colorectal cancer. I went trhough radio/chemo ...
A: Based on your hormone tests, you still have normal ovarian function. That is, you are still ...
|
| Miscarriage Wait | 10/27/2009 |
Q: Dr. Ramirez, I'm 37 years old blessed with four young children (3 of them conceived via IUI and ...
A: 1. Hysteroscopy is superior because you are actually looking inside the cavity rather than looking ...
|
| Ultrasounds | 10/27/2009 |
Q: I hear that early ultrasounds are the most accurate, only off by 3 days either way but then I still ...
A: S., Usually it takes two dating ultrasounds to determine the "approximate" date of delivery ...
|
| Miscarriage Wait | 10/26/2009 |
Q: Dr. Ramirez, I'm 37 years old blessed with four young children (3 of them conceived via IUI and ...
A: S., It is most likely that the miscarriage was due to abnormal embryos, which is very age ...
|
| Failed IVF | 10/26/2009 |
Q: Ramirez, I just found out today that my first IVF failed. 5 eggs were retrieved, 4 fertilized, all ...
A: S., Let me answer your question sequentially: 1. Implantation failure can occur from either an ...
|
| no period for 2 months from stress | 10/26/2009 |
Q: I have been ttc for a couple months now and in july and aug i missed my period due to stress ect.. ...
A: Although stress can affect your cycles, it rarely causes one to miss periods. Usually, it only ...
|
| progesterone cream | 10/26/2009 |
Q: I am using all natural progesterone cream to lengthen my leutal phase. Do you know if it can effect ...
A: S., You should not be starting the progesterone cream until after you ovulate, so the cream should ...
|
| SECONDAY INFERTILITY?! | 10/26/2009 |
Q: Im 21 a mother of a 3yr old who was concieved on first try was delivered by c-section 7 weeks early ...
A: S. There certainly is something preventing you from getting pregnant, but you will need tdo undergo ...
|
| Endometrial Cyst | 10/25/2009 |
Q: I am awaiting a laparoscopy to remove a 7cm cyst on my left ovary. My symptoms started about 3 years ...
A: K., Yes, an endometriotic cyst is a form of endometriosis. In fact, the finding of an ...
|
| 5 IVF failure | 10/24/2009 |
Q: Ramirez I am 37 years old. Married for 6 years. After I knew that I have Endometriosis I started ...
A: I would not do a laparoscopy if you are going to continue with IVF. However, I would need to review ...
|
| We're doing IUI at home,and i've been told my problem w/conception is stress. | 10/24/2009 |
Q: We're doing at home iui..and i've got pcos,which my ob/gyn is treating w/Glucophage. I'm currently ...
A: S., If you have regular menstrual cycles, that means that you are ovulating. I presume that you ...
|
| IVF and my loses | 10/24/2009 |
Q: I am a 41 year old mother of 5 children living and lose twin girls at 5mths pregnant. I also loss ...
A: In answer to your question, yes, the embryos can be easily transferred to another clinic for an FET. ...
|
| Ct scans and ovarian damage | 10/16/2009 |
Q: ..I recently had a abdominal CT scan and wonder if it has damaged my ovaries. If so, do the ovarian ...
A: S. Sorry for the delay in this response. I went away for a meeting, and although I answered all my ...
|
| Growth hormone during IVF | 10/16/2009 |
Q: Dr Ramirez Thanks for answering my previous question so quickly ! I'm writing again from ...
A: There are no data to support the use of Growth Hormone with IVF. I know that physicians try ...
|
| Infertility blood test results | 10/16/2009 |
Q: Ramirez, I am 28 years old and my infertility issue is a luteal phase defect (12d LP with 5-7 days ...
A: I apologize for the delay in getting back to you. I went to the U.S. National Infertility ...
|
| Is it possible to ovulate if clomid is taken on the wrong day? | 10/15/2009 |
Q: I was started on Provera after my cycle being a month late. I started spotting 3 days after my last ...
A: S., I am sorry for the delay in this answer. I left to go to a meeting, and although I completed ...
|
| Mercury level in the body | 10/15/2009 |
Q: I am 30 years old writing from India. I'm on my 34th week of pregnancy.Is there any way to test the ...
A: Satish from India, Mercury levels are checked by blood test. You need to see a doctor who can ...
|
| scar tissue | 10/15/2009 |
Q: I have never been pregnant or on birth control pills or had surgery but I have scar tissue so bad ...
A: I am not sure how your diagnosis was made without having had surgery. Scar tissue is usually only ...
|
| Ovulation | 10/14/2009 |
Q: Good Morning, My question is about ovulation date. I decided to do timed intercourse this cycle and ...
A: S., Normally, the follicle has to reach 20-24 mms to ovulate. That would have been on cycle day # ...
|
| pcos | 10/14/2009 |
Q: I was diagnosed with pcos 3 years ago and successfully conceived my daughter who is now 2. my ...
A: S., The protocol I prefer is for patients to have intercourse every day, once per day, only one ...
|
| Smoking and egg donation | 10/14/2009 |
Q: How soon after you quit smoking can you donate eggs? Is it also true that you can't donate if you've ...
A: S., There is no specific timeline from quitting smoking to donation of eggs. It will be up to the ...
|
| pcos and pregnancy | 10/14/2009 |
Q: All my doctor has done is tell me to wait and see what happens and has put me on the contraception ...
A: K., Yes. If have you the diagnosis of PCOS, that means that you have an ovarian function and do ...
|
| 8 Week scan | 10/13/2009 |
Q: My US measurements were as follows. Yolk sac of 4.0mm and CRL of 21.6mm. I know when I ovulated and ...
A: Your CRL measurement is consistent with 8 weeks 6 days gestational age, so it is consistent with ...
|
| sperm | 10/13/2009 |
Q: sir,i am 23 years old.i want to know that is there any way to improve sperm count.if yes,then plz ...
A: There are no diets that can improve sperm counts, and whether or not the medications I will ...
|
| infertility | 10/13/2009 |
Q: my man and i have been trying to have a baby and my doctor told me that since i have irregular ...
A: S., I'm afraid that I cannot answer your question, because I cannot foresee the future. I wish ...
|
| Amenorrhea | 10/13/2009 |
Q: I am 20 years old and haven't had a period in over 2 years. From 18 to 19 I was severely anorexic, ...
A: This certainly should have been something that your Endocrinologist should have taken care of for ...
|
| High Estradiol Levels | 10/9/2009 |
Q: Good afternoon, My husband and I have been trying to conceive for over 4 years. We were successful ...
A: S., Your infertility is not necessarily "unexplained". You have the "age factor" working against ...
|
| Number of Follicles for IVF | 10/9/2009 |
Q: Ramirez, Thank you for taking the time to answer my questions. I have secondary, unexplained ...
A: S., You are correct that this has not been a very good stimulation. 7 follicles is a low number ...
|
| Amenorrhea | 10/9/2009 |
Q: I am 20 years old and haven't had a period in over 2 years. From 18 to 19 I was severely anorexic, ...
A: S., You did not give me specific levels of your hormones, but I am presuming that you have a ...
|
| Conceiving after D & C | 10/8/2009 |
Q: Dr. Ramirez, I am a 31-year-old woman in Washington, D.C. I have had two pregnancies. The first was ...
A: S., Asherman's syndrome is definitely a possible complication from D%26C but usually rather rare. ...
|
| Failed IVF-worth trying again? | 10/8/2009 |
Q: Ramirez for providing this service. We've had 1 failed IVF and wonder if it's realistic to expect ...
A: S., I am afraid that I don't agree with your RE's conclusion. There have been several studies ...
|
| High FSH levels and pregnancy | 10/8/2009 |
Q: I just turned 44 (today!). My periods were pretty regular up until 16 months ago when they suddenly ...
A: S., Happy Birthday! Based on the FSH levels, you are in menopause, and by the way, congratulations ...
|
| dont know why im not having my period anymore? | 10/7/2009 |
Q: Everything was fine for 3 months my cycle was 32 days on the dot. Then august comes around and ...
A: Something certainly has changed to affect your cycles. That needs to be evaluated. The proper ...
|
| PCOS and bioidentical progesterone cream | 10/7/2009 |
Q: I have PCOS and very irregular menstrual periods. My first IVF cycle(Jan 2009) resulted in a ...
A: You would only use the progesterone cream prior to starting the birth control pill. Do not continue ...
|
| Don't want to have gotten my girl pregnant. worried!! | 10/7/2009 |
Q: "ok, I am a senior and im 17 will be 18 in a few months. My girlfriend is 15 about to be 16 nxt ...
A: Unfortunately, Chris, this is not a blog site, but a question and answer site. So, it will be hard ...
|
| fertility | 10/7/2009 |
Q: I am a 41 year old male and my wife and I are trying to have a baby. When I was 17 years old I had ...
A: All steroids can have anabolic properties, and therefore an affect on sperm production. Edward J. ...
|
| permanent infertility from past infections? | 10/6/2009 |
Q: I am 35 years old and have never achieved a pregnancy. In the past I have been diagnosed with ...
A: S., The main problem with this variety of infections, is that some of them could have led to tubal ...
|
| recurrent miscarriage and factor v leiden | 10/6/2009 |
Q: I hope you can help me. I live in London England. And am a patient at Kings College Hospital ...
A: K. Factor V caused recurrent miscarriage through an increased risk of blood clots at the tiny ...
|
| Don't want to have gotten my girl pregnant. worried!! | 10/6/2009 |
Q: "ok, I am a senior and im 17 will be 18 in a few months. My girlfriend is 15 about to be 16 nxt ...
A: S., That was a long letter, and I can sense your worry. Yes, it is possible that enough of the ...
|
| difficulty concieving | 10/6/2009 |
Q: Dr I have been trying to concieve for almost 2 years now. My cycle is 31 days and this month I ...
A: In the U.S., we define infertility as a woman who has been unable to conceive after 1 year of ...
|
| fertility | 10/5/2009 |
Q: I am a 41 year old male and my wife and I are trying to have a baby. When I was 17 years old I had ...
A: S., Have you had a semen analysis checked? Chicken pox will not render a male sterile. It is ...
|
| delayed puberty | 10/5/2009 |
Q: i also have developed any secondary sexual characteristics. my FSH and LH were elevated also from ...
A: Since you haven't given me your exact FSH and LH numbers, I can't answer this with complete ...
|
| PCOS and bioidentical progesterone cream | 10/5/2009 |
Q: I have PCOS and very irregular menstrual periods. My first IVF cycle(Jan 2009) resulted in a ...
A: S., You can certainly use progesterone (any type) to regulate your cycles. You would take it from ...
|
| irregular periods and fear of infertility..writing from NY | 10/2/2009 |
Q: I am writing from Upstate NY. I have been off of the pill now for two years, it was a progesterone ...
A: S., It sounds like you have an ovarian dysfunction that is causing you not to ovulate and ...
|
| irregular period | 10/2/2009 |
Q: I am 28 year old female,my menarche was when i was 16 year old and it was irregular as all beginning ...
A: S., The term "multifollicular" is a descriptive term meaning lots of follicles. This finding is ...
|
| prometrium | 10/2/2009 |
Q: I have a question regarding a drug I was prescribed recently. I have done 4 cycles of Clomid 50mg ...
A: I don't think that your OB/GYN doctor is the right person for you. Certainly if you have a short ...
|
| infection/antibiotics/pregnancy | 10/1/2009 |
Q: I have been prescribed 5 days metronidazole for mild bacterial vaginosis. I am trying to concieve. I ...
A: K., You can go ahead and take them now. There will be no adverse affect. Sincerely, Edward J. ...
|
| Fertility problem | 10/1/2009 |
Q: I'm 26 and I am trying to get pregnant for three months. 6 months ago I had MRI for my lower back, ...
A: S., It sound like you might have an ovulatory dysfunction. I don't know how long you have been ...
|
| Hcg injection after ovulation? | 10/1/2009 |
Q: I'm from India. We have a daughter 6 yo. Now we're ttc our second child for the past one year. This ...
A: HCG is usually given to "trigger" the ovulation. It can also be used to help supplement the luteal ...
|
| Infertility? | 9/30/2009 |
Q: I have been trying to conceive for the past three years, no pregnancy history of Endometriosis and a ...
A: S., In order to interpret an FSH and LH level, or any other hormone level, it has to be done at a ...
|
| alcohol affects on sperm | 9/30/2009 |
Q: I'm a 24yr otherwise healthy male, and my fiance is a 22yr old healthy female. My question is can ...
A: S., Yes, alcohol can affect one's fertility, both male and female. Male sperm is produced on a ...
|
| ovulation after laproscopy | 9/29/2009 |
Q: I was having PCOD,took medication for 1yr, conceived but got miscarreied due to undevolped embryo, ...
A: Your chances of conception after laparoscopy would be the same as your chances before laparoscopy, ...
|
| very concerned | 9/29/2009 |
Q: i have had a very hard life, i was raped when i was young and acted out as a teen, i recently had a ...
A: S., You basically have two options: 1. You can assume that your left tube is open, normal, ...
|
| BCP before IVF cycle. | 9/29/2009 |
Q: I am 42 y/o with an fsh of 6. I am to start IVF soon. Before I start stimming, my RE wants to put ...
A: S., You certainly don't need to go on the birth control pill, however, previous studies have shown ...
|
| IVF (over 40) with high E2 | 9/29/2009 |
Q: Welcome back from your holiday ! I’m Australian but am writing to you from sunny Singapore, one ...
A: You are certainly in a tough spot because you are trying to "beat the odds", but since your ovaries ...
|
| Weird periods? | 9/28/2009 |
Q: On 14 august i took escapelle morning after pill after the condom broke. Got my period on 31 august ...
A: Your symptoms are not from the morning after pill. That would have left your systems within 72 hrs ...
|
| IVF and high prolactin | 9/28/2009 |
Q: I'm 28 years old and had the first cycle of ICSI done a month ago. The reason for ICSI was that my ...
A: It is our protocol in the U.S. to check all the hormones prior to starting any infertility treatment ...
|
| LH Surge | 9/28/2009 |
Q: Ramirez, I am from Tampa, Florida. My husband and I have been trying to have kids. I checked my LH ...
A: S., Unfortunately, the Ovulation kit is not that accurate at predicting when ovulation will occur. ...
|
| Prolactin elevation. | 9/28/2009 |
Q: I'm Julia from Nigeria,please i need you to please shed more light on the prolactin issue.I had been ...
A: Prolactin is a hormone that is produced in the pituitary, where most hormone precursors are ...
|
| infertility/fertility | 9/24/2009 |
Q: I am writing from Bangkok Thailand. I will be 34 in a couple of mos and I have a couple of ...
A: Let me take your questions in sequence: 1. Because you are still young, you certainly still have ...
|
| heavy period | 9/24/2009 |
Q: the past few months i been bleeding for more than 2wks of and on having some mild cramping n major ...
A: S., First you have to stop this bleeding. The easiest and quickest way is to use the birth control ...
|
| Lupon/Conceiving | 9/24/2009 |
Q: I had my second Lupron shot in end of July and just got my period now which is now the end of ...
A: S., Yes. You certainly can try to conceive. I would recommend that you approach this ...
|
| Infertility- depo provera | 9/23/2009 |
Q: I took a depo provera injection 1 month ago, it was my first injection. I don't plan to get one of ...
A: S., Generally, it will take 3-4 months for Depo provera to wear off. You should wait until you ...
|
| infertility? | 9/23/2009 |
Q: i was diagnosed with pcos several years ago. i have been on 1000mg metformin 2x/day. my periods have ...
A: S., If you have had regular periods, then you are probably ovulating and one of the 50% of PCOD ...
|
| provera | 9/23/2009 |
Q: I havent had a normal period in a few months and I just started provera yesterday to bring on a ...
A: S., Thank you for your question. The minimum number of days that you need to take provera to bring ...
|
| chemical pregnancies | 9/23/2009 |
Q: I am 37 yrs old, my husband is 41 and has two previous children now grown and sperm was analyzed and ...
A: S, Thank you for your question. I think that your doctor has done all that he can and would ...
|
| Question..... | 9/22/2009 |
Q: I have two quick questions for you..... The first is, how likely is it for Fallopian tubes to block ...
A: Tubes don't usually get blocked without a reason. Something has to block them. I would recommend ...
|
| unresponsive endometrium to estrogen | 9/22/2009 |
Q: writing from India. 35 years of age have had 4 failed IVF ICSI cycles.The last one done in May E2 ...
A: Endometrial adhesions is called "Asherman's syndrome". Implantation cannot occur if this is the ...
|
| Ovulation | 9/22/2009 |
Q: I was wondering if you could tell me all the symptoms of ovulation and also if you could tell me if ...
A: I'm afraid that I can't tell you exactly what the problem is without doing some additional testing. ...
|
| lpd and bad reactions to medications | 9/22/2009 |
Q: Sorry this is so lengthy... My husband(33) and I (30) (living in NM) have been TTC for almost 3.5 ...
A: S., Now that was a very long question. Something is not right here, and I am not sure exactly what ...
|
| ? about fetal developement | 9/16/2009 |
Q: They are constantly rising and this last time came close to doubling but fell a little short. I am ...
A: S., The HCG does not have to double, but actually needs to increase by 80%. At 5 weeks plus, the ...
|
| IVF - estrogen level lab error (Atlanta, GA) | 9/16/2009 |
Q: Dr. Ramirez, I have PCOS and I recently underwent IVF that resulted in a chemical pregnancy. We are ...
A: I cannot comment on or speak to the quality of a specific clinic or hospital laboratory. It is ...
|
| DNC | 9/15/2009 |
Q: I wrote to you several months back and took your advice on seeing a fertility specialist since I was ...
A: S., At this point you have three options: 1. Await natural miscarriage. PROS: It is the ...
|
| Long Term Amenorrhea | 9/15/2009 |
Q: I am 26 and have two children. I am about 5'7.5" tall. My last spontaneous menses was April 6, 2005. ...
A: S., The problem that you have is more long-term than short term. The fact that you are not having ...
|
| recurrent miscarriage | 9/15/2009 |
Q: Ramirez I have had three miscarriages and an ectopic pregnancy all over the past 2 years. I am 41 ...
A: I'm afraid that I have to disagree with your doctor, but keep in mind that this is only my opinion. ...
|
| endometrial ablation | 9/14/2009 |
Q: Is there any possible way of conceiving after an endometrial ablation? Is there any way of repairing ...
A: If the endometrial ablation was performed correctly, which destroys and scars the endometrial ...
|
| Manchados antes de ciclo | 9/14/2009 |
Q: Hola!! Llevo 1 año con problemas de manchado antes de mi periodo. Me detectaron un polipo, me lo ...
A: Hola Ivette de Mexico, Una cosa que nesecita esta para completar los estudios por infertilidad. ...
|
| Delayed ovulation and egg quality | 9/14/2009 |
Q: I have had two miscarriages, both times identical twins, both died around 8 weeks. Fetal heart ...
A: K., There is no correlation between delayed ovulation and poor egg quality or twins. However, ...
|
| IVF Success rates with Male Factor | 9/14/2009 |
Q: I am a completely healthy 26 year old, and my RE has run every test in the book, with everything ...
A: S., IVF is suited to male factor infertility, which is one of the top reasons for IVF. There isn't ...
|
| Low progesterone in early pregnancy | 9/13/2009 |
Q: Ramirez: My name is Daniella and I am from Toronto. I'll turn 41 this month and am currently ...
A: I am sorry to hear about this pregnancy, but do not be too sad. 85% of patients who have 3 or more ...
|
| ovulation induction | 9/12/2009 |
Q: i am a pcos pt.age 27.i took letrozole 5mg from day 3 for 5 days.on 15th day my follicle size 1.9cm. ...
A: You don't need to lay down after intercoure. Positional changes do not make any difference. The ...
|
| Lupron trigger | 9/12/2009 |
Q: My RE gave me a lupron trigger instead of my usual HCG or ovidrel trigger. It concerns me because ...
A: S., The Lupron trigger has been used extensively and written about extensively in Europe. It is ...
|
| My RE says Follistim? I don't know. | 9/11/2009 |
Q: my name is Megan and I'm from Alabama. My problems started in May of 2007 at the age of 21 I had ...
A: I think I agree with you. Since you are young, and have been pregnant spontaneously before, there ...
|
| Infertility | 9/11/2009 |
Q: my treatment is going on an Infertility clinic and Infertility specialist. But she answered me that ...
A: Certainly there are some PCOS patient (the majority) that will need to go to IVF in order to get ...
|
| Low progesterone in early pregnancy | 9/10/2009 |
Q: Ramirez: My name is Daniella and I am from Toronto. I'll turn 41 this month and am currently ...
A: One thing to keep in mind is that progesterone taken vaginally has been shown to be a very effective ...
|
| 3 day transfer | 9/10/2009 |
Q: I am 29 yrs old and just did my 7th ivf transfer. We got pregnant on the 5th cycle but lost the ...
A: Yes, all the studies show that Day 3 embryo transfers are just as successful as day # 5 blastocyst ...
|
| Brown discharge | 9/10/2009 |
Q: ..the date of my last period was 13th Aug 09, me and my hubby had sex from 11-15th day of my ...
A: The best thing to do at this point is to see your doctor and have a pregnancy test done. That will ...
|
| Infertility | 9/10/2009 |
Q: I got married 9 years long. I never used any peels & my husband also never used any precaution ever, ...
A: You need to see a fertility specialist, rather than a general Gynecologist, as soon as possible. ...
|
| clomid/synthroid | 9/9/2009 |
Q: I am taking synthroid for two months only. I have also been taking clomid, estrogen and progestrone ...
A: S., Synthroid is given to patients who have a thryoid dysfunction and are not producing adequate ...
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| low progesterone but regular periods writing from TN | 9/9/2009 |
Q: We have been trying to conceive for around a year and a half and just finished an unsuccessful round ...
A: S., There are other options before IVF, but I am confused by your story. How much Clomid have you ...
|
| clomid resistnat | 9/9/2009 |
Q: hi im from England and a 29yr mum of 1 my son was born in 2007 by c/section after 3 rounds of clomid ...
A: PCOS is one of those disorders that are not really well understood. It is basically an ovarian ...
|
| Clomid after D&C | 9/9/2009 |
Q: First to answer your question I am writing from Fort Hood, TX. (I am origanlly from Gastonia,NC). ...
A: Let me take your questions one at a time: 1. Clomid is relatively safe but the biggest risk is ...
|
| Dusphaston | 9/2/2009 |
Q: .i have been trying to get pregnant since last 3 months...but no success...i visited my ...
A: If your cycles are irregular, then the calendar method I suggested won't work well. The only ...
|
| Paternity | 9/2/2009 |
Q: I have a question I was hoping you could help with. Earlier this year I was away for two months I ...
A: S., The best way to check for paternity is through genetic testing on the infant. That is the only ...
|
| miscarriages | 9/2/2009 |
Q: Iam 33 years old.I have 2 kids.My youngest one is 8 years old.I have been trying to get pregnant for ...
A: S., You are correct that the progesterone needs to be started PRIOR to finding out if you are ...
|
| infertility | 9/2/2009 |
Q: I am 28 years old, my spouse is 38. We have been trying to conceive for 2.5 years. I was diagnosed ...
A: S., Yes, if you are in Salinas, you are 15 minutes away from my office. Maybe we should get ...
|
| Question | 9/1/2009 |
Q: I am not sure if you can help me with my questions but I figured its worth a shot. Me and my husband ...
A: S., Yes, a C-section has the potential to interfere with your fertility through the formation of ...
|
| number of embryos transferred and success | 9/1/2009 |
Q: I am 42 y/o, fsh 7. I just had 5 embryos (3 8-c, 1 6-c, 1 5-c) transferred on day 3. Most of the ...
A: Anaheim is one of my favorite places since I lived there for a while AND worked at Disneyland for ...
|
| ovulation | 9/1/2009 |
Q: i am not ovulating wht medicines should i use & if i use will i ovulate and are there chances to be ...
A: If you are not ovulating, and desire to become pregnant, then you need to undergo and evaluation to ...
|
| Dusphaston | 8/28/2009 |
Q: .i have been trying to get pregnant since last 3 months...but no success...i visited my ...
A: If you don't have sex frequently enough at the time of ovulation, then you can miss ovulation and ...
|
| Progesterone support | 8/27/2009 |
Q: I have been prescribed prometrium 200mg twice daily as a vaginal insert. Since it is prescribed ...
A: S., Yes. Twice daily just means in the morning and evening. Sincerely, Edward J. Ramirez, M.D., ...
|
| Empty Follicle Syndrome | 8/27/2009 |
Q: Sorry for the long question but I wanted to make sure you had a good picture..... I am 38 year old ...
A: S., "Empty follicle" syndrome is a description/name of a condition that is found when no eggs are ...
|
| Misdiagnosed PCOS | 8/27/2009 |
Q: I am actually writing this for my daughter, she lives near Palm Springs, CA, on a marine military ...
A: S., There is a tremendous amount of misinformation out there, even among Physicians. Many family ...
|
| Chlomid and Provera | 8/26/2009 |
Q: I have been trying to get pregnant for 7months. My period is regular every 26 days. Ultrasound and ...
A: Congratulations!!! :) :) If you have symptoms, then you need to be checked and have cultures done. ...
|
| Dusphaston | 8/26/2009 |
Q: .i have been trying to get pregnant since last 3 months...but no success...i visited my ...
A: What you are using are fairly innocuous. They are only supplements so there is no reason for you to ...
|
| Gonal-f and IUI | 8/26/2009 |
Q: Quick background-I am 31 with unexplained fertility. I had twins girls in 2004 with ...
A: S., It sounds like everything is being done appropriately. I would NOT increase the dose because ...
|
| concerned | 8/26/2009 |
Q: I had a tubeligation in 1997.I've been having the same symptoms as if i was pregnant. Is it possible ...
A: S., The chances of pregnancy after a successful tubal ligation are low (1%) but still possible. If ...
|
| Multiple Miscarriages | 8/26/2009 |
Q: I took bc pills from 16 to 30. had 2 mc(1 - discovered after mc, 2nd fetal pulse but sac misshapen ...
A: S., If you have not had chromosomes done in you and your husband, you should have that test done. ...
|
| cervical mucus | 8/25/2009 |
Q: I am writing from Chilliothe, Ohio. My husband and I are TTC baby #2 naturally after a successful ...
A: S., I would not concern yourself about the cervical mucous. You really need to do a pelvic exam ...
|
| clomid and HCG trigger | 8/25/2009 |
Q: I started clomid at the beginning of last year following secondary infertility diagnosis. I was ...
A: K., Unfortunately, there is a general misconception that the egg goes into the tube on the side ...
|
| Confused | 8/25/2009 |
Q: I'm writing from Pretoria in South Africa. I've been wondering about this question for so long, ...
A: You have an ovarian dysfunction, and the most common cause is a disorder called PCOD (polycystic ...
|
| inactive pituitary, Hx of Anorexic Bulimia | 8/25/2009 |
Q: first of all I would like to thank you for taking the time to read my question. I'll give you a ...
A: Good to hear that your FSH and LH are normal. It's an ovarian dysfunction. Normal I would expect ...
|
| infertility,HSG | 8/24/2009 |
Q: I am 27 year old female, married for 1.5 years. Last year in Nov, 2008 I was operated ...
A: Endometriomas cause a lot of scar tissue formation. For that reason, we consider it stage IV ...
|
| Fertility | 8/24/2009 |
Q: I had a premature (8month-boy 1.4kg) delivery last June 08.Baby survived for 25 days and died due to ...
A: It is not necessary to go directly to IUI if your husband's sperm is normal. I agree that since you ...
|
| Conception date | 8/24/2009 |
Q: If you are 19 weeks pregnant as of today(24/08/2009), in what period was the baby likely concieved? ...
A: K., You would have conceived around the 28th of April. Keep in mind, however, that both your ...
|
| Spotting on DPO 6-9 | 8/23/2009 |
Q: We used opks this cycle. I got a positive on CD 19 . And a negative on CD20. We had sex on CD 18 and ...
A: S., The sperm cannot survive 5-6 days. The other possibility is that you have an ovarian cyst, ...
|
| inactive pituitary, Hx of Anorexic Bulimia | 8/23/2009 |
Q: first of all I would like to thank you for taking the time to read my question. I'll give you a ...
A: K. First let me wish you a happy birthday. I am glad to hear that you are almost cured of your ...
|
| femara use for infertility | 8/23/2009 |
Q: I was diagnosed with PCOS in 2006. I conceived my first daughter with the use of glucophage and ...
A: S., Either Clomid or Femara would work. They both work by similar mechanisms of action. Femara ...
|
| what is it i feel | 8/22/2009 |
Q: how many months is it when you start feeling the baby see i am a little person and i thik that i am ...
A: S., Most women will start feeling fetal movement when they are 16-20 weeks gestational age(4-5 ...
|
| Birth Control Effectiveness | 8/22/2009 |
Q: I have a question regarding my birth control's effectiveness...I am on Ortho Tricyclen Lo and have ...
A: You are probably okay because you did the correct thing in doubling up on the pills when you missed ...
|
| Follistim not working for me | 8/21/2009 |
Q: I've been seeing my RE for about 2 years now. My husband and I have gone through all of the testing ...
A: My personal belief is that the most important relationship between a patient and Physician is trust. ...
|
| High FSH at a young age | 8/21/2009 |
Q: I am a 26 year old healthy (extremely healthy) female that has a FSH of 15.7. My estro is 67, LH ...
A: I presume that your FSH level was checked on cycle day # 2 or 3, correct? If not, then it should be ...
|
| Not Responding to Follistim | 8/21/2009 |
Q: I am 25 years old and my husband and I have been trying to get pregnant for over 2 years now. When I ...
A: S. I am a little dismayed at the treatment protocol you are using. You are at very very high risk ...
|
| Failed implantation | 8/20/2009 |
Q: I have had two failed IVF and five failed ICSI cycles at two different clinics. All cycles produced ...
A: If I understand you correctly, you have now undergone 7 IVF cycles, two without ICSI and five with ...
|
| watery | 8/20/2009 |
Q: Whenever i made love with my hubby, on the next day morning, i got abnormal water discharge from ...
A: Not everybody is the same, and getting pregnant is more difficult for some people than others. It ...
|
| Bleed after D&C | 8/19/2009 |
Q: I had the d&c done on the 9th Jul (last Thursday).... and the bleeding was light with brown and ...
A: It is difficult to answer your question completely since I do not have all the information. But I ...
|
| endometriosis surgery or pregnancy? | 8/19/2009 |
Q: I'm 35 yrs old from California. Never had kids and planning on having one, hopefully soon! My ...
A: Prior to answering your questions specifically, I would strongly recommend that you go have a ...
|
| False positive | 8/19/2009 |
Q: i have been trying to fall pregnant for along time now with very less success. last December i took ...
A: Yes, if you have a miscarriage, you should have bleeding after. If the pregnancy did not progress ...
|
| watery | 8/19/2009 |
Q: Whenever i made love with my hubby, on the next day morning, i got abnormal water discharge from ...
A: This discharge is normal. I presume that you don't get up and go to the bathroom at night or after ...
|
| 2 Miscarriages with MTHFR | 8/19/2009 |
Q: I am 35 years old and have a four year old son. I got pregnant while I was on birth control in ...
A: S. Thanks for your question. The birth control pill would have no affect on your pregnancy. It ...
|
| Epididymal Cyst | 8/18/2009 |
Q: My husband has recently being diagnosed with an Epididymal Cyst. The Doctor he attended told him ...
A: I am presuming that this epididymal cyst is located on the testicle. They can be found at any part ...
|
| Follistim not working for me | 8/18/2009 |
Q: I've been seeing my RE for about 2 years now. My husband and I have gone through all of the testing ...
A: S., Thanks for the extensive information. I am surprised that you are having such problems at your ...
|
| False positive | 8/18/2009 |
Q: i have been trying to fall pregnant for along time now with very less success. last December i took ...
A: It sounds like both pregnancies were "chemical" pregnancies. That is when you get pregnant, i.e. ...
|
| Low betas, 2 gesational sacs at 5w4d | 8/18/2009 |
Q: Ramirez, I'm 37 y/o with 4 children (one natural, one from IUI, and twins from IVF). I'm ...
A: S., One cannot tell how a pregnancy is going to turn out just based on bHCG's unless there are ...
|
| FERTILITY DRUGS | 8/17/2009 |
Q: WHATS THE BIG DIFFERENCE BETWEEN ORAL AND INJECTABLE FERTILITY DRUGS?
A: S., They are completely different classes of drugs. The oral fertility drugs are called Clomid and ...
|
| Stomach growing | 8/17/2009 |
Q: I did home pregnancy test in March after being 2 weeks late for my menstruation and it was positive. ...
A: I'm afraid I cannot answer your question with the limited information that you have given me. The ...
|
| post vasectomy pregnancy? | 8/17/2009 |
Q: My boyfriend had a vasectomy done over three years ago and his sperm was checked a year ago with ...
A: There is a failure rate with vasectomies but it is very low, especially if the post-vasectomy semen ...
|
| Pap Smear | 8/16/2009 |
Q: 1. What is the purpose of a Pap smear? Is it only used to detect cancerous cervical cells? 2. And ...
A: I already answered this question, but to be clear, the cervical mucous in this video is within the ...
|
| Three Failed Pregnancies, What Next? | 8/16/2009 |
Q: In the last year, I have had three IUIs and one IVF and have been pregnant three times. But, all ...
A: I am surprised to hear about the septum. You should have had a hysteroscopy to check for that ...
|
| I dont think I ovulate | 8/16/2009 |
Q: My name is dina and I have been married and on the pill for 1 and half years. I stopped the pill a ...
A: Please verify that level on your prolactin. Prolactin should not be over 20 ng/ml. If that is the ...
|
| Concerned about Ashmerman's Syndrome | 8/16/2009 |
Q: I am a 36YO with two prior C-Sections. I recently conceived again but suffered from a blighted ...
A: Asherman's syndrome has no symptoms. It is diagnosed by either hysteroscopy or sonohysterogram. I ...
|
| Pap Smear | 8/15/2009 |
Q: 1. What is the purpose of a Pap smear? Is it only used to detect cancerous cervical cells? 2. And ...
A: It was cervical mucous, but I am not sure why he would aspirate it. There are tests that are done ...
|
| Clomid 100 mg | 8/15/2009 |
Q: I was diagnosed as a PCOS one year ago and was taking Yasmin 21 day tablets. now i want to become ...
A: I just answered this question before you, so you can see that this is not an unusual problem. One ...
|
| Please Help | 8/15/2009 |
Q: I have been diagnosed with endometriosis[went for a Laparoscopy 2 days ago] my doctor wants me to ...
A: I'm not sure I agree with your doctor's choice or method but cannot dispute it with the information ...
|
| Unable to conceive | 8/15/2009 |
Q: My husband and I started trying 2 years ago. After over a year I got pregnant, but had a miscarriage ...
A: You definitely need to be under the care of a fertility specialist. You cannot say that Clomid did ...
|
| what's the problem | 8/15/2009 |
Q: Dr. Ramirez I have a question I've been married for 5 years with out getting pregnant but before ...
A: I'm afraid I can't give you a specific answer regarding the prices because it varies from place to ...
|
| fertility after molar pregnancy. | 8/14/2009 |
Q: Ramirez. i am 23 yrs old and have a four year old daughter. for the past two years i have been ...
A: With Molar pregnancies, you should wait at least a year before trying to get pregnant again. It ...
|
| chance of pregnancy after a period? | 8/14/2009 |
Q: i am 27 years old.and my husband and i have been trying to conceive for the last 2 years.i have been ...
A: There certainly is the possibility of a pregnancy with the symptoms that you have. Light bleeding ...
|
| what's the problem | 8/14/2009 |
Q: Dr. Ramirez I have a question I've been married for 5 years with out getting pregnant but before ...
A: I can't tell you specifically what is going on without doing a comprehensive infertility evaluation. ...
|
| Pap Smear | 8/14/2009 |
Q: 1. What is the purpose of a Pap smear? Is it only used to detect cancerous cervical cells? 2. And ...
A: Yes the purpose of the pap smear is to screen for pre-cancerous or cancer cells. It is a screening ...
|
| IUI and gender probabilities | 8/13/2009 |
Q: My wife has PCOS and we are trying our first adventure into Famara and IUI. We have all heard of ...
A: First let me dispel the myth. You cannot predict or time intercourse to influence the gender of the ...
|
| late period after 3 mnths of metformin | 8/13/2009 |
Q: uk) where do i start!!! basically me mand my partner have been trying to conceive for a few years ...
A: If you have a history of irregular menstrual cycles and elevated insulin levels (the reason for ...
|
| I need help | 8/13/2009 |
Q: My name is Laura I live in Wisconsin, I've been married for 6 years and I cant get pregnant, I ...
A: I'm afraid that costs are very location specific. I don't know what they are in your area. I ...
|
| Tubal ligation | 8/13/2009 |
Q: I had a tubal 10 years ago and am 32 years old. I have been experiencing ovulations and periods with ...
A: I think that many patients that have had tubal ligations complain that their periods are heavier and ...
|
| Thin Lining | 8/13/2009 |
Q: My husband and I have been TTC for 6 years and are on our last to frozen embryo's. BUT they cannot ...
A: It is unusual that with so much estrogen on board that you cannot get an adequate lining (9mms). ...
|
| fertility/ foul smell during menstrual cycle | 8/5/2009 |
Q: I have recently noticed a foul odor about 1 week after the last day of my period. It seemed quite ...
A: The smell is probably due to residual blood in the uterus and vagina, which is not unusual. Believe ...
|
| Irregular Bleeding | 8/4/2009 |
Q: Over the past four months, I've had spotting on the day that my period is due, it stops, then two ...
A: The symptoms you are having are not abnormal. It is probably the start of your menses, due to the ...
|
| Endometriosis, Clomid & Cysts | 8/4/2009 |
Q: I had my second laproscopic surgery for endometriosis in April 2009 with my first surgery in 2005. ...
A: From what you describe, you have stage III endometriosis (there are 4 stages. Stage 4 is where the ...
|
| endo and pcos? | 8/3/2009 |
Q: I recently turned 18 and at 17 i was diagnosed with stage 2 endometriosis and pelvic adhesion ...
A: If you cannot take estrogen, then you should go back on the Depo provera and stay on that until you ...
|
| Hormone issues | 8/3/2009 |
Q: I am 38, have had 4 pregnancies, 3 living children, a miscarriage. I had a Mirena IUD for 5 years, ...
A: It is possible that your weight gain is attributable to hormonal issues, but I doubt that to be the ...
|
| MTHFR | 8/2/2009 |
Q: I have had 2 miscarriages in the past year. After the second I got a repeat loss panel which showed ...
A: I must apologize but I am not a genetic expert. However, my review of the literature suggests that ...
|
| Clomid | 8/2/2009 |
Q: I finished my 2nd cycle of Clomid 50mg, starting day 3-7. My usual cycle is 23 - 25 days and ovulate ...
A: It is appropriate for you to use a progesterone supplement in a fertility treatment plan. The ...
|
| endo and pcos? | 8/2/2009 |
Q: I recently turned 18 and at 17 i was diagnosed with stage 2 endometriosis and pelvic adhesion ...
A: Endometriosis and PCOD are two different diseases and are not related. Both, however, can ...
|
| infertility | 8/2/2009 |
Q: i am suffering with the infertility problem i recently had the test for the FSH and the value is ...
A: I'm not sure you understood my answer. The problem is NOT due to the FSH and LH levels. These ...
|
| 3-Day Embryo Transfer, Two week wait | 8/1/2009 |
Q: Ramirez, I'm 37 y/o with four young children (5, 3, and 1-year old twins). My 3-year old was ...
A: First of all, the symptoms that you describe are consistent with either pregnancy OR progesterone, ...
|
| Taking B-6 for LPD | 8/1/2009 |
Q: Ramierez, I am writing to you from Arizona! The question I have for you is if you have heard that ...
A: I do not know of any benefit to taking the B6 etc. It sounds like you have some type of hormonal ...
|
| endometriosis | 8/1/2009 |
Q: I had a laparoscopy a few weeks ago and was diagnosed with stage 3 endometriosis. Everything was ...
A: Yes, I did not say you couldn't get pregnant, just that most do not. You certainly have an ...
|
| Bleed after D&C | 7/31/2009 |
Q: I had the d&c done on the 9th Jul (last Thursday).... and the bleeding was light with brown and ...
A: I don't think that you have any infection, but you might want to have your doctor check you out ...
|
| endometriosis | 7/30/2009 |
Q: I had a laparoscopy a few weeks ago and was diagnosed with stage 3 endometriosis. Everything was ...
A: My protocol is to treat with Lupron or Letrozole for three months after the laparoscopy to remove ...
|
| infertility | 7/30/2009 |
Q: I am 30y and have been trying to concieve for 2 years. I am late for my peroid but have had scanty ...
A: This could be a normal finding, influenced by the progesterone in the second half of the cycle, or ...
|
| 3-Day Embryo Transfer, Two week wait | 7/30/2009 |
Q: Ramirez, I'm 37 y/o with four young children (5, 3, and 1-year old twins). My 3-year old was ...
A: In fact, the embryos will not "implant" for three days post a 3-day transfer because they need two ...
|
| Help pls!!! writing from Scotland | 7/29/2009 |
Q: I am worried sick about trying to get pregnant, and the more that seems to go wrong the worse it is ...
A: Certainly it is possible that the pain you had was ovulatory pain, but I cannot be sure. Nipple ...
|
| endometriosis | 7/29/2009 |
Q: I had a laparoscopy a few weeks ago and was diagnosed with stage 3 endometriosis. Everything was ...
A: The reason why your doc is recommending that you try is that because some women will get pregnant ...
|
| IUD/Miscarriages | 7/28/2009 |
Q: I had my IUD removed last January, I got pregnant the next month. I went to my OB doctor and ...
A: The IUD is not a cause of your miscarriages. If the IUD had any effect, which is the formation of ...
|
| Progesterone levels | 7/28/2009 |
Q: PA and I have a question about what to do about my progesterone levels. I was tested in November ...
A: Actually yours is one of the shorter letters. Miscarriages caused by low progesterone is a disorder ...
|
| Disappointed & Confused?? | 7/28/2009 |
Q: I am a 33 year old trying to conceive. My husband, 28, was injured in Iraq in 2005 which resulted ...
A: I cannot tell you exactly what is going on without some further evaluation, but what you describe in ...
|
| Pregnancy Travel Query | 7/28/2009 |
Q: I am 30 years old writing from India. My LMP was on Feb 8th 2009. I'm on my 24th week of pregnancy. ...
A: We do not recommend traveling in the third trimester because of the risk of onset of labor and ...
|
| Conceiving after laproscopy | 7/28/2009 |
Q: I am having irregular periods right from first, diagonised pcod 2 yrs back, under medication for 1 ...
A: This is almost exactly the same as a previous question. Once you have surgery, you have to wait at ...
|
| Laparoscopy during luteal phase | 7/27/2009 |
Q: My husband and I have been trying to conceive for the last 9 months with no success. After seeing a ...
A: Certainly your questions are valid, and somewhat true. You should discuss this with your physician ...
|
| IVF a 3rd time? | 7/27/2009 |
Q: Ramirez, HISTORY: My husband and I have been trying to get (and STAY) pregnant with no luck for 5 ...
A: You are in contention for having one of the longest letters. The fact that the pregnancy got as ...
|
| High Estrogen Level and fertility | 7/27/2009 |
Q: I am from Florida, I have been TTC since November of 2007. I am 43 yrs old. All blood tests have ...
A: The elevated estrogen does not reveal the onset of menopause. Menopause is when the ovaries shut ...
|
| Lupron | 7/27/2009 |
Q: I was scheduled to take the Lupron shot for 6 months starting in March. I took the shot in March ...
A: I would still repeat the blood pregnancy test because you could have gotten pregnant in the interim. ...
|
| 2.33 ng/mL 7 days post trigger (follicle was 22mm at trigger) | 7/24/2009 |
Q: Ramirez, I had clomid and HCG trigger after ultrasound showed a 22mm follicle. Got my progesterone ...
A: Clomid can cause a luteal phase defect, which is inadequate progesterone production after ovulation. ...
|
| follicular study | 7/24/2009 |
Q: I am 25 year's old,and my husband is 26.we are trying to concive for the past 7 months.i am having ...
A: If you had regular menstrual cycles before the medication, that is empirical proof of ovulation. In ...
|
| Need help to calculate my Ovulation period | 7/24/2009 |
Q: I am 34 years old and have irregular periods(history given below). I have one child of 5 years and ...
A: It looks like you had very regular periods until January 2009. Now they are very irregular. I ...
|
| blocked tubes | 7/23/2009 |
Q: I became pregnant in my uterus after being told my fallopian tubes were clubbed and completely ...
A: Obviously your tubes were not completely blocked. There is no way for you to have a uterine ...
|
| Endometriosis and missed periods | 7/23/2009 |
Q: I am from goa, In nov 2008, I was detected with bilateral endometriotic ovarian cysts, as i was ...
A: Based on your history, you are going to have difficulties getting pregnant naturally. Just the ...
|
| progesterone cream | 7/23/2009 |
Q: could you tell me if the cream in the pessaries is the same as the transdermal cream. My doctor ...
A: I presume by "pessaries" you are referring to a compounded progesterone vaginal suppository. It is ...
|
| Three Failed Pregnancies, What Next? | 7/22/2009 |
Q: In the last year, I have had three IUIs and one IVF and have been pregnant three times. But, all ...
A: That is probably the reason for the miscarriages, as there is an increased risk of miscarriage with ...
|
| OHSS/IVF | 7/22/2009 |
Q: First I would like to give you some background information. I have PCOS and have been undergoing ...
A: It is unfortunate that you developed OHSS with this cycle. It should have been expected and could ...
|
| Clomid Issues | 7/21/2009 |
Q: I have had infertility issues my whole life and I have taken all of the drugs around. The problem ...
A: I am afraid I can't counsel regarding the "insulite." I don't know anything about it and will have ...
|
| TTC since November 2007 | 7/21/2009 |
Q: my husband and I have been TTC since November 2007 but to no avail. DH had a semen analysis done and ...
A: I am still not sure what "a" and "b" means in your note, however the important parameter is what we ...
|
| 20mm | 7/21/2009 |
Q: When I started to try 'Clomiphene Citrate" on APR 2009,I took 100mg every day from days 5-9 and on ...
A: No problems, but the dosage probably needs to be increased a bit. The goal is to get 3 follicles ...
|
| Clomiphene | 7/21/2009 |
Q: I'm on Harmone pills for the last 4 months, named "CLOMIPHENE". Each month 10 tables from Cycle Day ...
A: I presume that by "eat" you mean "take" the pills. Clomiphene works by blocking the estrogen ...
|
| TTC since November 2007 | 7/20/2009 |
Q: my husband and I have been TTC since November 2007 but to no avail. DH had a semen analysis done and ...
A: You didn't give a sperm count with the semen analysis, but two of the parameters are abnormal: ...
|
| pregnancy following ectopic pregnancy | 7/20/2009 |
Q: ...I'm writing from the UAE. I have a complicated gynaec history. I had a missed aortion in april ...
A: I'm sorry but I do not know any Physicians in the UAE. I would recommend light activity, but not ...
|
| Hormonal disorder after effect.. | 7/20/2009 |
Q: may God bless u. After having absent periods for 3 months the doctor gave me provera 10 mg for 10 ...
A: I just answered your previous follow-up. I also found out that this is a generic pill and IS ...
|
| Hormonal disorder after effect.. | 7/20/2009 |
Q: may God bless u. After having absent periods for 3 months the doctor gave me provera 10 mg for 10 ...
A: You are correct. I misinterpreted the information when I looked it up. You are taking a hormone ...
|
| low estrogen at 37 | 7/18/2009 |
Q: I hope you can bring some light to my puzzled mind. I am 37 y.o., no medication, and planning to ...
A: Some of what you are describing does not jive. If you have normal ovulatory cycles, your estrogen ...
|
| 4th cycle progesterone - Medrol | 7/18/2009 |
Q: So sorry Dr. Ramirez, I also forgot to mention the Medrol. In addition to the baby aspirin, I plan ...
A: In patients that have failed previous IVF cycles, my protocol is to add Medrol 16 mg per day, ...
|
| 4th cycle progesterone | 7/18/2009 |
Q: Ramirez, I hope you can advise me: I have had 3 IVF cycles, 2nd one cancelled due to OHSS, the ...
A: I am a little stumped as to why you would have bleeding prior to your pregnancy test. The double ...
|
| Female Reproduction | 7/18/2009 |
Q: At what age does the vagina start as a closed structure and then canalizes or opens up? I assume a ...
A: Women (girls) are born with an open vagina. It canalizes within the womb during development. ...
|
| 38, clomid and secondary infertility | 7/17/2009 |
Q: I have children from a previous marriage, no fertility issues there. My spouse also has children ...
A: You mention in the "Subject" category that you are 38. (I presume that is what the number means). ...
|
| Bleed after D&C | 7/17/2009 |
Q: I had the d&c done on the 9th Jul (last Thursday).... and the bleeding was light with brown and ...
A: What you are experiencing is normal aftr a D&C, although it has not occurred to you in the past. ...
|
| Infertility Test - Cycle Day 2 & 21 | 7/17/2009 |
Q: My hubby & i married for 1.5 years. We're well prepare for having a baby,& we have tried for last 3 ...
A: The testing certainly will not hurt, but at this point are not necessary. The cycle day # 2 test is ...
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| Hormonal disorder after effect.. | 7/17/2009 |
Q: may God bless u. After having absent periods for 3 months the doctor gave me provera 10 mg for 10 ...
A: Your doctor put you on a birth control pill probably because you have an ovarian/hormonal ...
|
| Pregnancy | 7/16/2009 |
Q: I heard that it is easier for a woman to get pregnant when they have already been before than it is ...
A: That seems to be the trend. Several studies have shown increased pregnancy rates with IVf in women ...
|
| pregnancy following ectopic pregnancy | 7/16/2009 |
Q: ...I'm writing from the UAE. I have a complicated gynaec history. I had a missed aortion in april ...
A: I think that an HSG would be a good idea, but since you had a miscarriage after the ectopic, it ...
|
| Tubal ligation | 7/15/2009 |
Q: I had a tubal ligation in 2005 during a c-section. I do not know which method was used. A few ...
A: The blood that you had was from the uterus, not the ovary. The ovary is NOT connected to the ...
|
| fertility at age 43 | 7/15/2009 |
Q: What are the chances for a 43 y/o with normal fsh of 6 to conceive a biological child naturally? ...
A: The statistical chances are as follows: Natural pregnancy (spontaneous or IUI) 1% per year of ...
|
| disappearing follicles during IVF | 7/15/2009 |
Q: I have stage 4 endo with severe adhesions. My L ovary was removed 2 years ago. My R ovary is pulled ...
A: If they did not find follicles at the time of retrieval, either they ovulated or they did not see ...
|
| Infertility | 7/15/2009 |
Q: Good day Sir, in Feb i had surgery where they removed my left ovary (was larger that 10cm!)and ...
A: My recommendation in this situation is to proceed to IVF. I make the assumption that the remaining ...
|
| Laproscopy for PCOD | 7/14/2009 |
Q: I am having irregular periods right from first due to PCOD, which was diagonised 2 yrs back, took ...
A: Using laparoscopy to treat PCOD is an OLD treatment plan. It can work sometimes but the resulting ...
|
| Chlomid and Provera | 7/14/2009 |
Q: I have been trying to get pregnant for 7months. My period is regular every 26 days. Ultrasound and ...
A: You can continue with your Clostibegyt but I do not recommend Provera. Ask your doctor for a more ...
|
| infertility or not | 7/14/2009 |
Q: My name is Shauna and I'am 32 yrs old. I just received results from my doctor (pelvic ultrasound). ...
A: I didn't see a question in there, so I don't have any further answers to give. Sincerely, Edward ...
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| Duoluton L | 7/13/2009 |
Q: I am from India. I went to a fertily clinic for checkup. After the scan I have been prescribed ...
A: You will be unable to become pregnant on the birth control pill. The cabergoline is to treat an ...
|
| Pregnancy Query | 7/13/2009 |
Q: I am 30 years old writing from India. My LMP was on Feb 8th 2009. I'm on my 22nd week of pregnancy. ...
A: No. Neither the cold nor the medications will have any affect on the baby or your pregnancy. ...
|
| Two Failed IVF - LOW AMH | 7/13/2009 |
Q: This is a followup from June 22nd. Recap: 39 attempting for 11 months. Jumped into assisted ...
A: As you know, every clinic has differing protocols. I certainly have mine. There is no treatment ...
|
| Chances of conceiving....follow up | 7/10/2009 |
Q: I don't understand why you are saying to me though that I have 'wasted enough of time'??? I read ...
A: I did not mean to take away your hope. Think of me as your conscience. I can only give you the ...
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| Chlomid and Provera | 7/10/2009 |
Q: I have been trying to get pregnant for 7months. My period is regular every 26 days. Ultrasound and ...
A: I hate to see these type of questions because it shows that the doctor you are seeing is not ...
|
| infertility or not | 7/10/2009 |
Q: My name is Shauna and I'am 32 yrs old. I just received results from my doctor (pelvic ultrasound). ...
A: The impact on your fertility depends on what the cyst is. If it is a hemorrhagic cyst, it should ...
|
| Cysts | 7/10/2009 |
Q: Are the type of cysts you can get from taking Clomid the same type of cysts that can give a false ...
A: Most "functional" cysts are hormone producing and produce estrogen. For that reason, often one will ...
|
| Light Period | 7/9/2009 |
Q: I am 44 yrs old with 3 children. My period haven always been light-3-day with a light flow. ...
A: Perimenopause cannot be diagnosed by blood tests. It is the period of time when the ovary starts to ...
|
| Chances of conceiving | 7/9/2009 |
Q: I posted a question to you yesterday but for some reason I don't think it got to you. I am 39 years ...
A: The hurdle you seem to be facing is probably due to poor egg quality as a result of age. Your ...
|
| Cramping mid-cycle | 7/8/2009 |
Q: Every month, from about 2 days past ovulation until my period arrives, I get cramping on and off so ...
A: The only other source that would cause cramping in the premenstrual period would be that caused by ...
|
| IVF implantation failure; luteal phase brown spotting, even with high progesterone levels | 7/8/2009 |
Q: Ramirez, I have found your responses to others extremely helpful! I am 35 years old and am ...
A: I'm sorry there is no alternative to aspirin. The endometrial biopsy is to look for a protein ...
|
| Clomid & early period | 7/8/2009 |
Q: I've been trying to get pregnant for a few years. I'm 37 years old now and I've had 2 miscarriages, ...
A: Not getting pregnant right away, even with Clomid, is normal. It takes most patients several tries ...
|
| Spotting After Intercourse | 7/8/2009 |
Q: I have NEVER had an abnormal pap, last one 10 months ago. I am 42 years old, married. Had a ...
A: No. You don't have anything to be concerned about if this was the only episode. Sometimes "rough" ...
|
| infertility | 7/8/2009 |
Q: I've been on Metformin for 1 mth. Took 100mg of clomid on days 5-9 and on day 14 went in to check ...
A: Yes you still have a chance of pregnancy if the follicle grows to ovulatory size (17-24 mms) and ...
|
| periods on clomid? | 7/7/2009 |
Q: My husband and I have been ttc for a little over a year now and I was recently put on provera to get ...
A: I can't tell you the cause of the spotting but it is very common to occur in the luteal phase. Some ...
|
| Cramping mid-cycle | 7/7/2009 |
Q: Every month, from about 2 days past ovulation until my period arrives, I get cramping on and off so ...
A: The most common cause of this is ovulatory pain. Sometimes the ovary will cause more pain than ...
|
| hormonal problems? | 7/7/2009 |
Q: .there was no sex but pre ejaculation went on ma inner upper thigh near ma vagina. i it did not get ...
A: You definitely have a hormonal disorder, and the most common in your age group is polycystic ovarian ...
|
| laparoscopy | 7/7/2009 |
Q: Can you please tell me when in your cycle it is best to have a laparoscopy? If I am not pregnant ...
A: It can be done during the period, but we don't recommend injecting the tubes to see if they are open ...
|
| Clomid After Math | 7/7/2009 |
Q: I've got two simple questions that I'd love some answers to. 1. I was not successful in conceiving ...
A: 1. It is likely that the Clomid increased the endometrial development, as it does at times, and ...
|
| laparoscopy | 7/6/2009 |
Q: Can you please tell me when in your cycle it is best to have a laparoscopy? If I am not pregnant ...
A: If you are actively trying for pregnancy, and/or not on any birth control, then the laparoscopy ...
|
| Possible to ovulate on Prometrium? | 7/6/2009 |
Q: My husband and I have been try to conceive our second child for 14 months. My 21 day progesterone ...
A: You can ovulate despite the Prometrium. It is not a birth control pill but a progesterone pill. I ...
|
| IVF implantation failure; luteal phase brown spotting, even with high progesterone levels | 7/6/2009 |
Q: Ramirez, I have found your responses to others extremely helpful! I am 35 years old and am ...
A: I can't even tell that you are from Hungary. Your English is perfect! First of all, despite the ...
|
| increasing sperm count !! | 7/3/2009 |
Q: . iam 28 years old man from egypt .i got married from 7 month ago.my wife still not pregnant,so ...
A: Unfortunately there are not a lot of options for the treatment of sperm defects. But, here are a ...
|
| timed intercourse | 7/3/2009 |
Q: This makes my 2nd cycle of injects. I was taking 175iu follistim, 75 menopur and 5 lupron. No period ...
A: You seem to be in good hands in terms of your protocol and care. It is an expensive way to do a ...
|
| conceiving at 44 | 7/3/2009 |
Q: I am a young 44 year old trying to conceive. I am in good health, regular periods (28 days). I ...
A: Now-a-days, 44 is still very young. You are barely halfway through your lifetime. Unfortunately, ...
|
| Ovulation Confusing! | 7/2/2009 |
Q: My husband and I are trying for our first & I’ve heard a lot of different things about ovulation, ...
A: I would recommend that you look back on some of the letters I have answered previously. I have ...
|
| fertility problems post hormonal birth contol. | 7/2/2009 |
Q: Facts: 26 years old, Started BC at 14years, off BC Nov 2009, Husband has child from previous ...
A: All studies have shown that BCP's do not affect a woman's fertility or ovarian function despite what ...
|
| gynaec advice | 7/2/2009 |
Q: My name is swati. I am 33 yrs old. I live in Oman. Six months before i underwent diagnostic and ...
A: IUI can increase your chances of pregnancy if you use fertility medication to increase the number of ...
|
| ovarian insufficiency post chemo | 7/2/2009 |
Q: I am 2+ years in remission from Non hodgkins lymphoma. This is considered a cure from my particular ...
A: There are no other options but to wait and see if you don't want to do IVF or consider donor eggs. ...
|
| Failed IVF Confusion | 7/1/2009 |
Q: Ramirez: I've just recently gone through my 5th IVF Cycle. Yesterday at retrieval they got 11 eggs ...
A: Bariatric surgery would have absolutely no affect on your fertility. The medications that you use ...
|
| gynaec advice | 7/1/2009 |
Q: My name is swati. I am 33 yrs old. I live in Oman. Six months before i underwent diagnostic and ...
A: NO NO NO. You don't need any medication, especially metformin. Metformin lowers the insulin level ...
|
| Hormone Imbalance? | 7/1/2009 |
Q: I am 18 years old and i started my period when i was 10 years old.i am a virgin. i have irregular ...
A: It is unlikely that you are pregnant, especially if you are a virgin (which I presume you have ...
|
| Hormone Imbalance? | 6/30/2009 |
Q: I am 18 years old and i started my period when i was 10 years old.i am a virgin. i have irregular ...
A: You are not pregnant if the blood pregnancy tests were negative. You definitely have a hormonal ...
|
| Failed IVF Confusion | 6/30/2009 |
Q: Ramirez: I've just recently gone through my 5th IVF Cycle. Yesterday at retrieval they got 11 eggs ...
A: Boy you have gone through quite an ordeal, and I'm sorry to hear it. At least you know that you can ...
|
| Ovulation after miscarriage | 6/30/2009 |
Q: I am having irregular periods right from first due to PCOD,took medication for ovulation for 6 mths, ...
A: It sounds like your ovaries have reverted back to their original dysfunctional state. You should ...
|
| what are my chances of having another child | 6/30/2009 |
Q: when i had my tubes tied after having my second child i was only 24yrs and the doctor said that ...
A: If the tubal ligation was successful, the tubes will not "grow" back or "heal itself". That is the ...
|
| Ovulation | 6/29/2009 |
Q: I came off marvelon the contraceptive pill 2 months ago. I had my first period after 36 days. I ...
A: It is a little too early to tell. Generally, if you have regular menstrual cycles, then that is an ...
|
| Noperiods after delivery | 6/29/2009 |
Q: i, I am 34 and delivered a baby boy on Oct 07,2008.From beginning onwards I am breastfeeding and ...
A: Not at this point. It is possible to get pregnant during this period so if you don't want to become ...
|
| Infertility | 6/29/2009 |
Q: Ramirez, I am only 26 years old. My husband and I have been trying to have kids for about a year and ...
A: Unfortunately, your Ob/Gyn is not taking you in the right direction. You have NOT done everything. ...
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| DNA testing | 6/28/2009 |
Q: Is it possible to prove a child's paternity before the child is born? Thanks, Jo
A: You should be able to with genetic testing. However, you would have to undergo either a CVS or ...
|
| estrogen and tsh | 6/28/2009 |
Q: Does having excess TSH levels decrease estradiol levels? I ask because I do not have a thyroid and I ...
A: Thyroid hormone, whether increased or decreased, can affect all your hormone production and ...
|
| Irregular period | 6/28/2009 |
Q: I have an irregular period and i want to get pregnant. i did ultrasound but everything seemed normal ...
A: Duphaston is a fertility medication used to induce ovulation i.e. stimulate the ovary to grow and ...
|
| How Many IVF Cycles | 6/27/2009 |
Q: I am 42, FSH 6. I have failed 2 cycles of IVF. First cycle got 6 eggs, second cycle got 10 eggs. 3 ...
A: How long you continue will depend on you; How long can you tolerate the failures and how many times ...
|
| Recurring Blighted Ovums after Healthy Pregnancies | 6/26/2009 |
Q: My name is Tiffany and my husband and I have had three healthy babies. I don't have any problems ...
A: Let me answer your questions in sequence: 1. No gallbladder surgery does nothing to your fertility ...
|
| 2nd failed IVF - what now? | 6/26/2009 |
Q: Good afternoon Dr. Ramirez, I had my 1st failed IVF (10.08) on the flare lupron protocol: 7 eggs ...
A: It sounds like both IVF cycles went well as far as the controllable aspects of the treatment. The ...
|
| Infertility and Diabetes | 6/26/2009 |
Q: I am a 29 year old Type 1, Insulin dependant Diabetic tyring to conceive for 16 months. I was ...
A: If you are requiring insulin, then you are not a PCOD with insulin resistance. Those type of ...
|
| he has two other kids | 6/26/2009 |
Q: my boyfriend is 38 with two kids and im 18 with none we have been dating now close to half a year ...
A: If you have been trying for at least a year, then there is something abnormal going on. At your ...
|
| ANOTHER ONE | 6/26/2009 |
Q: Ok I am very young and I have had unprotected sex since mid april of last year.I believe during that ...
A: It is always possible to conceive despite not getting pregnant up to now. I have seen many miracles ...
|
| Pregnancy Query | 6/25/2009 |
Q: I am 30 years old writing from India. My LMP was on Feb 8th 2009.This is the second time I am being ...
A: There is no truth to what your friends advise. It has no influence on anything in your pregnancy. ...
|
| IVF patch protocol | 6/25/2009 |
Q: Ramirez, I am writing to you from Nashua, NH but graduated from Pacific Grove High School in 1985. ...
A: The "age factor" is not an absolute, meaning there are pregnancies in your age group. What you need ...
|
| Just cluless | 6/25/2009 |
Q: Ok I am very young and I have had unprotected sex since mid april of last year.I believe during that ...
A: I'm afraid I can't tell you what it could be as there are several possibilities. The first thing to ...
|
| gnrh | 6/24/2009 |
Q: My name is Jennifer, I am 32, live happly married in Zürich, Switzerland. Have had no luck getting ...
A: Since you mention going directly to ART, I presume your doctor's have done a complete infertility ...
|
| sreum prolactine role in conceiving | 6/24/2009 |
Q: i was having irregular periods right from first bcoz of PCOD, took medication for ovulatin for 6 ...
A: Both thyroid abnormalities and elevated prolactin can interfere with one's ability to become ...
|
| IUI and home pregnancy test | 6/23/2009 |
Q: I just had an ICI on Saturday 6/20 and an IUI on 6/21. I am suppose to go for pregnancy bloodwork ...
A: A home pregnancy test will not, or should not, show a positive if it is less than 14 days from ...
|
| unable to conceive after a miscarriage/d n c | 6/23/2009 |
Q: I am writing from Texas. I had a miscarriage last October (2008)- I was about 8 weeks along, and ...
A: It is unlikely that the D&C did any damage, but to be sure, you probably should have a procedure ...
|
| IVF | 6/23/2009 |
Q: Ramirez: I am writing from Santa Barbara, California right now. I live half in Santa Barbara and ...
A: It sounds like you have an exciting job! What do you do? 1. There are two reasons for using the ...
|
| Stopped periods | 6/19/2009 |
Q: I have irregular periods right from starting due to PCOD, under medication for ovulation for 6 mths, ...
A: It sounds like your ovarian dysfunction (PCOD) has recurred. In some cases of PCO, it is related to ...
|
| Cramping during ovulation after a tubal | 6/19/2009 |
Q: I had a tubal ligation in January of this year. Since then my periods have been much heavier. I also ...
A: This can be normal. There has been a description of a syndrome called "tubal ligation syndrome" ...
|
| Progesterone level at CD25/6dpiui | 6/18/2009 |
Q: I had a natural iui CD25/6dpiui. I just got my progesterone tested this morning and it was 12.6. ...
A: Yes that is an adequate progesterone level and indicates that ovulation did occur. Sincerely, ...
|
| fertility after chemo | 6/18/2009 |
Q: texas. Would like your opinion of my chances of getting pregnant and hysterectomy. I will be 41 in ...
A: There are several issues to consider: 1. Your age. Your natural chances of pregnancy is only ...
|
| Hymen | 6/18/2009 |
Q: When the hymen of a female is broken from intercourse, what happens to what remains of the hymen? Is ...
A: I can't tell you "why" it is formed and it has no purpose. It is formed in fetal development. The ...
|
| IVF | 6/18/2009 |
Q: I RECENTLY WENT THRU MY FIRST IVF AND IT WAS CONSIDERED A CHEMICAL PG. MY FIRST LEVEL WAS 26 THEN 56 ...
A: My protocol is usually to follow the bHCG down on a weekly basis. I have seen many where the bHCG ...
|
| Persistent high estrogen levels | 6/17/2009 |
Q: Ramirez, I am a 34 year old women. I have been diagnosed with diminshed ovarian reserve and have had ...
A: First of all, basseline estrogen levels should be tested on cycle day # 2 or 3 only. Estrogen ...
|
| CD13 Follicle Size and RE Concerns | 6/16/2009 |
Q: I am in my 13 cycle of TTC. Both my husband and I are 31. I have never had a pregnancy. This is ...
A: If you don't have confidence in this doctor, then he is not the right one for you. You should see a ...
|
| Hymen | 6/16/2009 |
Q: When the hymen of a female is broken from intercourse, what happens to what remains of the hymen? Is ...
A: The hymen is a residual of skin from development. It is basically torn with the first episode of ...
|
| PCO/Tyroid | 6/16/2009 |
Q: I have been diagnosed PCO & advice med Glucophange 500mg for 3mths & Duphaston 10mg to be taken from ...
A: I would recommend that you read through some of the letters that have been written to me regarding ...
|
| OPK vs. 7DPO Progesterone Test | 6/16/2009 |
Q: We successfully became pregnant in December. Unfortunately I had a missed miscarriage and had a DNC ...
A: The progesterone test does not indicate WHEN you ovulated. It only indicates that you ovulated. ...
|
| HA/lean PCOS in South Carolina | 6/12/2009 |
Q: I was diagnosed with hypothalamic amenorrhea/lean PCOS in February. I do not have any of the normal ...
A: It sounds like your doctor is taking a pretty haphazard approach to your ovulation induction. If in ...
|
| Laparoscopy | 6/12/2009 |
Q: Can you please tell me what the recovery is like after a laparoscopy? I am sure it is different for ...
A: Laparoscopy is a surgery but an outpatient one because the risks and damage to tissue is minimal. ...
|
| okay for preconcpetion? | 6/11/2009 |
Q: What are your thoughts about consuming artificial sweeteners -- like Splenda and Nutrasweet -- while ...
A: There are no known problems with using these sweeteners when trying to conceive or after conception. ...
|
| failed ivf | 6/11/2009 |
Q: I am 42 y/o, my fsh is 6. I have had 2 failed IVF cycles with the same ER. This last cycle, 15 ...
A: I am originally from Mission Viejo, but went to High School in Anaheim so it is nice to hear from ...
|
| endo/infertility | 6/11/2009 |
Q: I was diagnosed with stage IV endo. in feb.09 when my lap. was done. My GYN told me he could not ...
A: With stage IV endometriosis, your only viable treatment option is IVF (although I have had some ...
|
| Premature Ovarian Failure | 6/11/2009 |
Q: I am 38 years of age and I have been trying to concieve for two years. After experiencing irregual ...
A: 1. The first paragraph is correct. The pituitary sends FSH to the ovary to stimulate ovulation. ...
|
| good responder, abnormal eggs | 6/11/2009 |
Q: Ramirez, i am 37 next month, DH is 41 we were ttc naturally for ~1 year, nothing did tests, DH has ...
A: What you are seeing is the "age factor". As a woman increases in age, the quality of her eggs ...
|
| Irregular periods after IUD removal | 6/10/2009 |
Q: I had my IUD surgically removed 3 months ago. Since then I have had 3 cycles. They have been every ...
A: We designate the first day of the cycle as the first day of "flow." If you are having spotting ...
|
| irregular cycle at 45 | 6/10/2009 |
Q: I just turned 45. About 3 years ago my cycle started to shorten to 24 days (from usual 26-28 days - ...
A: The most likely reason for your irregular menstrual cycles is because you are now in the ...
|
| LH surge followed by no temperature increase | 6/10/2009 |
Q: I have just started trying to conceive at the age of forty. I am into the second month of tracking ...
A: It is possible. The temperature is actually a result of progesterone production. If ovulation does ...
|
| Saline Ultrasound for tubal patency | 6/10/2009 |
Q: I'm seeing an RE to conceive another baby. We needed help conceiving three times in the past (2 IUIs ...
A: I cannot contradict your RE's advice or opinion, but suffice it to say that this situation, in it's ...
|
| Infertility Issue | 6/9/2009 |
Q: I apologize in advance for this long message but I couldn't help myself asking you these question. ...
A: If the blood pregnancy test was negative, then the symptoms she is experiencing is due to something ...
|
| nurse accidentally gave shot on day 7 | 6/8/2009 |
Q: I am a 35 yr old woman in the middle of my first insemination cycle. I was to take 150 mg clomid day ...
A: The only problem is that you may have too many ovulatory sized follicles from the extra HMG shot. ...
|
| Infertility Issue | 6/8/2009 |
Q: I apologize in advance for this long message but I couldn't help myself asking you these question. ...
A: I am sorry to hear of your sister's ordeal. It sounds like your sister has had some extensive ...
|
| clomid | 6/6/2009 |
Q: in April cycle, my ob let me have clomid 1 pill a day for 5 days from period day 3 to day 7, day 13 ...
A: Your short cycles are a sign of an ovarian dysfunction. I don't think you were ovulatory in the ...
|
| Pregnancy Query | 6/6/2009 |
Q: I am 30 years old writing this mail from India. My LMP was on Feb 8th 2009.This is the second time ...
A: Omega 3 fatty acids have been shown to help with pregnancy and fetal development, so there is no ...
|
| Premature Ovarian Failure | 6/5/2009 |
Q: I am 38 years of age and I have been trying to concieve for two years. After experiencing irregual ...
A: I'm sorry for the delay. I can't figure out exactly what your docs have been advising you. It ...
|
| irregular pperiod | 6/5/2009 |
Q: My period has been irregular from 31 day to 32 to 31 to 38 and just this May 2009 it came on the ...
A: Basically if the period is within 7 days of the last cycle, it is considered within normal, so a ...
|
| How many cycles should I try a42 | 6/5/2009 |
Q: I am 42 y/o, my fsh is 6. I had 1 failed IVF cycle in 2/09. I am on my second cycle now. I have ...
A: I'm actually originally from Mission Viejo. How many cycles to try depends on several things: (1) ...
|
| vaginal bleeding | 6/5/2009 |
Q: "8 Yrs ago, I had one of my tubes removed according to my Dr after having my son. I had my normal ...
A: No. In fact, if you took the birth control pills to stop the bleeding, it puts you through a rapid ...
|
| Hormonal Issues | 6/4/2009 |
Q: Ramirez. I was wondering if you could perhaps clarify what my gynaecologist has told me recently ...
A: If you don't mind, I will reply in English since that is easiest for me. Women's cycles can change ...
|
| vaginal bleeding | 6/4/2009 |
Q: "8 Yrs ago, I had one of my tubes removed according to my Dr after having my son. I had my normal ...
A: It would be hard to attribute the discharge to pregnancy but whenever the period is odd, that is ...
|
| HCG shot after lh surge, then IUI | 6/3/2009 |
Q: My husband (30) and myself (33) are trying to conceive our first child together. I have had a ...
A: I don't think the IUI was done too early. It has been shown that the sperm needs to be present ...
|
| ivf | 6/3/2009 |
Q: i am a 42 yr female i have under gone ivf just recently and it was not successful due to the fact ...
A: It is not the end of the road but you might have to modify your route. The FSH level is a measure ...
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| Pregnancy | 6/2/2009 |
Q: I have PCOS i would like to get pregnant, what treatment should i get.
A: By definition, PCOS is an ovulatory dysfunction so that the ovary does not ovulate on its own, or ...
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| Moderate LP Bleeding Continues | 6/2/2009 |
Q: I sent you a question back in January (see below for my history and previous question)and wanted to ...
A: I do think that your bleeding is hormonal as evidenced by a negative hysteroscopy and HSG. It could ...
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| Spotting | 6/2/2009 |
Q: Ramirez, I have asked you questions before and your info. is always helpful so thank you. I am 30 ...
A: The premenstrual spotting is not unusual and not abnormal. It should not affect your fertility ...
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| having a hard time getting pregnant. | 6/2/2009 |
Q: me and my husband have tired for about a year and a half to get pregnant. i am overweight but im not ...
A: Irregular periods are a sign of an ovarian or ovulatory dysfunction. The body goes through a pretty ...
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| period irregularity | 6/1/2009 |
Q: hello doctor i am 18 years married 8 months ago befor marriage my period was regular every 28 days ...
A: I cannot tell you why you are irregular. You would need to undergo an evaluation to find out that ...
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| infertility | 6/1/2009 |
Q: I'm 29years old ht-147cms,wt-58kg.My blood result ...
A: From your increased LH/FSH ratio and the increase follicles in your ovary, you have a disorder ...
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| E2 levels at ovulation; recurent miscarriage 40 y.o. | 6/1/2009 |
Q: I am 40.5 y.o. I have been diagnosed w/premature ovulation. I have been TTC-ing for 3 years , the ...
A: Let me answer the miscarriage question first. The most obvious reason, and the most common reason, ...
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| no menstrual cycle for MONTHS | 6/1/2009 |
Q: I am 20 years old and have not had my period for 5 months, going on 6 (since December). I had this ...
A: It is NOT normal to have irregular menstrual cycles at your age. You need to change doctors and see ...
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| fertility meds / implantation bleeding? | 5/29/2009 |
Q: I have had 3 miscarriages in the past 7 months (all very early). This month I took 10 femara (2.5 ...
A: The bleeding you had could be implantation bleeding. It is difficult to know for sure. That is a ...
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| Why Can't I get Pregnant? | 5/28/2009 |
Q: I'm 37 years old. I have been dealing with secondary infertility for 3 1/2 years. I got pregnant ...
A: I'm sorry to hear all that you have gone through. I do not believe in going "backwards" with ...
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| maybe you can help | 5/28/2009 |
Q: First of all thanks for the last bit of advice you gave me. I waited the 12 days took a hpt (4 ...
A: I agree with your RE and have had the same experiences with my patients. Spotting in the first ...
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| infertility | 5/28/2009 |
Q: i have got married three yrs back and i am very eager to have a baby,but that is not becoming true ...
A: I presume, from the medications that you have been taking, that you have been seeing a fertility ...
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| implantation | 5/28/2009 |
Q: Is it true that low dose or baby aspirin can help with implantation? If so what dose should you take ...
A: I think that you have several options at this point: 1. Proceed with laparoscopy prior to any ...
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| implantation | 5/27/2009 |
Q: Is it true that low dose or baby aspirin can help with implantation? If so what dose should you take ...
A: There are those here in the U.S. that advocate immune testing and some pretty intense and expensive ...
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| ivf | 5/27/2009 |
Q: i have recently been under going ivf here in england .we went for egg collection and was told that ...
A: What you encountered is called "empty follicle syndrome" and increases with increasing age. Since a ...
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| Question about Prometrium and Conceiving | 5/27/2009 |
Q: My husband and I are trying for our 3rd child. It took me two years to get pregnant with my first ...
A: If you have showing positive on an ovulation prediction kit (LH surge), then you are probably ...
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| implantation | 5/27/2009 |
Q: Is it true that low dose or baby aspirin can help with implantation? If so what dose should you take ...
A: Yes. Just start the aspirin and stay on it. I'm a little confused. Sorry. My understanding is ...
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| implantation | 5/26/2009 |
Q: Is it true that low dose or baby aspirin can help with implantation? If so what dose should you take ...
A: Yes. Studies have shown an increase in implantation rates with low dose aspirin. It is thought to ...
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| Question about Prometrium and Conceiving | 5/26/2009 |
Q: My husband and I are trying for our 3rd child. It took me two years to get pregnant with my first ...
A: You have an ovulatory dysfunction. The best treatment would be to use Clomid or Femara to induce ...
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| adhesions in uterus | 5/25/2009 |
Q: am 27 ,went through negative icsi in october 2008 , after that my doc done hysteroscopy which says ...
A: I see no reason why you couldn't do the HSG with this cycle. Sincerely, Edward J. Ramirez, M.D., ...
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| medicine | 5/25/2009 |
Q: "I'm 29yrs old ht-147cms,wt-58kg.My blood result ...
A: Based on your LH/FSH ratio, you have PCOS. I think that the amount of Clomid and Letrozole that you ...
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| Clomid | 5/22/2009 |
Q: first off, I'm very glad that you are here to answers our questions. My husband and I have been ...
A: Ordinarily I would reject this because there are way too many questions in one query, but because of ...
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| Ovidrel and ivf | 5/22/2009 |
Q: And ultrasound was told I am ready for retrieval THIS Sat.@ 10am. I took my last follistim at 8ish ...
A: This is something that your doctor should have explained to you. I am sorry that you aren't getting ...
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| LOW PROGESTRONE LEVEL AT CD 21 | 5/21/2009 |
Q: old w/f with endometrosis and possible pcos or luteal phase defect. I have on child that is 3 yrs. ...
A: The elevated Estradiol level is due to a functional ovarian cyst. The cyst is creating estrogen and ...
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| Clomid question | 5/20/2009 |
Q: First of all thank you for being available to answer questions for all of us. I have taken clomid ...
A: Although the Clomid worked the first cycle, I too would have increased it to 100 mg to get your ...
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| post r chop fertility | 5/19/2009 |
Q: have you had any patients post rhop 8 become pregnant ivf own eggs?? i dont have all labs available ...
A: The "r rhop" must be an acronym that the oncologist use for a combination of medications. ...
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| infertility | 5/19/2009 |
Q: i am 26ys lady and i have been married for 5ys and we have been trying for a child. The doctors dont ...
A: When you say the "doctors don't see any problem with both of us" does that mean that you have had ...
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| post r chop fertility | 5/18/2009 |
Q: have you had any patients post rhop 8 become pregnant ivf own eggs?? i dont have all labs available ...
A: I'm sorry but I don't quite understand your question because you are using abbreviations that I ...
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| hi | 5/17/2009 |
Q: iam from malaysia.i had an ectopic in jan,09 and underwent left salpingectomy.my doc says that with ...
A: In the U.S., if you had a ectopic, that is a sign that you had some form of tubal damage in the ...
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| Menstrating properly | 5/17/2009 |
Q: I've been on Micronor (contraceptive pill) for many years and came off it about a year ago as I am ...
A: You are normal. The amount and duration of bleeding can be highly variable among women. You are ...
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| increasingly irregular | 5/16/2009 |
Q: Ramirez, I am a 19 year old black female in dallas texas looking for answers. I started having ...
A: So you have a variant of PCOD where the FSH/LH ratio is normal. If there are no other hormonal ...
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| increasingly irregular | 5/16/2009 |
Q: Ramirez, I am a 19 year old black female in dallas texas looking for answers. I started having ...
A: You have PCOD. There is NO specific test for this disorder. It is a clinical diagnosis, which ...
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| Estrogen supplementing with thin lining | 5/16/2009 |
Q: I am from Canada and I have been seeing a fertility specialist since January 2009. My husband and I ...
A: Estrace tablets can be used vaginally and are more effective that way for endometrial development ...
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| need help! | 5/15/2009 |
Q: I'm La'Ree, 21 f, from Hannibal Missouri. I need some help! Here's a little about my problem. In ...
A: You have been pregnant several times, so despite the fact that you are not getting pregnant as ...
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| Spot | 5/15/2009 |
Q: I always have a 35 days cycle and I'm due on this May 21 but last may 13 i seen a little pink spot ...
A: It could be ovulatory spotting. It is nothing to be concerned about. Sincerely, Edward J. ...
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| adhesions in uterus | 5/15/2009 |
Q: am 27 ,went through negative icsi in october 2008 , after that my doc done hysteroscopy which says ...
A: In order to diagnose adhesions in the uterine cavity, you would need to have a hysteroscopy. You had ...
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| Estrogen supplementing with thin lining | 5/14/2009 |
Q: I am from Canada and I have been seeing a fertility specialist since January 2009. My husband and I ...
A: Did you use the Estrace orally or vaginally. If you have not tried it vaginally, that is a more ...
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| Estrogen/Progesterone supplements | 5/14/2009 |
Q: Dr., This was my second attempt with IUI, clomid and ovedril injections. Since my blood work ...
A: You don't need to worry. We use estrogen and progesterone all the time in infertility. ...
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| Regarding Folic Acid | 5/14/2009 |
Q: I am 30 years old from India. My LMP was on feb 8th 2009.This is the second time I am being ...
A: If the prenatal vitamins that you are taking has 1 mg of folic acid (folate) then you can stop the ...
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| LOW PROGESTRONE LEVEL AT CD 21 | 5/13/2009 |
Q: old w/f with endometrosis and possible pcos or luteal phase defect. I have on child that is 3 yrs. ...
A: A decreased cycle day # 21 progesterone generally indicates that ovulation did not occur. However, ...
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| progesterone level | 5/13/2009 |
Q: I'm 40 yrs. and writing from Italy. I had my first fresh double donation last month after 3 ...
A: Buon giorno. Piachere. Saluti di stati uniti. That's probably the limit of my Italian, although ...
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| Infertility guidance | 5/13/2009 |
Q: I was hoping I could get a bit of advice in order to make an informed decision...re: next step in my ...
A: First of all, the link to ovarian cancer is very remote. You would need to be on Clomid for 7 years ...
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| Inability to carry to term from blood clotting too quickly | 5/13/2009 |
Q: Greetings, I live in Yenifoça in Turkey, and yesterday a woman told me that she had lost three ...
A: The medical term for "blood clotting" is called thrombosis. There are patients that have an ...
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| using the pill to time an iui? | 5/13/2009 |
Q: I'm writing from Cambridge, England. Is it possible to use bcp’s (for example, yasmin) to shift a ...
A: Yes, the BCP can be used to shift a cycle. We do that all the time in the U.S. for IVF. You would ...
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| Ovulation Tests | 5/12/2009 |
Q: My name is Heidi and I am from the Portland Oregon area. I have been trying to conceive using the ...
A: Unfortunately, that is a manufacturer's question, not a medical one. It is possible there might be ...
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| Confused? | 5/12/2009 |
Q: I'm having a little problem and just thought that I would ask you since I have asked you previous ...
A: Yes, the 7 week ultrasound is most accurate for dating. At 5 weeks, we cannot see a fetal pole and ...
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| Lupron and pregnanct tests | 5/12/2009 |
Q: I was inseminated today after being triggered with Lupron and I wanted to know if Lupron affects ...
A: If insemination was done (IUI) then you have to wait 2 weeks for the pregnancy test. It will take ...
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| Confused? | 5/12/2009 |
Q: I'm having a little problem and just thought that I would ask you since I have asked you previous ...
A: The second ultrasound is the most accurate for dating, not the 22 weeks ultrasound. Your doctor ...
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| can i be pregnant inspite of having a period? | 5/12/2009 |
Q: i am 26 yrs old.my husband and i have been trying to concieve for almost 2 yrs now.i have written to ...
A: Yes, there is a possibility that you could be pregnant and that the bleeding is due to the ...
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| dermoid cyst | 5/8/2009 |
Q: I was having PCO and i was on clomid 1 month . after a utrasound doctor found a cyst of "solid ...
A: If the cyst was not present there 6 months ago and occurred only after Clomid, the most likely ...
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| Who's? | 5/7/2009 |
Q: I had sex with my ex boyfriend on the 1st of November and then I had my period the 3rd thru the 8th ...
A: Based on the ultrasound dating, conception would have occurred around the 23rd of November +/- 7 ...
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| trying to concieve after merina iud | 5/7/2009 |
Q: i have couple of questions, i had my IUD removed after 5 years of no periods and was told to take a ...
A: Here are the answers to your questions: 1. No you were not ovulating. Ovulatory mucus is a stringy ...
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| Ovarian cysts | 5/7/2009 |
Q: I am writing from Melbourne, Australia. After two months of erratic menstruation I was referred ...
A: I don't think you need to wait three months. You should have an ultrasound done within the first 7 ...
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| Ovulated, but not pregnant | 5/6/2009 |
Q: Iam writing from Washington,US. Iam 37 yrs old and TTC. I had a positive OPK on 19th April and ...
A: You have a major problem, which is your age. Your chances of pregnancy per month is approximately ...
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| difficulty concieving | 5/6/2009 |
Q: I am 27 and I have been trying to conceive for the past 13 months. I read somewhere that one of the ...
A: The cervical mucus certainly changes as the estrogen in your body increases. The mucus becomes ...
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| Infertility | 5/6/2009 |
Q: I am 29 years old and have had 4 lithotripsys due to kidney stones. My husband and I have been ...
A: No. The amount of radiation for both procedures are minimal. You would need to have radiation ...
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| lower abdominal crampiness and shooting vaginal pains | 5/6/2009 |
Q: Deaer Dr.Ramirez: I have suddenly begun having lower abdomninal "crampiness" and vaginal "shooting ...
A: The "pains" that you are having are non-specific so I can't say exactly what they are or where they ...
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| frequent spotting | 5/5/2009 |
Q: Ramirez, my question is that I have a LP of 8 days. I ovulate on day 23. I always spot beginning of ...
A: These are certainly good questions and should be discussed with your doc. I do not want to ...
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| IUI | 5/5/2009 |
Q: I am 25 year old with a 5 year old son. My fiancé and I have had problems conceiving our second ...
A: I think that her recommendation is very appropriate to your problem. The Clomid will help you to ...
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| frozen embryo transfer | 5/1/2009 |
Q: Can you try to get pregnant naturally during a natural cycle single frozen embryo transfer? We would ...
A: Of course every clinic and every doctor is going to have their own opinion, but physically, ...
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| Who's do you think? | 5/1/2009 |
Q: I have the same issue as Anna. I have a boyfriend of four years. We are both hispanic.We have been ...
A: If your LMP was November 15th, and you have regular cycles, conception would have been around 29 ...
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| IVF supplements | 5/1/2009 |
Q: I am receiving embryo transfers tomorrow via IVF due to blocked fallopian tubes secondary to stage 4 ...
A: Endometriosis is an estrogen-dependent disease. Increased estrogen will increase the growth and ...
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| Ureaplasma | 4/30/2009 |
Q: I'm writing from Macedonia, Europe. A recent test showed that my pregnant wife (29 weeks) is ...
A: She can take Azithromycin, but should NOT take doxycycline during pregnancy. Ureaplasma is not a ...
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| IVF supplements | 4/29/2009 |
Q: I am receiving embryo transfers tomorrow via IVF due to blocked fallopian tubes secondary to stage 4 ...
A: All that you have read about soy supplements is "hype" to increase sales. Estrogens are REQUIRED ...
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| frozen embryo transfer | 4/29/2009 |
Q: Can you try to get pregnant naturally during a natural cycle single frozen embryo transfer? We would ...
A: As long as you are not being treated with any medications, such as suppression of the ovaries, you ...
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| frozen embryo transfer | 4/29/2009 |
Q: Can you try to get pregnant naturally during a natural cycle single frozen embryo transfer? We would ...
A: Yes, you could do a frozen embryo transfer using a natural cycle, however, the risk is that the ...
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| IVF-ICSI bad eggs | 4/29/2009 |
Q: Ramirez, I will try to make my story short. My husband is a carrier of CF gene, which caused him to ...
A: I won't be able to answer your question completely based on the information that you gave, but I am ...
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| conception date | 4/29/2009 |
Q: my lmp was nov. 29th '09, from dec. 8th to 16th we had IC ,suddenly from 17th spotting started, ...
A: Based on the ultrasound dating, conception would have occurred between the 2nd and 5th of December. ...
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| unable to get pregnant after 3 full terms pregnancies | 4/28/2009 |
Q: I have asked in the past with another expert..but I have been unable to get pregnant. I have tried ...
A: A single gene disorder could lead to a reason for recurrent miscarriages since the embryo will get ...
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| IUI | 4/28/2009 |
Q: My husband and I have been trying to get pregnant for 2.5 years. I will be 37 in June. I have had ...
A: An elevated estrogen level is an indication that the ovary is still producing estrogen either from a ...
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| conception date | 4/28/2009 |
Q: my lmp was nov. 29th '09, from dec. 8th to 16th we had IC ,suddenly from 17th spotting started, ...
A: I'm sorry but I cannot give you a conception date based on the limited information that you give me. ...
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| Reproduction / fertility | 4/28/2009 |
Q: why is the menstrual cycle essential for fertility in women?
A: The menstrual cycle is an indication of ovarian function. Without ovarian function the process ...
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| miscarriage and constant bleeding | 4/27/2009 |
Q: I had a miscarriage on august 19 2008. I had a normal period afterwards for two monhhs. now I bleed ...
A: There is some type of abnormality going on. I cannot determine it based on the limited information ...
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| clomid and soy | 4/27/2009 |
Q: i am a 29 year old vegetarian of ideal height and weight and have 1 healthy child. my past pregnancy ...
A: Soy is not harmful and will not prevent pregnancy. I presume the reason for that advice is to ...
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| pregnancy | 4/27/2009 |
Q: Will I become pregnant this year or ever? I have been try to conceive but it has not happened. I had ...
A: I am sorry but I do not have the ability to foretell the future. Most women have the ability to ...
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| Pregnancy Query - Progesterone | 4/26/2009 |
Q: I am 30 years old. My LMP was on feb 8th 2009.This is the second time I am being preganant,first ...
A: I usually will stop my patients at 10 weeks gestational age, but some Physicians will continue until ...
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| Failed IVF | 4/26/2009 |
Q: i need some advice on what testing i should have done after a failed IVF. I got pregnant on my own ...
A: Every pregnancy has the possibility of a miscarriage that can be up to 40% per pregnancy. That ...
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| estradiol valerate in infertility | 4/25/2009 |
Q: what is the role of estradiol valerate in endometrium priming and thick ness? how does it acts?
A: The endometrial lining (uterine lining) requires estrogen in order to grow in preparation for ...
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| Infertility | 4/25/2009 |
Q: I have one daughter, conceived after only three months after stopping my original birth control. ...
A: The Yaz would not have done anything to your uterus. There may be some other hormonal or anatomical ...
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| Bleeding at abnormal time! | 4/24/2009 |
Q: I had a blighted ovum and the gestation sac was still really high, so I had a d&c done on 1/30. My ...
A: There are too many possibilities for me to answer your question. You would need an examination. It ...
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| PCOS, Tilted Womb, and a double uterus, what are my chances?? | 4/24/2009 |
Q: I am nearly 29 and have no children. When i was 24 i had a laparoscopy and was diagnosed with PCOS, ...
A: In answer to your question, one can certainly have all these problems at the same time, but to ...
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| conception | 4/23/2009 |
Q: i have a friend who says he had sex with a girl on feb.28th she had an ultasound and the doctor sais ...
A: Since you didn't give me any specific dates, I presume the ultrasound was done today? If that were ...
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| IUI and LH Surge | 4/23/2009 |
Q: I have another IUI timing question of a different nature. I am on my first Clomid with IUI cycle. ...
A: It may be that your RE doesn't want to go in on the weekend, but based on a 14mm follicle, I would ...
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| embryo quality | 4/23/2009 |
Q: We just had egg transfer 3 days ago, but our embryos did not make it to blastocyst stage, they were ...
A: The fact that they had not progressed much by day 5 is not a good indication. Most of these embryos ...
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| unable to get pregnant after 3 full terms pregnancies | 4/22/2009 |
Q: I have asked in the past with another expert..but I have been unable to get pregnant. I have tried ...
A: Based on what you told me, you have had normal hormones, the tubes are open and we presume that your ...
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| infertility | 4/22/2009 |
Q: I am twenty eight years old. I am trying to get pregnant from three years and tacking letroz every ...
A: If in fact, you have been taking Letrozoe for the past 1.6 years, then you should be moving on to ...
|
| thought of impotent | 4/21/2009 |
Q: i m v.k,28,male, i want to know that ,i think that i m impotent. i m not sure about it. what r its ...
A: "Impotent" by definition means that you are unable to have intercourse for various reasons: ...
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| follicle size, IUI | 4/21/2009 |
Q: I have written before. I am 30 years of age with secondary infertility. My husband and I have been ...
A: You have some very good questions and issues to work out. I agree that there is a high probability ...
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| Trying to conceive | 4/21/2009 |
Q: I have been trying to conceive from past one year (age 31yrs). My husbands sperm count and mobility ...
A: I cannot tell you what the "bulge in the fundus" is without seeing the films of the report and/or ...
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| IUI Timing with Ovidrel | 4/16/2009 |
Q: I am currently undergoing my first round of Clomid (50 mg, Days 3-7) and Ovidrel shot to do IUI. It ...
A: I use 24 and 48 hours after Ovidrel since ovulation will occur between 24 and 52 hours and cannot be ...
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| IVF or IUI? | 4/16/2009 |
Q: ..my husband (36) and I (33) have been trying to get pregnant for more than a year. None of us have ...
A: If you have already started with the Clomid cycle, then I would go ahead with the IUI. In reality, ...
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| BROWN, PINK THEN RED SPOTTING | 4/16/2009 |
Q: I am 37 no children yet. I had a myomectomy Jan 2008 for uterine fibroids. I have 2 small ones ...
A: It sounds like that was your period. My recommendation, because of your age, is to see a fertility ...
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| IVF | 4/15/2009 |
Q: I had 2 IUI's 2 years ago, which failed. at the time I used follistim and developed fairly good ...
A: Since you are already into a cycle, I am not sure that the number can be increased at this point, ...
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| empty follicles at retrieval at age 44 | 4/15/2009 |
Q: I stimulated with lupron, menopur and triggered with ovidrel. Had 11 follicles which turned out to ...
A: I'm sure you are on Progesterone, which should diminish the amount of flow. It can be increased to ...
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| empty follicles at retrieval at age 44 | 4/14/2009 |
Q: I stimulated with lupron, menopur and triggered with ovidrel. Had 11 follicles which turned out to ...
A: This cycle showed that your ovaries could be stimulated, however, one of the problems seen with ...
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| male infertility | 4/10/2009 |
Q: My husband has had 3 semen analysis done all of which so an extremely low sperm count ( < 15,000 ). ...
A: I think that three tests are adequate to prove the point and no further testing is required. He ...
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| confused | 4/10/2009 |
Q: My husband and I are wanting a baby I'm 23 but the thing is, is that I got off of birth control ...
A: If you just stopped the birth control pill, that would have started a period. Usually it started ...
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| problem in semen analysis | 4/10/2009 |
Q: hello doctor i am tarek 30 years i had problem in my semen analysis i do casa month ago and the ...
A: IUI is a good treatment choice for you. Based on your count and motility, you have plenty of sperm, ...
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| ivf protocol | 4/10/2009 |
Q: I am 42 y/o. My FSH is 6, estradiol is 24. I just had one failed ivf cycle. 6 eggs were ...
A: I am originally from Mission Viejo, but lived in Anaheim for 2 years. I attended Western High ...
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| pregnancy | 4/9/2009 |
Q: can you get pregnant if you have unprotected sex while on your menstrual cycle?
A: No. Not if it is truly your period. However, you can get pregnant if it is mid-cycle break through ...
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| CD3 FHS/E Results | 4/8/2009 |
Q: My history: I am 36 years old and stopped taking BCP July 2008 (on BCP ~17 years). I have been ...
A: The FSH and E2 values that you gave are normal and good from a fertility point of view. It ...
|
| Endometriosis/Infertility help | 4/8/2009 |
Q: my name is Krystal and I am 20 (almost 21) years old. I was diagnosed with endometriosis in ...
A: Let me answer your questions one at a time, since there are so many of them. 1. Birth control ...
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| periods | 4/8/2009 |
Q: My periods are regular, but for at least the past year I have had spotting 2-3 days before my ...
A: What you are experiencing is normal. A woman's cycles can vary a little and change over her ...
|
| Pregnancy Query | 4/7/2009 |
Q: I am from Bangalore, India. I am 30 years old. My LMP was on feb 8th 2009. When checked for ...
A: On Mar 21, the fetus was barely 5-1/2 weeks pregnant. Sometimes, the heartbeat cannot be seen at ...
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| ***Trying to get pregnant*** | 4/3/2009 |
Q: me and my boyfriend have been trying to get pregnant for over two years. So far I been to the ...
A: Your doctor was not treating your infertility. She was only treating the ovarian cyst. You need to ...
|
| Men and ureaplasma | 4/3/2009 |
Q: My wife has ureaplasma and I seem to be the one to blame for it. Therefore, I have ureaplasma too. ...
A: Ureaplasma is not a sexually transmitted disease and, except for infertility, is of no consequence. ...
|
| Response to clomid vs. Femara | 4/2/2009 |
Q: I am seeing a fertility specialist and I have taken 3 round of clomid, 100mg. First cycle saw no ...
A: Here's the answers to your questions: 1. There is little difference in response to Femara or ...
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| estrogen | 4/2/2009 |
Q: I had a complete hysterectomy in August 2008.I had a large fibroid tumor. I have been on estrogen ...
A: First of all, write me back and tell me how old you are, and if your ovaries were removed as well. ...
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| can i | 4/2/2009 |
Q: Dr.Ramirez. I have been reading that women can get pregnant by taking GERITOL now is that true?? ...
A: I'm sorry but without an examination, I cannot determine where the bleeding would be coming from. ...
|
| hcg injection | 4/2/2009 |
Q: I have a beautiful boy who is nearly 2 - conceived first month with no issues except gestational ...
A: If you are going to use progesterone, then you don't need the HCG. Low progesterone can certainly ...
|
| Response to clomid vs. Femara | 4/1/2009 |
Q: I am seeing a fertility specialist and I have taken 3 round of clomid, 100mg. First cycle saw no ...
A: Femara is similar to Clomid in most respects, although it has less effect on the endometrial ...
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| primary infertility | 4/1/2009 |
Q: sir, we have been married since two years my age is 30 and my wife is 26 yrs old. we have been ...
A: I would recommend that you see a fertility specialist. The tests that your wife has had are NOT ...
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| Early pregnancy questions | 4/1/2009 |
Q: Ramirez, I am currently 4w5d pregnant after my first IUI. As I am not yet under the care of an OB, ...
A: I see absolutely no reason why you can't drink this in pregnancy. Sincerely, Edward J. Ramirez, ...
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| can i | 4/1/2009 |
Q: Dr.Ramirez. I have been reading that women can get pregnant by taking GERITOL now is that true?? ...
A: I'm afraid that you haven't given me enough information to give you any answers or advice. There ...
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| Follicle Growth 32mm | 3/31/2009 |
Q: Edward Joseph Ramirez, I am 30 year old and had regular periods and ovulation but last month my ...
A: It sounds like you may or may not of responded to the ovulation medication, because if you have ...
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| chemical pregnancy after 3rd cycle of IUI | 3/31/2009 |
Q: i am 26 years old.my husband and i have been trying to concieve since the last 1 and a half years.i ...
A: I am sorry to hear about your loss, but keep in mind that the miscarriage rate among all pregnancies ...
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| hcg injection | 3/31/2009 |
Q: I have a beautiful boy who is nearly 2 - conceived first month with no issues except gestational ...
A: I am not sure what your doctor's strategy is in this case. In general, HCG is the "trigger" shot to ...
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| beta levels | 3/27/2009 |
Q: Ramirez, I am 4w1d pregnant today after IUI earlier this month. My beta level on Tues was 92. Thurs ...
A: Unfortunately, your Beta's are not rising as they should. We expect BHCG's to double every other ...
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| Timing of the Novarel Shot | 3/27/2009 |
Q: My husband and I are trying to get pregnant. We are both 40 and were succesful in getting pregnant ...
A: Novarel (HCG) is given to trigger ovulation. It is usually given BEFORE the IUI once the follicles ...
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| what shall I do? | 3/27/2009 |
Q: I am 33 years old. I have regular period cycyle. Since Sep 2008 I started IUI. So far I have done 2 ...
A: Of course you can do what you and/or your husband want. There are no absolutes. I was only citing ...
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| LOOKING FOR A MIRICLE | 3/27/2009 |
Q: THEY NEVER LOWERED AND HIS PARENTS DID NOT HAVE MONEY TO GET THEM LOWERED ( HE WAS BORN IN THE ...
A: This is what I would recommend: Your husband should have a semen analysis again. If there is no ...
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| Luteal Phase Problems | 3/26/2009 |
Q: I have a wierd problem. Here is the history: KEY: CD: Cycle day, BBT: Basal Body Temp, OPK: ...
A: That is quite a l-o-n-g question but thanks for the detailed information. First of all, taking ...
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| conceiving problem | 3/26/2009 |
Q: I am 33 now .For the first time i conceived was in 2007,but since than till now i am not able to ...
A: Unfortunately, I cannot give you any specific help via the internet without specific information. ...
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| HMG 600 | 3/26/2009 |
Q: "I am 27 years old lady from India. In February, 2008 I got married. I am having hormonal treatment ...
A: With the disorder you have, your ovaries are not being stimulated by the hormones FSH and LH. That ...
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| CD25 Progesterone Level | 3/26/2009 |
Q: Ramirez, I am 40 yrs old. Just had CD25 Prog drawn and its 4.2. Dr says I did not ovulate this ...
A: The only worrisome part of your story is the 13.4 cycle day # 4 FSH level. That is a little ...
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| failed ivf icsi | 3/26/2009 |
Q: Ramirez, I am writing from NYC. My boyfriend is 41 and I am 36. We just finished an unsuccessful ...
A: I am sorry to hear that you developed hyperstimulation syndrome. That is not good. I think your ...
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| Failed IVF | 3/25/2009 |
Q: I had just done my first IVF and has failed probably due to poor egg quality. I am only 29 yrs old ...
A: I too have been surprised by poor outcome in a young patient. It is not something that is ...
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| ivf/low ovarian reserve | 3/25/2009 |
Q: I had placenta accreta with my son's delivery in 2007 and lost quite a bit of blood. I did keep my ...
A: I think that if you want a genetic child, you should definitely keep trying on your own, and don't ...
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| duoluton L Tablet | 3/25/2009 |
Q: Edward, its always nice to write to you, because you are the first doctor i have seen who make me ...
A: Duoluton L is a birth control pill. I am not sure why your doctor has ordered it other than to make ...
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| Vitamins During Pregnancy | 3/25/2009 |
Q: Ramirez, I am concerned about the amounts and types of vitamins I should be taking during (early) ...
A: I am not aware of any resource that would list the absolute requirements for vitamins, other than ...
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| what shall I do? | 3/24/2009 |
Q: I am 33 years old. I have regular period cycyle. Since Sep 2008 I started IUI. So far I have done 2 ...
A: Studies have shown that once you do four IUI cycles, with evidence of ovulation in each, then ...
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| CD25 Progesterone Level | 3/24/2009 |
Q: Ramirez, I am 40 yrs old. Just had CD25 Prog drawn and its 4.2. Dr says I did not ovulate this ...
A: A low CD#21 progesterone is an indirect indicator of a lack of ovulation (progesterone should be ...
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| Pains In Stoumch | 3/20/2009 |
Q: Ok Hi. . . Umm. . well I had a baby almost 10 months ago. . and I had a IUD inserted. . then after ...
A: Yours is one of the shortest questions that I have received. Unfortunately I cannot offer a ...
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| ivf/low ovarian reserve | 3/20/2009 |
Q: I had placenta accreta with my son's delivery in 2007 and lost quite a bit of blood. I did keep my ...
A: I am sorry to hear about your experiences. It sounds like you have very low ovarian reserve as ...
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| semen viscosity | 3/20/2009 |
Q: How to reduce semen viscosity. I need to know as to how to reduce the semen viscosity as my semen ...
A: You can try using the cough medicine Robitussin that has an ingredient called "Guafenesin". Get the ...
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| Natural Progesterone & Luteal Phase Defect | 3/19/2009 |
Q: Ramirez, I have been charting my cycle for several months and have a short luteal phase (9 days). ...
A: Since you are using supplemental progesterone, it is possible that you won't have a spontaneous ...
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| Progesterone Levels in early pregnancy | 3/19/2009 |
Q: I can't seem to get my OB or nurse to ever call me back with explainations regarding my progesterone ...
A: You need to find a better clinic if they are not getting back to you in a timely fashion. Yes, your ...
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| severe spotting | 3/19/2009 |
Q: Ramirez, I have had spotting during my LP since ending birth control in October '07 (occasionally ...
A: The spotting problem you have has nothing to do with the testing that you had. The testing was for ...
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| Been refered.. GYN said he can't do anything for us... | 3/19/2009 |
Q: . I am 25 years old, i am 66 pounds overweight due to full term stillbirth in 2007.. Since then i ...
A: As long as you are responding to the medication, then the hemorrhage did not affect your hormones. ...
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| iui | 3/19/2009 |
Q: I am 43 and did not try for a baby before. Now I am desparate for one. I tried artificial ...
A: If the medication is causing you side effects then let your doctor know so that he can change to a ...
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| question about treatment for recurrent pregnancy loss | 3/18/2009 |
Q: In November of 2007 I lost a pregnancy at 22 weeks. In November of 2008 I lost another one at 12 ...
A: In addition to the findings you mentioned, I presume that you have been tested for anti-phospholipid ...
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| Burning | 3/18/2009 |
Q: I am Martha, 27, married since 1 year. I am writing this mail because my family doctor is out of ...
A: I don't think that either medications is causing the vaginal burning. It is possible that you may ...
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| blood around follicles? | 3/17/2009 |
Q: I am on day nine of menopur 150, and was scanned today. I have minimal growth on the right (2 ...
A: I am not sure what she means by this. Maybe you should ask your doctor and he can review the ...
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| FSH | 3/17/2009 |
Q: Dr. Ramirez, I have been seeing a infertility specialist for 7 months. My FSH level has ranged from ...
A: One thing you don't mention is your age. Regardless, we expect a baseline FSH level to be lower ...
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| on clomid and no peroid yet | 3/17/2009 |
Q: I have taken clomid for the 1st time. I am usually like clockwork 26 - 27 days. However I am now ...
A: There are a couple possiblities. One is that you are pregnant but your home pregnancy test is not ...
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| Egg Donation | 3/16/2009 |
Q: I want to donate my eggs however, i have irregular periods. Will that affect me trying to donate my ...
A: No that will not affect your ability to donate eggs. Your age and medical health are the two ...
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| pco | 3/16/2009 |
Q: 24yrs,5.3 height,64 weight.having PCOS from last july.previously i used to get periods once for ...
A: I am sorry for not being clear enough. "OCP" stands for oral contraceptive pills which is the same ...
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| Am I Infertile? | 3/16/2009 |
Q: Ramirez! I am a 33 year old that has had fairly irregular , heavy clotting periods in the past. My ...
A: I think the best advice that I could give you would be to see a fertility specialist. It may be ...
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| FSH and LH problem | 3/13/2009 |
Q: Ramirez, I am 30 year old and recently started trying to conceive. My periods have always been ...
A: If your ovary is functioning, then you should continue to try to get pregnant. Don't give up. You ...
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| pco | 3/13/2009 |
Q: 24yrs,5.3 height,64 weight.having PCOS from last july.previously i used to get periods once for ...
A: No. The pills your doctor is giving you is birth control pills to make you regular. It does ...
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| FSH and LH problem | 3/12/2009 |
Q: Ramirez, I am 30 year old and recently started trying to conceive. My periods have always been ...
A: I'm afraid to say that based on your description, your doctor does not know what she is doing. ...
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| My gf | 3/12/2009 |
Q: I fingered my gf and she saying that her period is a week late could that have anything to do with ...
A: I can't answer that question without doing an evaluation and testing. Sorry, Edward J. Ramirez, ...
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| HCG shot and Clomid | 3/11/2009 |
Q: I have been taking clomid for a few months. Recently I went to the doctor and he found I had 3 ...
A: Your chances of pregnancy would be increased with Clomid if you ovulate more than one egg. That is ...
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| issues | 3/11/2009 |
Q: I'm 21 and have been with my husband for 3 years. We've never practiced safe sex to avoid pregnancy ...
A: You need to have a blood pregnancy test done. That will then tell you if you are pregnant or not. ...
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| infertility | 3/11/2009 |
Q: i am 36 yrs old. My husband and i have been trying to conceive again since a year ago last november ...
A: You are correct. Your age is a significant factor, and should be handled in a more aggressive ...
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| My gf | 3/11/2009 |
Q: I fingered my gf and she saying that her period is a week late could that have anything to do with ...
A: Your sexual encounter has nothing to do with her period being late. Her periods are completely ...
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| Luteal Phase issues | 3/10/2009 |
Q: Ramirez, I have been trying to become pregnant since Dec. 2007. My first pregnancy occurred after 5 ...
A: Based on the bleeding pattern, it is possible that you have a luteal phase defect. This is defined ...
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| Attempting to have a baby for a year now | 3/10/2009 |
Q: My Wife & I have been trying to get pregnant for a year now. I am 33 & she is 28. The initial ...
A: 1. No your wife does not need any evaluation for miscarriage as this was only her first. The ...
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| My HCG levels are dropping | 3/10/2009 |
Q: I found out I was pregnant a few weeks ago. I am a plus size women and when I went for my ultrasound ...
A: Unfortunately, if you BHCG's are dropping then that means that the pregnancy is at an end. The ...
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| just asking! | 3/10/2009 |
Q: Good day sir! I'm from Philippines. I just want to know what the causes why women become infertile ...
A: There are many reasons that a woman would have an infertility problem. She goes through 9 steps to ...
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| 3rd IUI | 3/9/2009 |
Q: I already had 2 IUI with extreme cramping for both. Third IUI no cramping at all just had some mucus ...
A: Your chances depend on your age and many other factors, so I can't give you an exact number. ...
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| Conceiving with PGD | 3/9/2009 |
Q: I am a 30yo female and my spouse is 34. My husband has been found to have a balanced translocation ...
A: Pregnancy rates in your age group are significantly elevated (63% in our clinic). So, chances are ...
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| pcos | 3/9/2009 |
Q: I am writing from Thibodaux, LA. I was diagnosed with Polycystic Ovarian Syndrome when I was trying ...
A: Recent studies have shown an increase in spontaneous ovulation in PCOD patients that get their ...
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| holding Ovidrel until next cycle. | 3/6/2009 |
Q: I'm faced with the possibility of four eggs being fertilized. I have 24 hours to decide if I should ...
A: I don't quite have enough information to give you a specific answer, but let me try to help with ...
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| Harmones Problem | 3/6/2009 |
Q: I am 27 years old lady from India. In February, 2008 I got married. I am having hormonal treatment ...
A: I think your original plan was okay, you just needed higher dosages of the HMG. Estradiol is the ...
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| Post Vasectomy Semen Check | 3/6/2009 |
Q: I am a 39 year old male that recently had a post vasectomy semen check preformed to verify a 7 year ...
A: The results are very accurate. If there are no sperm present on the semen analysis, then the ...
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| infertility | 3/6/2009 |
Q: iam having pcos now iam taking treatment my doctor prescribed letrizole,ovifol 75 mg,ovutreg last ...
A: It can take 8-12 months to become pregnant, once you are ovulating. With Clomid, that often will be ...
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| promblems trying to concieve | 3/5/2009 |
Q: im 25,i have been of the injection now for 15 months my periods only came back to normal 3 months ...
A: It take the average person 8-12 months to become pregnant, so don't worry. You just need to keep ...
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| three miscarriages | 3/5/2009 |
Q: I've had three miscarriages in the last 6 months, and have no children. Each miscarriage is at ...
A: Since you are still young, it is unlikely that the recurrent miscarriages are due to age related ...
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| plz help | 3/5/2009 |
Q: i m having prolactin level of 29 after 8 month of abortion. transparent discharge from nipples on ...
A: The bleeding you are having is probably dysfunctional bleeding, because a 9 mm follicle is not a ...
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| Late period, negative urine and serum HCG | 3/5/2009 |
Q: My husband and I (39 y.o.) are trying to get pregnant. Due to male infertility that has been ...
A: If the serum pregnancy test was negative, then it is unlikely that you are pregnant. However, ...
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| fertility after tubal reversal | 3/4/2009 |
Q: I am 39 and had tubal reversal 18 months ago. I became pregnant and miscarried 1 month after ...
A: I think that it is great that you got pregnant after the surgery, but your experience is exactly the ...
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| ICSI | 3/4/2009 |
Q: We have been trying to conceive no 2 for over a year (no problems conceiving first child and had ...
A: Yes. You have two major problems reducing your chances of natural pregnancy. First, you are 38 ...
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| three miscarriages | 3/4/2009 |
Q: I've had three miscarriages in the last 6 months, and have no children. Each miscarriage is at ...
A: The most common cause of miscarriages is due to spntaneous genetic abnormality. That means that ...
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| conception after laparo for endo | 3/4/2009 |
Q: Follow up -------------- Thanks doctor for ur response. I have one more question to your response. ...
A: If you do an ovulation induction cycle again, I would recommend that you have intercourse for 4 ...
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| Mailing Sperm | 3/3/2009 |
Q: My boyfriend and i were having a dumb conversation and somehow got on the subject of sending sperm ...
A: The answer to your question is "No". Sperm die after a period of time. The way that sperm is ...
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| past pregnancy | 3/3/2009 |
Q: Would a gynocologist be able to tell if I carried a baby to full term five years ago?
A: I am not sure what you are asking. "Full term" is dependent on the baby's gestational age at the ...
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| Effects of PCOD | 2/27/2009 |
Q: i am 25yr old married lady, have been suffering from irregular & liter (bleeding) periods right from ...
A: PCOD is probably the cause of your irregular periods. The longer you go without a period, the more ...
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| Geritol???? | 2/27/2009 |
Q: Dr.Ramirez. I have been reading that women can get pregnant by taking GERITOL now is that true??
A: That is not true. Geritol is just a multivitamin. You can't believe everthing that you read or ...
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| Days past ovulation and HCG levels | 2/26/2009 |
Q: Just wondering what the typical HCG level would be at about 13-14 days post ovulation. I know that ...
A: I afraid I don't have that information handy. I would have to look it up as well, and just quickly ...
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| Pcos | 2/26/2009 |
Q: About a yr ago I was dx with pcos. I've always had irregular periods so they put me on birth ...
A: I would recommend you see a fertility specialist who can start you on medications to stimulate ...
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| IVF Failed - Could Progesterone Shot Make a Difference | 2/25/2009 |
Q: My 1st IVF attempt failed. I developed 7 good embryos & my uterus seemed good as well. The Dr. ...
A: Patients will bleed even if they are on progesterone, although, sometimes it may delay things. That ...
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| Estrogen | 2/25/2009 |
Q: Last October, I have been experiencing irregular periods. When I had my period, it was very heavy ...
A: With the findings from the D&C, it showed that your lining was overgrown. The risk is that ...
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| How can it be so hard to get pregnant at such a young age? | 2/24/2009 |
Q: Here is my story. I am 23 years old (from FLORIDA, USA), and my husband is 34 years old. In early ...
A: Your husband's semen analysis is not good. We would consider it to be severely abnormal. He has ...
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| Provera and clomid | 2/24/2009 |
Q: Do I quit taking the provera if I start a period before the full round of meds or do I continue ...
A: I presume the Provera was given to start your period so if your period starts before you finish the ...
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| not ovulating | 2/21/2009 |
Q: I had to take one course of Provera to get a period after not having one for months after stopping ...
A: Provera does not necessarily get your cycles back on track. It only induces the period. You would ...
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| Suspect a Luteal phase defect | 2/21/2009 |
Q: Is a 9 day luteal phase too short for me to get pregnant? Do you believe that LH predictor kits are ...
A: If your LH predictor kit is correct, and they are pretty accurate although not infallable, then your ...
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| Follicle size and IUI | 2/21/2009 |
Q: You have answered a few questions for me and your information is always great so thank you very ...
A: You don't need to worry. You will not ovulate yet. Follicles normal have to get to 24 mms before ...
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| late period, negative hpt and blood | 2/20/2009 |
Q: I am over 3 weeks late for my period. I have taken 2 HPT;s and had a blood test, all were negative. ...
A: It is highly unlikely that you are pregnant if you had a serum pregnancy test that was negative. ...
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| conception after laparo for endometrioma | 2/20/2009 |
Q: I am 27 year old married women . I have been married for 1.3 years. In November 2008 i had a ...
A: You have not given yourself enough time after the laparoscopy to see if that treatment worked. ...
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| Ovulation question | 2/19/2009 |
Q: I am 25 years old and my husband is 29 years old and we are trying to get pregnant I got off birth ...
A: You seem to be more educated about this subject than your primary care doc. Ask him to refer you to ...
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| IUI | 2/19/2009 |
Q: I am 30 and have secondary infertility (trying for 19 months). My husband and I have had all ...
A: Based on your age, you probably are proceeding to IUI a little sooner than you have to. But, that ...
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| How can it be so hard to get pregnant at such a young age? | 2/19/2009 |
Q: Here is my story. I am 23 years old (from FLORIDA, USA), and my husband is 34 years old. In early ...
A: It is always nice to have an optimistic OB/GYN, but that is not always best. First of all, your ...
|
| spinal analysis xrays | 2/19/2009 |
Q: I recently underwent X-rays to determine correct spinal alignment. I was not offered a lead apron ...
A: You would need very very high dosage to have any affect on your fertility, as in radation therapy ...
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| inhibin b | 2/18/2009 |
Q: I'm 32 years old and have been trying to get pregnant for 2 1/2 years. I've been pregnant twice. ...
A: I am not exactly sure why your second RE ordered this test. It is to see if there is a uterine ...
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| selling my eggs | 2/18/2009 |
Q: i am 25 years old and fairly well educated except for in the spelling department,I'm funny ...
A: I am sorry I cannot answer that question. I do not make up the policies for donor agencies. It ...
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| miscarriage, I think | 2/18/2009 |
Q: Wonder if you could help clear something up for me. The first day of my last period was 1/7/09. ...
A: First of all, at 5 weeks gestation, the sac would be very small and therefore not always visible. ...
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| need help | 2/18/2009 |
Q: s the case she has to do a home pregnancy test or doesn;t affect .they call these medecines down ...
A: I think you need to contact you doctor. The Buserelin should not delay your menses. Sincerely, ...
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| Irregular periods | 2/17/2009 |
Q: Basically since September 2008 my periods have suddenly become irregular, from September through to ...
A: Bajwa, You need to go see a specialist, not your GP. They generally don't know what to do with ...
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| D&C and pregnancy rate | 2/17/2009 |
Q: Ramirez, I had done one unsuccessful fresh IVF cycle, and I am going to do a FET with my remaining ...
A: If you don't want to use this clinic, you don't have to. Frozen embryos can be sent to another ...
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| HSG and fibroids with IVF | 2/17/2009 |
Q: I will be 39 years old in a few months and have begun seeing a specialist in infertility. I have ...
A: Certainly Surrogacy is an option for you, but myomectomy will not decrease your pregnancy chances ...
|
| cysts in spite of HCG trigger | 2/16/2009 |
Q: I took Femera cd 2-6, then on cd 14, I had 3 mature follicles 33,24,& 19 mm. I took HCG trigger shot ...
A: The cysts that you have are the residual from the ovulatory cysts. They are call "Corpus Luteum" ...
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| Should my husband have dna fragmentation checked in his sperm and chromsomal analysis? | 2/16/2009 |
Q: I am a 47 y.o. female, diagnosed with Diminished Reserve when I was 40. I became pregnant ...
A: The baseline FSH level is only an indication of whether the ovary will stimulate with the fertility ...
|
| HSG and fibroids with IVF | 2/16/2009 |
Q: I will be 39 years old in a few months and have begun seeing a specialist in infertility. I have ...
A: Based on the information that you gave me, you have three obstacles to getting pregnant: Age, Tubal ...
|
| Ovulation | 2/15/2009 |
Q: I am 46 female taking femara to estimulante ovulation. Prescripción for Premarin ran out but I ...
A: Premarin does not affect your ovulation. It is only estrogen replacement. Femara stimulates ...
|
| Should my husband have dna fragmentation checked in his sperm and chromsomal analysis? | 2/14/2009 |
Q: I am a 47 y.o. female, diagnosed with Diminished Reserve when I was 40. I became pregnant ...
A: I am sorry to hear of all your struggles, but it sounds like you are intelligent and understand all ...
|
| possible ovarian cyst rupture | 2/14/2009 |
Q: I used to have irregular periods and my doctor diagnosed PCO and gave me Diane 35, I used it for 6 ...
A: It is certainly possible that you ruptured some type of ovarian cyst, or there is something else ...
|
| D&C and pregnancy rate | 2/14/2009 |
Q: Ramirez, I had done one unsuccessful fresh IVF cycle, and I am going to do a FET with my remaining ...
A: I have never heard of D&C's increasing implantation rates with FET's. You should ask your doctor to ...
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| heavy implantation bleeding | 2/13/2009 |
Q: Ramirez: I would like to thank you for volunteering to answer questions in this forum. My ...
A: It is likely that the bleeding that you are having is an early period. It is not implantation ...
|
| getiing pregnant | 2/13/2009 |
Q: im so confused im trying to find out when my body is ready to be fertile so i can have a baby my ...
A: If you look back at some of the previous letters, I have explained this in detail. But in summary, ...
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| Corpus Luteum deficiency, trying to conceive | 2/13/2009 |
Q: Ramirez, First of all thanks so much for all your help you offer to help people. I have been trying ...
A: I'm glad to hear that your doctor checked you before starting the ovulation induction. So many docs ...
|
| pcod | 2/12/2009 |
Q: 4*3.3cm (L)ovary 3*3cm 4-6 follocles noted at perphery this is my doctors report my doctor put me ...
A: If you in fact have PCOD, then occassionally these patients do get pregnant naturally. However, it ...
|
| waiting for results on 3rd IUI | 2/12/2009 |
Q: i asked u a question before about the usefulness of IUI for me.just to remind u i am 26 yrs old,have ...
A: It is curious to me that your doctor recommended those things. The HCG injections could be ...
|
| Vaginal Bleeding | 2/12/2009 |
Q: Ramirez. I am writing from Florida. I am 33 yrs old and for the past 3 months I have had vaginal ...
A: There are several possible reasons, you could have tear in the vagina, you could have a lesions ...
|
| Helping a friend | 2/12/2009 |
Q: A friend of mine recently told me that he and his wife cannot conceive and cannot afford adoption at ...
A: If you are considering being a surrogate for them then that would be good. If you do not want to ...
|
| Progesterone supplement | 2/12/2009 |
Q: I am starting a daily progesterone supplement (50 mg troche) to combat estrogen dominance (I am in ...
A: I am not sure what you mean by "estrogen dominance", as estrogen is dominant in all menstruating ...
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| Corpus Luteum deficiency, trying to conceive | 2/11/2009 |
Q: Ramirez, First of all thanks so much for all your help you offer to help people. I have been trying ...
A: Based on the information you gave you, you indeed have a luteal phase defect and an ovarian ...
|
| preg test | 2/11/2009 |
Q: hey dr. rameriz u have helped me before thank u but i was wondering if u can help me once again . ...
A: PCO patients do get pregnant on their own from time to time but it is just more difficult. If the ...
|
| Ectopic & Cyst | 2/11/2009 |
Q: About 10years ago, l had an etopic pregnancy and had a surgery on that and now in 2009, the doctor ...
A: Both the ectopic and cyst can have an impact on your fertility. Since you have not achieved ...
|
| X-ray and fertility | 2/11/2009 |
Q: I was reading your answer to “do X-rays effect fertility”. I have recently seen on the ABC that they ...
A: I cannot answer if the dosage has been high or not without actually calculating the dosage. For ...
|
| Question regarding fertility .. | 2/10/2009 |
Q: I had my son exactly one week from today - Monday Feb. 2 .. I just had a question regarding how ...
A: In the U.S., it is not recommended to have intercourse until 6 weeks after delivery of a child ...
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| 3 cycles of IUI but no sucess | 2/10/2009 |
Q: i have written to you before and your advice was very helpful.i am 26years old and my husband and i ...
A: Generally, most women will be pregnant by 4 IUI attempts, if the IUI's are done well and timed well. ...
|
| X-ray and fertility | 2/10/2009 |
Q: I was reading your answer to “do X-rays effect fertility”. I have recently seen on the ABC that they ...
A: The worry about x-rays is that they are toxic (at high levels) to rapidly dividing cells. That is ...
|
| Progesterone | 2/10/2009 |
Q: I am 4 days post transfer of 2 embryos. My doctor instructed me to take my last progesterone shot ...
A: Every IVF center and doctor has its own protocols and ways of doing things. However, most IVF ...
|
| secondary infertility | 2/6/2009 |
Q: I am 28 years old.I have 3 children, Which were all conceived without any problems. My youngest ...
A: It sounds like your gynecologist has done as much as he/she can do. I would recommend that you now ...
|
| ovulation/ultrasound | 2/6/2009 |
Q: Yesterday I had a pelvic ultrasound. I saw what I thought were follicles on my right ovary. They ...
A: The decision on whether or not to call a cystic structure in the ovary a "follicle" versus a "corpus ...
|
| Gestational Surrogacy | 2/5/2009 |
Q: Ramirez I am writing from NY. I am 41 never been married but still have hope for that to happen ...
A: Here are the answers to your questions: 1. I can't answer this one because insurance companies ...
|
| edd donation | 2/5/2009 |
Q: ok so i am starting the lupron tonight? i wanted to know what i should expect from now till the egg ...
A: You should be asking this question to your doctor. They are taking care of you and responsible for ...
|
| 7 follicles chances of multiple pregnancies? | 2/5/2009 |
Q: i am 26 yrs yrs.and my husband and i have been trying to get pregnant since the last 1 and a half ...
A: Decapeptyl is a medication called a GnRh agonist. It is used to down-regulate the ovary. I guess ...
|
| who is my baby's father? | 2/4/2009 |
Q: If i had sex with my ex on Aug 11/08 then sex on Aug 16/08 and on Aug 18/08 with my new boyfriend ...
A: This is really not an appropriate question for this forum, but I'll answer anyways. If the ...
|
| trying to conceive with bacteria infection | 2/4/2009 |
Q: I'm 31 years-old male trying to conceive. I have neurogenic bladder problem with problem voiding ...
A: Your pseudomonas colonization is a problem, and can affect the sperm by killing them off. It won't ...
|
| IVF after Ablation and Tubaligation? | 2/4/2009 |
Q: I am currently 27 years of age with 4 children. However after my 4th child I had a tubaligation and ...
A: I guess I would need some clarification before I could give you an exact answer. When you say ...
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| need help | 2/4/2009 |
Q: s the case she has to do a home pregnancy test or doesn;t affect .they call these medecines down ...
A: You certainly have a dilemma because you should not be taking th medication if you could potentially ...
|
| what is going on???? | 2/4/2009 |
Q: but nothing has happend yet,my nurse whats me to loose a little bit of weight and then she might be ...
A: It is apparent to me that you have an ovarian dysfunction. The most common type is called PCOS ...
|
| need help | 2/3/2009 |
Q: s the case she has to do a home pregnancy test or doesn;t affect .they call these medecines down ...
A: You are correct. If you are on a natural cycle and the "long protocol" is used whereby you would ...
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| Success rate | 2/3/2009 |
Q: What is the success rate of IVF and ICSI, and which factors are making influence on this success ...
A: Success rates for IVF/ICSI are very dependent on several factors: the clinic performing the ...
|
| does rape cause infertility? | 2/3/2009 |
Q: when i was a little girl i was raped repeatedly by a guy. it started when i was a baby literally and ...
A: Yours is a very sad story. I hope that this guy was reported to the authorities. Rape can be a ...
|
| does HCG trigger for IUI interfere with OPKs | 2/3/2009 |
Q: Im 35 DH is 40. all our tests( blood work , HSG SA with strict morphology r normal). I tried 2 ...
A: All we can do at this point is hope for the best. Since we don't know exactly when ovulation ...
|
| Donating eggs while breastfeeding? | 2/2/2009 |
Q: My name is Holley and I have an 11 month old baby girl. I breastfeed and have been reading the ...
A: I do not recommend taking fertility drugs while breastfeeding as these medications can cross to the ...
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| does HCG trigger for IUI interfere with OPKs | 2/2/2009 |
Q: Im 35 DH is 40. all our tests( blood work , HSG SA with strict morphology r normal). I tried 2 ...
A: Yes, HCG injections will show the OPK to be positive as it is testing for the LH surge and HCG cross ...
|
| Ovidrel trigger/progesterone | 2/2/2009 |
Q: I menstruate regularly and ovulate on my own. I had a surprise pregnancy (we weren't timing/trying ...
A: I do think that starting the progesterone on the day of the IUI is a little premature. It is ...
|
| infertility | 2/2/2009 |
Q: i'm 28 yrs old and got a 5 year old son.My problem now was that I'm not getting pregnant despite the ...
A: I couldn't give you any more specific information without doing an evaluation on you. Based on the ...
|
| letting boys borrow my used panties | 2/1/2009 |
Q: i'm 17 years old and i'm a girl and i'm in grade 12. since about a month ago, i've been letting boys ...
A: Ordinarily, this is not a question that I would answer, since it doesn't concern infertility or ...
|
| help getting pregnant | 2/1/2009 |
Q: I would like to ask do i need to have my tubes untied to get pregnant or could i get a fertility ...
A: If your tubes are damaged or you have had a tubal ligation, which essentially does the same thing, ...
|
| clomid | 1/31/2009 |
Q: In Nov 07 I concieved fraternal twins on my last cycle of clomid 150mg. My husband and I are ...
A: The chances of twins with Clomid is 12% per cycle. Your twins are not a genetic predisposition, but ...
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| clomid, hcg trigger and 2 IUI's | 1/31/2009 |
Q: my wife and I have been ttc. She is 29, good health, maybe minor endometriosis with 2 months well ...
A: There are two schools of thought for IUI's. One is to do only 1 IUI each cycle at around 33 hours ...
|
| Late ovulation? | 1/31/2009 |
Q: I have never had regular periods. The only time was when I was on birth control pills. After a ...
A: I'm afraid I can't explain what is going on here. It is not any type of protocol that I have ever ...
|
| Taking gonal f late | 1/31/2009 |
Q: Hi i'm having fertility treatment at the moment I'm taking gonal f every evening I forgot to take it ...
A: No, but the problem with delaying for so long is that there will be a drop in the steady level of ...
|
| luteal phase defect and progesterone | 1/31/2009 |
Q: Ramirez, First, thank you for taking the time to answer questions on this site. It is nice to find ...
A: It sound like you are correct with the diagnosis of LPD because of a shortened second half of the ...
|
| LH & FSH ratio | 1/30/2009 |
Q: Doctor, I am 30 yr old, and trying to conceive. I did my fsh and lh test on Nov 2008 during mid ...
A: This forum is not appropriate for a course or lecture on the bodies hormonal patterns, so I'll just ...
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| Lower abdomen pain | 1/29/2009 |
Q: my first day of cycle was Jan.5,2009 and i have 34 days monthly cycle..last jan.23 i had positive ...
A: Since you have not had a period, there are several possibiliies including pregnancy, ectopic (tubal ...
|
| unexplained infertility ? | 1/29/2009 |
Q: my husband and i have been trying to conceive since may 2007. in august 2008 we had a sperm analysis ...
A: It is of concern because you don't know exactly what it is. The likelihood is that it is a benign ...
|
| LH & FSH ratio | 1/29/2009 |
Q: Doctor, I am 30 yr old, and trying to conceive. I did my fsh and lh test on Nov 2008 during mid ...
A: FSH and LH levels are generally drawn on cycle day # 2 and 3 (the second and third day after the ...
|
| infertility surgery & time-outs | 1/29/2009 |
Q: I recently was diagnosed with a fibroid and was advised to have it removed by my fertility doc. He ...
A: As far as I am concerned, if there are no hydrosalpinges, then a tubal ligation is not required. ...
|
| ultrasound measurements | 1/28/2009 |
Q: I have PCOS and have been trying to conceive for years. Finally, I have become PG, but I have some ...
A: Your meassurements are fine and right on the mark. There are no issues here. CRL is the best ...
|
| first cycle after fertility injection treatment | 1/28/2009 |
Q: My husband(29) and I(28)- perfectly health w/unexplained fertility have been trying to conceive for ...
A: Your cycle should return to normal, and you certainly could get pregnant after a fertility cycle as ...
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| IUI / AI | 1/27/2009 |
Q: Dr Ramirez, My partner and I are also in the Monterey area and would like to begin trying to get ...
A: Artificial insemination or IUI is basically the same as IVF except that the eggs are not extracted. ...
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| Inability to Conceive? | 1/26/2009 |
Q: My husband and I have been trying for a further baby since our daughter was born in 2007, but so far ...
A: Your daughter was conceived 27 months ago, at the age of 41-42. At that age, the chances of ...
|
| unexplained infertility ? | 1/26/2009 |
Q: my husband and i have been trying to conceive since may 2007. in august 2008 we had a sperm analysis ...
A: First of all, you don't have unexplained fertility. You have male factor infertility. Your ...
|
| ovulation-heavy bleeding and conception | 1/26/2009 |
Q: Ramirez, I recently had my IUD removed in November as my husband and I have decided to have our 4th ...
A: If you had fairly heavy bleeding vaginally, that is a sign of breakdown of the endometrial lining. ...
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| IUI and progesterone suppositories | 1/26/2009 |
Q: Ramirez, my question is that I have a LP of 8 days. I ovulate on day 23. I always spot beginning of ...
A: Progesterone vaginal suppositories can cause a little cervical friability and bleeding. It is very ...
|
| 3 miscarraiges | 1/23/2009 |
Q: I have had three miscarraiges 2 in one year all around 8-9 weeks, the heart stopped beating and the ...
A: Technically you have a disorder called "Habitual or Reurrent Abortion." You need to undergo an ...
|
| blood test | 1/23/2009 |
Q: hey dr ramirez i have a question . last week i took a hormone blood test everything was normal ...
A: An MRI is not needed or necessary or warranted with this low level of prolactin. In terms of PCO, ...
|
| what could it be | 1/23/2009 |
Q: i had gotten a period on the 25th of dec. which lasted 5 days i have a 30 to 31 cycle length, i had ...
A: Yes, those could be the signs of pregnancy but can be other things as well. The simple thing to do ...
|
| follicular cyst | 1/22/2009 |
Q: My previous cycle I had a follicular cyst that was 33x44mm so I went on birthcontrol pills for 21 ...
A: An "Antral follicle" is the follicle(s) that you have in the ovary all the time, that have the eggs ...
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| D&C | 1/22/2009 |
Q: just wanna know if it's possible to get pregnant again after 4 times D&C? I am 30 years old and ...
A: Yes it is possible to get pregnant after 4 D&C's if no damage was done to the uterus. The risk with ...
|
| fertility | 1/22/2009 |
Q: i have been married for 7 months initialy for 5 months we stayed togather than after 3 months i ...
A: If I understood your letter correctly, you have been trying for pregnancy for 7 months total since ...
|
| blood test | 1/22/2009 |
Q: hey dr ramirez i have a question . last week i took a hormone blood test everything was normal ...
A: Hey Stella, A prolactin level of 34.3 is elevated. The normal is up to 20. However, prolactin is ...
|
| Have i covered my bases? | 1/21/2009 |
Q: I delivered my first baby girl on July 2006. I've been trying to conceive for the last 3months (Oct, ...
A: Try the following schedule: cycle day#1 - period starts. Begin counting from here cycle day#9 - ...
|
| follicular cyst | 1/21/2009 |
Q: My previous cycle I had a follicular cyst that was 33x44mm so I went on birthcontrol pills for 21 ...
A: 1. Yes, an ovarian cyst can enlarged from an fertility medication. That is why we cannot proceed ...
|
| Surrogacy after menopause | 1/21/2009 |
Q: Our son and daughter in law are considering using a surrogate mother to help in their quest in ...
A: As long as your uterus and health are healthy, age is of no consequence for surrogacy. You could ...
|
| Moderate Bleeding Through LP | 1/20/2009 |
Q: Ramirez, I am 30 years old and have been trying to conceive for 8 cycles. Here's my story. Until ...
A: I think it would be a good idea to see a fertility specialist. We are reproductive endocrinologist, ...
|
| Abnormal Period | 1/20/2009 |
Q: Usually my periods last for around 5 days. I started 3 days ago and all of a sudden last night I ...
A: You don't need to worry. This could be a normal variant. Women's periods can vary from cycle to ...
|
| trompa tapada y otra medio obstruida | 1/20/2009 |
Q: hola!!tengo una trompa completamente tapada y la otra medio obstruida,es necesario que me opere para ...
A: Hola Sra Regina, Porque usted solamente tiene una trompa, y esta trompa es anormal, yo no recomendo ...
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| can u help? | 1/19/2009 |
Q: my lmp started on the 24th dec, trying to conceive for nearly 3 years found out 2 weeks ago I'm ...
A: The BHCG hormone levels would be too low for anything to be seen on ultrasound, but also, they are ...
|
| Health | 1/19/2009 |
Q: i am from Atlanta, Ga. I want to know why has my vanigal been dry for almost a year and what i can ...
A: I caanot answer that question without doing an examintion. I would recommend that you see your ...
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| miscarriage | 1/19/2009 |
Q: LMP was 11/17. HPT negative 12/12. HPT positive 12/27. U/S 1/12 showed gestational sack only. HCG ...
A: Based on the information that you gave me, and based on the LMP of 11/17, the first HPT on 12/12 ...
|
| Infertility & Confused | 1/18/2009 |
Q: Some one has blessed me to be able to find this site. I am beyond scared. I am not sure of what just ...
A: If you see a specialist as I suggested previously,that doctor will start your period for using using ...
|
| pregnancy | 1/17/2009 |
Q: ok me and my boyfriend split up on june 5 and got back together on june10. on june 7 i had sex wit ...
A: Based on the due date of April 12, conception would have occurred around July 19th. It is not ...
|
| Infertility & Confused | 1/17/2009 |
Q: Some one has blessed me to be able to find this site. I am beyond scared. I am not sure of what just ...
A: Do not take the Clomid at this time. In reality, Clomid should be a monitored cycle. That is, you ...
|
| questions | 1/17/2009 |
Q: I have a couple questions I was hoping you might be able to help me with. I am 19 years old and I ...
A: You definitely have an ovarian dysfunction, and the most common disorder is called "polycystic ...
|
| Moderate Bleeding Through LP | 1/16/2009 |
Q: Ramirez, I am 30 years old and have been trying to conceive for 8 cycles. Here's my story. Until ...
A: You certainly have a perplexing problem. Many women experience mid-cycle ovulatory bleeding but it ...
|
| fetal size and miscarriage rates | 1/16/2009 |
Q: i had some infertility issues and i luckily have concieved my first child but i am 35 years old and ...
A: At this very early gestational age, size measurements are not accurate. The margin for error is ...
|
| abnormal period after clomid | 1/15/2009 |
Q: I have three questions (additional relevant information about my history is provided below the ...
A: 1. No. Clomid can sometimes cause the uterine lining to thin out. In this case, the blood ...
|
| PCOS/D with very long period.. | 1/15/2009 |
Q: so we can counter act the insulin resistance, obesity, infertility and hair growth issues, among ...
A: I think you should go visit your Ob/Gyn doctor because the treatment is not appropriate. In order ...
|
| having children later in life | 1/14/2009 |
Q: Is there anything a woman in her late 30s can do to increase her chances of getting pregnant? Also, ...
A: By late 30's I presume that you are asking about over the age of 35. By the way, that is still very ...
|
| can a girl not menstrating yet get pregnant? | 1/14/2009 |
Q: Can a young preteen woman of 11Y.O. not yet menstrating yet become pregnant?
A: Yes because if she has intercourse in her very first ovulatory cycle, which would be before she had ...
|
| infertility | 1/14/2009 |
Q: i'm 28 yrs old and got a 5 year old son.My problem now was that I'm not getting pregnant despite the ...
A: You have something going on that is preventing you from getting pregnant. It is possible that you ...
|
| ovulating yet? | 1/14/2009 |
Q: I had my son 3 1/2 years ago. I was on the Depo shot from 6 weeks after his birth until May of '08. ...
A: The mirena is a progesterone IUD and suppresses both ovarian function and uterine lining ...
|
| Brown bleeding post speculum examination | 1/13/2009 |
Q: Ramirez, I went to a local public clinic to get tested for thrush-yeast infection. When the nurse ...
A: If you are not bleeding heavily then I think you can wait it out and not see a doctor. It is ...
|
| No period after D&C for 3 Months | 1/13/2009 |
Q: I had a D&C for an incomplete abortion on October 21, 2008. I had taken the abortion pill and it ...
A: There are several possiblities causing you not to have a period after birth control pills. That is ...
|
| Follicle Not releasing eggs? | 1/13/2009 |
Q: Two years ago i had an operation to remove some endometriosis from my ovaries. Before this I was on ...
A: Your current ovarian function has nothing to do with the previous endometriosis or hormones that you ...
|
| so confused | 1/12/2009 |
Q: my husband and i have been TTC for over 2 years now.my cycle skips months and i have hot flashes i ...
A: I am shocked that you were able to get this medication without a prescription and/or doctor's order. ...
|
| HCG levels after IVF | 1/12/2009 |
Q: I had my day 3ET(3 embryos) on 12/22/08. On 12/31, I had brown spotting and was told to take Beta ...
A: BHCG levels should not decline. The fact that it did is a sign that the pregnancy is abnormal. It ...
|
| Fertility | 1/12/2009 |
Q: My blood test shows that i do not have fertility problems, but i still havent conceived a child. ...
A: I just wrote this list for another patient recently. The testing for infertility is more than blood ...
|
| infertility | 1/12/2009 |
Q: I have been married 17 years, we have had unprotected intercourse for that long, about 10 years ago ...
A: You have or had a disorder called "polycystic ovarian disease". This is an ovulatory dysfunction ...
|
| I have Endo and my tubes are distroid | 1/11/2009 |
Q: i have endo level 4, i did lupron depot shot for 9 month, i got my period back and this month its ...
A: It would be very difficult to be pregnant after two negative blood pregnancy tests. However, the ...
|
| Tubal, Ablations and Pregnancy | 1/11/2009 |
Q: A little over 2 years ago I had a tubal (he clamped down on 2 parts of the tubes on each side) and a ...
A: You can easily find out if you are pregnant by doing a pregnancy test. Otherwise, if your doctor ...
|
| pregnancy | 1/11/2009 |
Q: i have a 5yrs old daughter. before two years i was pregnant but ididnt wanted the child at that time ...
A: Yes. I DO NOT recommend the D&C or Laparoscopy at this time. I recommend that you go see a ...
|
| infertility surgery & time-outs | 1/11/2009 |
Q: I recently was diagnosed with a fibroid and was advised to have it removed by my fertility doc. He ...
A: In answer to your question, hospitals that are accredited by an organization called JCAHO have very ...
|
| Clomid vs. injectables | 1/11/2009 |
Q: I have just finished my third cycle of clomid and I am looking for some advice. On round 1 (50mg on ...
A: I don't think that you should necessarily rule out Clomid yet. Your first two rounds don't count. ...
|
| pcos/folicles to small | 1/10/2009 |
Q: I went to see a fertility doctor, i have tried metformin,provera,and clomid and actos, my insulin is ...
A: Your doctor is following the correct treatment pathways. He is right. The next step is to use ...
|
| what sould i aspect? | 1/10/2009 |
Q: my names Joanne and in 22 years old. I've been trying for a baby for four years and nothings ...
A: Indeed you need to undergo a basic infertility evaluation. This is not done in the hospital but can ...
|
| pregnancy | 1/10/2009 |
Q: i have a 5yrs old daughter. before two years i was pregnant but ididnt wanted the child at that time ...
A: Since it has been over one year, I would recommend that you seek out an infertility clinic. ...
|
| Re: Multiple failed ivf attempts | 1/10/2009 |
Q: I am 37.5 and my wife is 34. We have one child. In the last two and a half years we have tried three ...
A: It is highly unusual for a 34 year old woman with good stimulation, fertilization and embryo ...
|
| pregnancy | 1/9/2009 |
Q: i have a 5yrs old daughter. before two years i was pregnant but ididnt wanted the child at that time ...
A: You don't say how long you have been trying. If it has been more than a year since your last ...
|
| recurrent early miscarriage | 1/9/2009 |
Q: I am 34 years old, and have a 3 year old son. For the past year and a half, my husband and I have ...
A: I'm glad that they did chromosomal testing because that explains why the miscarriage occurred. The ...
|
| Have i covered my bases? | 1/9/2009 |
Q: I delivered my first baby girl on July 2006. I've been trying to conceive for the last 3months (Oct, ...
A: MOre than likely, even if you missed day#14 you will still be fine. There is no way to know exactly ...
|
| Progesterone after IUI | 1/9/2009 |
Q: I just had an IUI 5 days ago. I'm reading and hearing from a variety of sources that many women ...
A: The fact that you stimulated, does not guarantee that there will be adequate progesterone ...
|
| Ovarian Failure at 32? | 1/8/2009 |
Q: I have tried IVF twice – first time I was on standard protocol of Lupron and Follistum, I only ...
A: At your age, the outcome of your IVF cycles were certainly unusual. I have not seen that before, ...
|
| infertility | 1/8/2009 |
Q: I'm 30 years old and have been diagnosed with 21 hydroxylase deficiency which makes it hard to get ...
A: First of all, you need to get a period and your doctor should treat you with either provera or the ...
|
| blood and spermatozoids | 1/8/2009 |
Q: I've got three questions: - Is it correct that blood or hematoma (caused by traumatic injury) inside ...
A: The testicle has a high level of blood vessels at every level. Therefore, traumatic injury can ...
|
| Have i covered my bases? | 1/8/2009 |
Q: I delivered my first baby girl on July 2006. I've been trying to conceive for the last 3months (Oct, ...
A: One episode of intercourse is not enough to hit ovulation, unless you are very lucky. I would ...
|
| was i fertile?? | 1/7/2009 |
Q: ok so the first day of my last period was on dec. 12th i had took the morning after pill on dec 15th ...
A: Yes, it is possible although unlikely. The morning after pill works by making the uterine lining ...
|
| I have one kidney....I m concerned | 1/7/2009 |
Q: Hey Dr.Ramirez,I am 18 years of age and i was born with an enlarge kidney that was removed when i ...
A: I am not sure why your surgeon made the comment that he did regarding your fertility. I guess it ...
|
| I want to donate my eggs | 1/7/2009 |
Q: I am a 24 year old mother of one. My son was almost an adoption case (free of charge to the ...
A: Egg donors are utilized through an IVF center. You can search the internet and find the nearest IVF ...
|
| Endometrial Ovary,polyp, Hypothyroid, No periods | 1/6/2009 |
Q: I have a Uterus polyp, an endometrial Ovarian Cyst. Also, having some symptoms of PCOS and recently ...
A: You have several problems going on that prevent you from getting pregnant. They each need to be ...
|
| morphology | 12/30/2008 |
Q: my wife and i have been trying to have a baby for about a year now. we finally went to her ob/gyn ...
A: I think your decision to see an infertility specialist is the best way to go at this point. He will ...
|
| Clomid, MTHFR, Progesterone... | 12/30/2008 |
Q: Ramirez, I am 33 years old, writing from Monterey, CA. I had the opportunity to consult with you ...
A: I appologize for not being available to you during this holiday season. I'm afraid that I ...
|
| ovulation | 12/30/2008 |
Q: does a women always ovulate after a menstrual cycle. i been tryin to conceive for 2 months now and ...
A: If you have a period, then that is a sign that you ovulated. If you don't ovulate, then you won't ...
|
| getting pregnant | 12/24/2008 |
Q: Hope you had a nice vacation .my condition is, I’m 28 years old, before I got married a had an ...
A: Yes, taking Dostinex if you don't have elevated prolactin can decrease your prolactin level, which ...
|
| could i be pregnant | 12/23/2008 |
Q: edward I am 38 years & have had benign cysts in my both ovary’s & sizes left side 7cm and right side ...
A: I sure don't like the fact that you have these large cysts in your ovaries. If I understood you ...
|
| Conceiving after early miscarriage | 12/23/2008 |
Q: I have been trying to conceive for about 6 months. During my last cycle, I had an early ...
A: Fortunately, what that doctor told you is not based on any studies and not correct. With every ...
|
| getting pregnant | 12/23/2008 |
Q: Hope you had a nice vacation .my condition is, I’m 28 years old, before I got married a had an ...
A: I would not take the Dostinex without a repeat evaluation of your prolactin level. It was used ...
|
| Ovulation | 12/19/2008 |
Q: Ramirez, I am tracking my BBT daily and noticed a significant drop in temps yesterday and a ...
A: BBT can't tell you exactly when you ovulate. It only tells when the hormones are changing that go ...
|
| Links between PCOS and Hyperemesis Gravidarum | 12/19/2008 |
Q: When my husband and I decided it was time to start a family we started trying right away but as the ...
A: Hyperemesis gravidarum is a side effect of pregnancy, not of PCOS. Also, not all women get it and ...
|
| could i be pregnant | 12/19/2008 |
Q: edward I am 38 years & have had benign cysts in my both ovary’s & sizes left side 7cm and right side ...
A: Endometriotic cysts DO NOT come and go. These are called "Endometriomas" and is a form of tumor. ...
|
| possible pregnancy | 12/18/2008 |
Q: i am 28 years old, i did not get my period this month. my last periods were on august 7, september ...
A: 1. It is highly unlikely that you are pregnant given the multiple negative tests. 2. Not ovulating ...
|
| progesterone levels dropped | 12/17/2008 |
Q: I am 39 years old and am 7 weeks 5 days pregnant (naturally). My ultrasound a few days ago was ...
A: 100mg three times a day is the standard dosage and should be more than adequate. You should use it ...
|
| recurrent early miscarriage | 12/16/2008 |
Q: I am 34 years old, and have a 3 year old son. For the past year and a half, my husband and I have ...
A: I think that you are being treated appropriately, and the factor V may be the cause of your ...
|
| progesterone levels dropped | 12/15/2008 |
Q: I am 39 years old and am 7 weeks 5 days pregnant (naturally). My ultrasound a few days ago was ...
A: Your questions are certainly valid, but there are no clear answers. I cannot be sure that there is ...
|
| polycystic ovaries, multiple small sized cyst | 12/15/2008 |
Q: Through “all experts web” I have come to know that you are an expert and reply properly. So I hope ...
A: The history and description that you provided certainly indicates that your wife has an ovarian ...
|
| ovulation changes | 12/11/2008 |
Q: I am 46, in excellent health, had one child at 40. My periods have been very erratic for the last ...
A: It is most likely that you are in the peri-menopausal period. This is the period of time before you ...
|
| Ovulation | 12/11/2008 |
Q: Ramirez, I am hoping to get pregnant soon, but I have been having some difficulties with an ...
A: It is possible that you are ovulating because your cycles are somewhat regular (every 40 days per ...
|
| High prolactin !!! | 12/11/2008 |
Q: I am 31 years old and I have tried to get pregnant since May,2008 .In the beginning I didn't know ...
A: A 24 day cycle is certainly short, and Clomid can be used in that case to lengthen the cycle. ...
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| myoma fibroid and high FSH levels | 12/11/2008 |
Q: my husband and i had been trying for a child for 4 years. we finally had tests done and found out ...
A: I'm sorry that I was not clear about your fSH. It is not being affected by your fibroid. They are ...
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| Early menopause? | 12/10/2008 |
Q: My wife just turned 42. She has been trying to get pregnant for the past few years. She has ...
A: Unfortunately, the FSH level is elevated only if the ovary does not pick it up from the blood. This ...
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| myoma fibroid and high FSH levels | 12/10/2008 |
Q: my husband and i had been trying for a child for 4 years. we finally had tests done and found out ...
A: Your doctors seem to be leading you in a very long direction. There are several discrepancies that ...
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| Follicle size - too big / too small? | 12/10/2008 |
Q: I went for an ultrasound on my 13th day. I was being told that i have one follicle at the size of ...
A: 16 mm is the early pre-ovulatory sized follicles. It is too small to ovulate yet. It will take 2-3 ...
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| Ovarian cysts | 12/9/2008 |
Q: Im a 23 year old student. I recently had an emergency laprascopy (in october) because I had an inner ...
A: If the ovary was already ruptured, then the doctor could not have known the actual size of the cyst ...
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| Ovarian cysts | 12/9/2008 |
Q: Im a 23 year old student. I recently had an emergency laprascopy (in october) because I had an inner ...
A: Boy, that was a quick reply. I disagree with your gynecologist. Tell her to put you on the pill ...
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| First cycle off of injectable fertility drugs | 12/9/2008 |
Q: Dr. Ramirez, My husband & I are in our mid to late 20s and have been trying to conceive our first ...
A: Thannk you for the additional information. I see why your doctor went to Menopur if the Clomid ...
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| Timing | 12/9/2008 |
Q: Ramirez, I asked a question a while back regarding any furthur diagnostic testing you would ...
A: If your cycles are always 28-30 days, then ovulation is occurring on cycle day #14-26. Menstruation ...
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| Please Help!!! | 12/9/2008 |
Q: Edward, I am 34yrs and My wifes is now 31yrs and We have been trying have a baby for last 3 years ...
A: This will have to be your final question. If you are planning a break, which is a good idea, I ...
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| Please Help!!! | 12/8/2008 |
Q: Edward, I am 34yrs and My wifes is now 31yrs and We have been trying have a baby for last 3 years ...
A: Well, you certainly have tried enough clinics and some have been very reputable. Your stimulation ...
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| Timing of ovulation after HCG trigger injection | 12/7/2008 |
Q: I had a HCG tigger injection on day 13 of my menstrual cycle after taking clomid (level 100). I was ...
A: Antiphospholipid antibody syndrome is diagnosed through the evaluation of 23 markers, not just two. ...
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| Ovulation | 12/7/2008 |
Q: I am currently undergoing fertility treatment and having irregular cycles. I have couple of ...
A: If you used fertility inducing medications, then yes, you can have a late ovulation despite the ...
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| Ovarian cysts | 12/6/2008 |
Q: Im a 23 year old student. I recently had an emergency laprascopy (in october) because I had an inner ...
A: All women have the potential to form ovarian cysts, because they form ovulatory cysts each month. ...
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| PAI 1 and repeated pregnancy loss | 12/6/2008 |
Q: I am Olivia writing from El Paso , TX. I am 28 years old and have been suffering from recurrent ...
A: Based on the information that you have given me, I would recommend low dose Heparin (2000 U ...
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| First cycle off of injectable fertility drugs | 12/6/2008 |
Q: Dr. Ramirez, My husband & I are in our mid to late 20s and have been trying to conceive our first ...
A: It is not normal to return to normal function after a ovulation induction cycle, but because you had ...
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| implantation/ultrasound dating | 12/6/2008 |
Q: I think I am about 13 weeks pregnant and trying to figure out a due date and have gotten a couple of ...
A: It has been shown by many studies and many years of evaluation that the most accurate dating is ...
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| Miscarriage - low progesterone | 12/5/2008 |
Q: I have just had a miscarriage at 2 weeks. I had IVF and when the clinic tested me (as I had started ...
A: I cannot give you an exact answer, but one possiblity is that the pessaries/suppositories were not ...
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| Miscarriage - low progesterone | 12/5/2008 |
Q: I have just had a miscarriage at 2 weeks. I had IVF and when the clinic tested me (as I had started ...
A: You had what we call a chemical pregnancy because it never progressed to the point of being ...
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| infertility | 12/5/2008 |
Q: I am 32 years old, of normal size and weight and all my hormone tests have come back normal. My ...
A: I'm afraid that I cannot answer your question why you are having difficulty getting pregnant with ...
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| AM I INFERTIL | 12/4/2008 |
Q: I AM SEXUALLY ACTIVE & IAHVE BEEN TRYING TO GET PREGNANT. BUT THERES A PROBLEM, I'VE HAD IRREGULAR ...
A: You are NOT infertile, but have an infertility problem that needs to be treated. Based on your ...
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| Low responder to standard IVF protocols | 12/3/2008 |
Q: I am 36 and I have been through 1 Ivf microdose lupron which did not reach egg collection, and one ...
A: Yes it is possible that you were over-suppressed with the birth control pills then the lupron. ...
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| Infertility | 12/3/2008 |
Q: Doctor, iam 25 years old and got married 2 yrs ago.i have PCOD and been trying to conceive since jan ...
A: First of all, you should not worry. You have been pregnant this year and that proves that you can ...
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| fertility/life of sperm | 12/3/2008 |
Q: my question is regarding fertility and ovulation. I am currently 4 months pregnant and very ...
A: If you only had sex with your husband on one day in August, then that is the day that you conceived. ...
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| Not conceiving | 12/3/2008 |
Q: my period cycle is of 21 days we are trying for last 3 monhs, still i have not conceived”
A: Depending on your age, 85% of couples will take 12 months to get pregnant, so don't worry at this ...
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| 2 Failed IVF's | 12/2/2008 |
Q: My question is do I need an egg doner, we have secondary infertility conceived our son with no ...
A: First of all, I would not recommend the varicocelectomy. It has been shown to not affect fertility ...
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| Infertility and absent periods | 12/2/2008 |
Q: I am 20 years old. Since I started getting my periods they have been irregular. I was on the pill ...
A: Despite the testing, it sounds like you have PCOS. This disorder is a clinical diagnosis more than ...
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| Prometrium & Miscarriage | 12/2/2008 |
Q: my husband and I have been TTC since Nov '06. In Feb '08, we got pregnant. I miscarried in March at ...
A: You are being treated appropriately with the Prometrium/Progesterone, which is to help with the ...
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| When Exactly Did i Ovulate? | 12/1/2008 |
Q: i'm a 34 yrs old female. I got my period on 11/30 when i woke up. Started lightly bleeding around ...
A: Where are you writing from? You have a lot of questions, many of which I cannot answer because ...
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| laparocopsy? | 12/1/2008 |
Q: I'm 41 years old, from the UK and only just started trying for a family. All tests are fine so far ...
A: I think that you have to take your age into consideration as the number 1 problem. Your chances for ...
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| progesterone cream | 11/29/2008 |
Q: I'm want to use progesterone cream to induce my period. Went off the pill 4 months ago and still no ...
A: As long as the progesterone cream you use has adequate dosage of progesterone, then the regimen as ...
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| IUI question | 11/29/2008 |
Q: I have just started on a new round of Clomiphene IUIs after 2 unsuccessful IUIs in a space of 2 ...
A: This would be considered number 3 if you did not get pregnant from the others. The maximum number ...
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| new to this | 11/29/2008 |
Q: Good evening sir, I am new to infertility forums ,so please excuse me if I sound confused. I have ...
A: Yes, it is still possible for you to become pregnant and IVF is your best and only option. I would ...
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| What causes ovulation to fail after HCG trigger? | 11/29/2008 |
Q: Dr Ramirez, I wrote to you once before and you kindly helped me. I am a 38 year old woman who has ...
A: You don't mention if your doctor actually checked to see if you had follicles that were ready to ...
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| Please Help!!! | 11/25/2008 |
Q: Edward, I am 34yrs and My wifes is now 31yrs and We have been trying have a baby for last 3 years ...
A: First of all, you wife is still plenty young and the biological clock is not yet an issue. It won't ...
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| With multiple immature follicles | 11/25/2008 |
Q: I really ask your opinion about my case. I am 25 year old and just married last July and i dont have ...
A: Where are you writing from? You don't mention if you have regular periods or not. If you have ...
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| Infertility/Balanced Translocation | 11/25/2008 |
Q: I am carrier of reciprocal balance translocation. I had several miscarriages in the past 3 years. ...
A: I'm sorry, I don't have enough information to answer this question. You would need to provide me ...
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| whats causing this | 11/24/2008 |
Q: Well a week ago i had sex for the first time in a year,9 months ago i gave birth after the ...
A: Ovulation is a possibility, as are many other possible explanations. Your description of symptoms ...
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| KY Inserts During 1st Trimester | 11/24/2008 |
Q: i was wondering if you know if theres any risk in using KY Jelly Vaginal Inserts during 1st month of ...
A: KY insert are fine as long as you are not too vigorous in putting them in i.e. you don't want to ...
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| Irregular periods and round 1 of clomid | 11/24/2008 |
Q: I am a 30 year old female and I have always had very irregular periods (since age 14). When I was a ...
A: I think that Clomid is the first level of treatment for you, but the dosage needs to be tailored to ...
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| Post Cancer treatment fertility | 11/22/2008 |
Q: I'm 39 years old (from NJ)and a 1.5 year survivor of Non-Hodgkins Lymphoma. Went through 6 cycles ...
A: Unfortunately, your FSH level shows that you are indeed in menopause. I am not sure that you will ...
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| trying to get pregnant | 11/22/2008 |
Q: I am trying to get pregnant for the last 3 months..I am 30 years old now..I Had a D/C/ Miscarriage 4 ...
A: From the information you have provided, I don't see any reason why you can't get pregnant again. If ...
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| Fertility (duh) | 11/22/2008 |
Q: How common is a pregnacy without any form of birth control? I realize fertility is subjective and ...
A: What you are asking for is the "fecundity" rate. You could probably search the internet for a ...
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| Follicular Stage | 11/21/2008 |
Q: I am writing from Malaysia. My wife, age 31, has been experiencing irregular cycles for the past 2 ...
A: It sounds like your wife has an ovulatory disorder, whereby ovulation does not occur. The most ...
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| Infertility | 11/21/2008 |
Q: I am a 23 year old female that is trying to conceive my second child. My husband and I tried for 2 ...
A: There are many possibilities, and certainly your husband could be one, but it is not related to his ...
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| CCC Test at 44 years old | 11/21/2008 |
Q: Ramirez, I'm 44 yrs. old and recently had a clomiphene citrate challenge test with two ultrasounds. ...
A: The purpose of the Clomid challenge test is to evaluate if the ovaries will respond well to ...
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| Getting Prangnant | 11/20/2008 |
Q: i was wondering if it is technically possible for woman's pelvic \ vagina muscles to be too lose to ...
A: Yes, the acidity or environment of the vagina can have an effect on your ability to become pregnant. ...
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| antibodies in sperm | 11/20/2008 |
Q: I've got some problems with infertility, it is about immunologic causes. Which factors can lead to ...
A: I presume you are referring to anti-sperm antibodies in you. This is where a woman forms antibodies ...
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| Infertility | 11/20/2008 |
Q: I am a 23 year old female that is trying to conceive my second child. My husband and I tried for 2 ...
A: At your previous age, two years to get pregnant was a long time. 85% of women in your age group ...
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| enlarged ovaries | 11/20/2008 |
Q: hey dr. i really hope u can help me. today was my 1st visit to the gyn and he told me that i have ...
A: The only option that you have to enhance your chances to get pregnant is to see a Physician. On ...
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| Getting Prangnant | 11/19/2008 |
Q: i was wondering if it is technically possible for woman's pelvic \ vagina muscles to be too lose to ...
A: You don't need to worry. The sperm that get into the cervix are usually there before you finish. ...
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| Ureaplasma | 11/19/2008 |
Q: I have done many tests to find out what could be causing infertility and frequent urination(~20 a ...
A: You are an exception. Usually ureaplasma is easy to treat and not a cause of symptoms. We usually ...
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| re | 11/18/2008 |
Q: I've been for a transvaginal examination today and she said that my womb was fine and heathy and my ...
A: You need to have an infertility evaluation done. There are 9 steps that your body goes through in ...
|
| Empty Follicle Syndrome | 11/18/2008 |
Q: I have recently performed a FIV cycle. I am 31 years old (secondary amenorrhea for 3 years / 54 Kg ...
A: Where are you writing from? I don't think that you had "empty follicle syndrome" because by ...
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| Ureaplasma | 11/17/2008 |
Q: I have done many tests to find out what could be causing infertility and frequent urination(~20 a ...
A: Do you have ureaplasma in the urine? That is a little unusual. I presume your urologist is looking ...
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| Unexplained Fertility Issues | 11/17/2008 |
Q: me and my partner have been ttc for 14months, but i have been off the pill for almost 3 years ...
A: There are a couple of things that need to be checked. In many cases, women that test normal with ...
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| Clomid & Blocked tube | 11/17/2008 |
Q: My name is Lisa, I have been trying to conceive for 1.5 years now with my second husband. I have a ...
A: Based on your description, you have two problems: tubal factor and male factor. Infertility, is ...
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| Fibroids and infertility | 11/17/2008 |
Q: I am 41 yrs. old and had never been pregnant after 8 years of marriage. I have a uterine fibroid ...
A: There is controversy regarding uterine fibroids. There have been some studies showing that fibroids ...
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| No period after D&C | 11/16/2008 |
Q: I am a healthy 28 y/o who has never had any reproductive issues. I gave birth to a healthy baby on ...
A: You are wise beyond your years, and maybe even smarter than your doctor. It sounds clearly like ...
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| secondary amenorrhea...?low esyrogen | 11/15/2008 |
Q: I'm writing from the UK & hoping i can finally get some answers! I had my last depo provera in Dec ...
A: You are correct in that if you do not get a withdrawal bleed after progesterone (Norethindrone), ...
|
| Hydrossalpinges / pregnant / miscarriage | 11/15/2008 |
Q: I am 34 years old and have one child (3 years old) and two miscarriages. First miscarriage (embryo ...
A: You present a very interesting scenario because women with hydrosalpinges usually cannot get ...
|
| infertility | 11/14/2008 |
Q: I just turned 35 in September. I have been told that I may be perimenopausal. I had my son in ...
A: It is a possibility that you are entering into menopause, but before drawing that conclusion, you ...
|
| High TSH And Enlarged Ovary | 11/14/2008 |
Q: SIr My wife has undergone Ultra sound and found her left ovary enlarged in size & replaced by a well ...
A: I would recommend that she have another ultrasound done within the first 7 days of her next period. ...
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| Fertomid 50mg and Ovidrel injection | 11/14/2008 |
Q: I started my period on the 13th of October and started drinking Fertomid 50mg on the 17th to the ...
A: I still recommend a blood pregnancy test. It can detect even the lowest levels. Sincerely, ...
|
| difficult iui | 11/13/2008 |
Q: During my first iui yesterday, the midwife had difficulty inserting the catheter through my cervix, ...
A: Unfortunately, if the nurses caused bleeding within the uterine cavity, that blood is toxic to the ...
|
| progesterone levels | 11/13/2008 |
Q: I am approximately 3-4 weeks pregnant. The start date of my last period was Oct. 13 and have pos. ...
A: Your numbers look fine. You don't need to worry about not having morning sickness. Every pregnancy ...
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| Fertomid 50mg and Ovidrel injection | 11/13/2008 |
Q: I started my period on the 13th of October and started drinking Fertomid 50mg on the 17th to the ...
A: You cannot rely on a urine pregnancy test because it cannot detect a pregnancy at low levels. I ...
|
| low tsh high fsh | 11/13/2008 |
Q: . in the beginning of July 08 i went to a reproductive specialist to see why i was not able to ...
A: Despite your young age, your elevated FSH level in July showed that you were menopausal, and that is ...
|
| 2 miscarriages / testing | 11/12/2008 |
Q: I live in Windsor, CO. I am 39 and have 3 healthy children. I'm recently remarried, my husband is ...
A: You doctor is being overly cautious and checking for the rarer causes of miscarriage. In medicine, ...
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| HCG levels | 11/11/2008 |
Q: Dr.Ramirez, I just had a pregnancy confirmed by a blood pregnancy test. They said my hcg level was ...
A: Sorry for the delay in answering your question. I have been away for a few days. That level is ...
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| pregnancy | 11/11/2008 |
Q: hey,I had been diagnosed with pcos and was put on parlodel and chlomid for three months. i received ...
A: Conception was around the 10th of October based on the ultrasound. There is not way to know the sex ...
|
| Additional tests needed? | 11/11/2008 |
Q: I am 30, my husband is 32. We have a 3 year old, which we conceived the first month of trying. We ...
A: Your concerns are definitely valid and quite logical. At this point, it sound like you have had ...
|
| birth control | 11/10/2008 |
Q: I am 24 and have been on the birth control pill yasmin for 3+ years. I want to stop after my next ...
A: First, if you are planning to continue to be sexually active, and don't want to get pregnant, I ...
|
| Pregnancy chances with cysts | 11/10/2008 |
Q: I'm writing from Dallas, TX. I'm wondering if it's possible to get pregnant when you have cysts. ...
A: There are many different kinds of cysts, some of which are hormonally active. If hormonally active ...
|
| 14 day cycle after IUD removal | 11/10/2008 |
Q: I have a few questions and I would be so grateful if you could help. I had my IUD removed on 10/23 ...
A: Sorry for the delay in responding. I have been away for a meeting for the past few days. What kind ...
|
| dont know if you can answer this? | 11/10/2008 |
Q: I don't know if you can answer this, because I'm not pregnant. But I saw Gynecology in your writing, ...
A: Sorry for the delay in my response. I have been away for the past four days at a meeting. I am ...
|
| Irregular periods? | 11/9/2008 |
Q: I have been searching the web to answer my question on irregular periods, but I cannot find what I ...
A: Sorry for the delay. I have been away at a meeting for the last four days. It is possible that you ...
|
| Irregular periods? | 11/9/2008 |
Q: I have been searching the web to answer my question on irregular periods, but I cannot find what I ...
A: If you are not sexually active, then you don't need to worry about all the diseases you could get ...
|
| Thyroid-Not able to conceive | 11/9/2008 |
Q: I am married for year and half now.Have been diagnonised with Thyroid.On medication now.My question ...
A: I am sorry but you have not given me enough information to answer your question. Getting pregnant ...
|
| Ovarian Cyst | 11/9/2008 |
Q: I randomly discovered I had a 6 cm cyst on my left ovary. It was discovered the day before I started ...
A: First of all, let me say that you need to see a Gynecologist to be sure that there are no major ...
|
| Irregular periods? | 11/8/2008 |
Q: I have been searching the web to answer my question on irregular periods, but I cannot find what I ...
A: I'm sorry but the internet is not sufficient to give a diagnosis. That requires testing. However, ...
|
| help | 11/8/2008 |
Q: i was wondering if you could help me. I'm 21 years old and have been in a relationship for 3 years ...
A: In your age group, 85% of women trying for pregnancy will be pregnant after one year. For that ...
|
| Low TSH, Normal T3 and T4, IVF? | 11/7/2008 |
Q: I'm just about to embark on an IVF treatment (2nd - first m/c). My thyroid check up came back with ...
A: It should not affect your pregnancy possibilities but can be a problem with pregnancy, among other ...
|
| low Progesterone levels during pregnancy | 11/6/2008 |
Q: Ramirez my name is Debbie and I live in Houston Texas. My husband and I found out we are 4 1/2 weeks ...
A: I can't give you a statistic other than to say that every pregnancy has up to a 40% miscarriage rate ...
|
| Stagnant weight and difficulty in conceiving | 11/6/2008 |
Q: I am 28yrs old from England. My husband and I have been trying to conceive for 18months now with no ...
A: If you have regular menstrual cycles, as you've described, then it is unlikely that you have PCOS. ...
|
| blood in semen | 11/6/2008 |
Q: I'm a kickboxer.. once, while I was in fight I got kicked into my testicles, thereafter I had a ...
A: Your testicles have blood flow and micro-vessels, just like all the other parts of your body. ...
|
| trouble concieving | 11/6/2008 |
Q: my fiance and i have been trying to conceive a child for about a year and a half with no success. we ...
A: In general, if a couple has been unable to get pregnant after one year of trying, we recommend doing ...
|
| Timing of ovulation after HCG trigger injection | 11/6/2008 |
Q: I had a HCG tigger injection on day 13 of my menstrual cycle after taking clomid (level 100). I was ...
A: Clomid is a short-acting medication and will clear from your system immediately. It will not affect ...
|
| Hormone imbalance | 11/5/2008 |
Q: I am a 29 year old woman who has suffered from bad hormone imbalances for years. I have been tested ...
A: It definitely sounds like you have PCOD. The problem with PCOD is that the ovary is dysfunctioning ...
|
| progesterone level after IUI | 11/5/2008 |
Q: Is it possible to have a succesful pregnancy with a progesterone level of 13.7 seven days after an ...
A: Yes, it is possible to have a successful pregnancy at that level. Not to worry. You must be using ...
|
| conception | 11/5/2008 |
Q: I was just wondering when I conceived My last menstrual was June 23 2008 I usually have a 33 day ...
A: I'm sorry, I can't give you a more specific date of when you conceived other than saying that it was ...
|
| Pregnancy with clomid challenge test results >.40 | 11/4/2008 |
Q: I have a two year old baby and my husband and have been trying to get pregnant with a second child. ...
A: The clomid challenge test is a measure of ovarian reserve, which tells you whether or not you will ...
|
| ovulation | 11/4/2008 |
Q: I'm a 40 year old and never been pregnant, we are trying for our first baby, 3 years ago we went to ...
A: You need to see an infertility specialist! I don't want to be too pessimistic or the bearer of bad ...
|
| clomid and trying to concieve | 11/4/2008 |
Q: i am 27 and me and my partner have been trying to conceive for over a year now. my periods are ...
A: First of all, find a new doctor that knows what they are doing. I cannot emphasize that enough. It ...
|
| Timing of ovulation after HCG trigger injection | 11/4/2008 |
Q: I had a HCG tigger injection on day 13 of my menstrual cycle after taking clomid (level 100). I was ...
A: Yes, it is possible that you ovulated early. In fact, we cannot predict when ovulation actually ...
|
| clomid and infertility | 11/3/2008 |
Q: okay to summarize... I was dianosed with pcos. i dont have cysts or diabetes. I just started going ...
A: In general, Clomid is started on either cycle day # 3-7 or 5-9 of your cycle, and that depends on ...
|
| Regular periods with PCOD and not able to concieve | 11/2/2008 |
Q: I was am a 26 years old with PCOD. Three years ago I had a Dermoid Tumor revoved with my left ovary. ...
A: There are variants of PCOD, and in some cases, the patient still can have regular periods. However, ...
|
| dropping hcg levels | 11/2/2008 |
Q: I am 5weeks pregnant and my beta hcg lvels have been normal as I was told; 10/28 =62.1, 10/30 =280, ...
A: The findings you have explained are consistent with a failing pregnancy that will end up as a ...
|
| NSAID and ovulation | 11/2/2008 |
Q: I would like to know how much of it takes of an NSAID to affect ovulation. In my case, I took 7.5mg ...
A: NSAID's do not affect ovulation, so you don't need to worry. Thanks for the question. Sincerely, ...
|
| Short Menstual cycle | 11/2/2008 |
Q: Earlier this year my husband and I went on a two month world holiday with the idea that when we got ...
A: Please let me know where you are writing from. Many many things can affect a woman's menstrual ...
|
| clomid when already ovulating | 11/1/2008 |
Q: I have had 2 miscarriages one at 14 weeks (baby measured 11 weeks) and one at 4.5 weeks. I've had a ...
A: Sorry for the delay in getting back to you. Clomid will enhance the lining, only if it corrects any ...
|
| Clomid | 11/1/2008 |
Q: I am 26 years old and have been trying to conceive for 2 years now. So far my infertility is ...
A: Very often Clomid will shorten the cycle. I am concerned, however, that you had a short luteal ...
|
| clomid when already ovulating | 11/1/2008 |
Q: I have had 2 miscarriages one at 14 weeks (baby measured 11 weeks) and one at 4.5 weeks. I've had a ...
A: Yes. In ovulatory women, Clomid will increase the stimulation to the ovary and can result in more ...
|
| Ovarian Cyst | 11/1/2008 |
Q: I randomly discovered I had a 6 cm cyst on my left ovary. It was discovered the day before I started ...
A: Most cysts in young women (under 50) are benign physiologic cysts. These cysts will resolve on ...
|
| testicular dislocation | 10/31/2008 |
Q: I suffered dislocation of my right testicle. It was very painfull. My questions: 1. Is it usually ...
A: I am not sure the term "dislocation" is correct but any injury, infection or trauma to the testicle ...
|
| Intralipid infusion | 10/30/2008 |
Q: Ramirez, My RE is suggesting that in light of my recent miscarriage I try intralipid infusion in an ...
A: I'll have to look it up, however, in all the meetings that I have been to, the "experts" in our ...
|
| Intralipid infusion | 10/30/2008 |
Q: Ramirez, My RE is suggesting that in light of my recent miscarriage I try intralipid infusion in an ...
A: I have never heard of "intralipid" infusion. Sorry. Is he referring to Intravenous immunglobulin, ...
|
| 2 miscarriages, should I try again | 10/29/2008 |
Q: I will be 40 yrs old in March. I have had 2 miscarriages this year, 1 in March, the second in ...
A: Let me ask this: are you prepared to give up trying for pregnancy altogether and use something for ...
|
| pregnancy or progesterone? | 10/29/2008 |
Q: R, Wonderful site and very gracious of you and your collegue to answer questions for us! I am 41 ...
A: I'm sorry to say that you are not getting the correct information. I'm not sure why. Most clinics ...
|
| trying to conceive over 40 | 10/28/2008 |
Q: I've never had a child but I did have a miscarriage in Dec, 2006 at 9 weeks. I'm turning 44 in 9 ...
A: You have a couple of possible causes for your infertility. The first and foremost is your age. The ...
|
| Clomid vs Femara | 10/28/2008 |
Q: I have been on the Clomid for past 3 cycles. (2 cycles with 50 mg & last cycle with 100 mg). It has ...
A: Femara works a lot like Clomid, except that it is a different chemical composition. Both ...
|
| pregnancy or progesterone? | 10/28/2008 |
Q: R, Wonderful site and very gracious of you and your collegue to answer questions for us! I am 41 ...
A: Sounds like you have a pretty robust cycle. 61 follicles is a huge number. That is indicative of ...
|
| Chemical pregnancy and IVF success | 10/28/2008 |
Q: I am 37 and have never had a successful pregnancy. On IVF#2, we had lost the pregnancy at 5.5 weeks- ...
A: No, despite what you heard or read, there is no method to enhance or increase the egg quality. ...
|
| pregnant | 10/27/2008 |
Q: If my due date is December 29 when did i get pregnant?
A: Date of conception would be approximately 8 April. Sincerely, Edward J. Ramirez, M.D., FACOG ...
|
| Side effects? | 10/26/2008 |
Q: I am 27 year old, married. I normally have excessive bleeding during menstruation. With a doctor’s ...
A: I had to look up those medications because I wasn't familiar with them. Apparently the Tranxamic ...
|
| spotting | 10/25/2008 |
Q: hola le escribo desde mexico df, tengo 37 anos nos hicieron pruebas a mi esposo y ami y todos los ...
A: Hola Paulina, Su doctor esta haciendo cosas perfectamente. Con inseminacion, especialmente con su ...
|
| Low HCG level | 10/24/2008 |
Q: Is an HCG level of 20.3 at 11 days past ovulation considered a failing pregnancy? LMP 9/26.IUI ...
A: I would not consider this a "failing pregnancy" at only 11 days post ovulation. It is average. ...
|
| Chemical pregnancy and IVF success | 10/24/2008 |
Q: I am 37 and have never had a successful pregnancy. On IVF#2, we had lost the pregnancy at 5.5 weeks- ...
A: A chemical pregnancy generally occurs when implantation has occurred but the pregnancy does not ...
|
| Recurrent miscarriages & Clomid | 10/23/2008 |
Q: I have had 4 miscarriages in a row, in the last 2 years. I do have a 4 year old daughter delivered ...
A: Sorry for the delay in getting back to you. I was away for a few days. Except for testing your and ...
|
| pregnancy/clomid | 10/23/2008 |
Q: We went today for U/S to see if any mature follicles due to round of 100 mg clomid. We found out we ...
A: Yes, if the Clomid did not have any effect, the pregnancy should continue normally, that is, not ...
|
| is it safe to use dalacin T solution while taking metformin & clomid to relation to conception | 10/22/2008 |
Q: i took clomid 100mg earlier but failed to see my period then my doctor placed me on 150mg clomid 3-7 ...
A: Dalacin T (Cleocin) is an antibiotic and has no affect on ovulation, fertility or pregnancy. You ...
|
| Attempting to have a baby for a year now | 10/22/2008 |
Q: My Wife & I have been trying to get pregnant for a year now. I am 33 & she is 28. The initial ...
A: Yes, part of what she said is true and part is not true. Washed sperm is okay for IUI because it ...
|
| fermara and pregnancey | 10/22/2008 |
Q: 5 mgs trying to get pregnate i have regular periods just dont ovulate would this medicine help and ...
A: First of all, if you are not ovulating, then you would not have regular periods, so that ...
|
| Next Step? | 10/22/2008 |
Q: Ramirez, I am 32 and my husband is 39. We've been trying to have our 1st child for 3 years now. We ...
A: Your TSH level is not an issue. It is in the normal range and that is all that matters. If it were ...
|
| pregnancy/clomid | 10/22/2008 |
Q: We went today for U/S to see if any mature follicles due to round of 100 mg clomid. We found out we ...
A: At the time you took the Clomid, you were barely implanting. The Clomid you took at that time would ...
|
| known donor artificial insemination | 10/21/2008 |
Q: I am looking to begin the process of a.i. Please give me an idea step by step of the process. I ...
A: Let me answer the legal question first. I don't have any knowledge of the legal requirements in ...
|
| Ovarian Cyst and bleeding | 10/21/2008 |
Q: I had another question regarding an ovarian cyst my doctor found on my right ovary. I started to ...
A: If the cyst ruptured, you would not have external bleeding. The abdomen is completely closed so you ...
|
| shingles and planning to have a baby | 10/21/2008 |
Q: me and my partner started trying for a family in April of this year. on the 14th September i got ...
A: Shingles is a recurrence of the measles virus, and something that you will always carry and be at ...
|
| birth defects | 10/21/2008 |
Q: What problems do cousins face in trying to have a baby and what can they do in this situation?( Ex. ...
A: First cousins are the biggest risk and that is why marrying first cousins in taboo. There is a ...
|
| General infertility questions | 10/20/2008 |
Q: First, let me give you some background info. I am 30 and my husband is 32. I have a 2 1/2 year old ...
A: Please let me know where you are writing from. There is certainly something going on but it has not ...
|
| Recurrent miscarriages & Clomid | 10/20/2008 |
Q: I have had 4 miscarriages in a row, in the last 2 years. I do have a 4 year old daughter delivered ...
A: I'm not sure that Clomid will be of any value. Three of your miscarriages were in the very early ...
|
| larger then average fetus | 10/19/2008 |
Q: On May 20th 08 I have an ultrasound with a CRL of 12.2mm and on June 17th 08 I had an ultrasound ...
A: We use the earlier ultrasound to establish the pregnancy dates because it is more accurate. Between ...
|
| Progesterone Lupus IVF | 10/19/2008 |
Q: I have had SLE for the last 23 years. My Lupus has been in remission for 2 years now, and I have ...
A: This is a question that your clinic should be answering for you, if they were doing a good job. It ...
|
| am i starting? | 10/19/2008 |
Q: I've been wondering who to ask this question because there doest seem to be anyone on the site who ...
A: You don't mention how old you are, or if you have had periods in the past. For the sake of ...
|
| Attempting to have a baby for a year now | 10/19/2008 |
Q: My Wife & I have been trying to get pregnant for a year now. I am 33 & she is 28. The initial ...
A: Your sperm has some major problems, however, you should have a formal semen analysis before we draw ...
|
| clomid | 10/19/2008 |
Q: He quedado embarazada 4 veces y los he perdido. Luego d muchas evaluaciones mi nuevo doctor me dice ...
A: Hola Limarys, Gracias por su pregunta. De donde eres? La problema de periendo su embarazos no es ...
|
| bleeding after embryo transfer | 10/18/2008 |
Q: I am writing from Chicago and very confused. I had my transfer on 10-8-08 and am scheduled for my ...
A: It is hard to make a clear diagnosis at this point, however, vaginal bleeding is very common with ...
|
| breastfeeding while TTC/past infertility | 10/17/2008 |
Q: I have a 12-month-old daughter who was conceived upon taking one round of Clomid. I had at least ...
A: I'm afraid you need to stop breastfeeding, or wait until your periods return normally before you can ...
|
| infertility caused by trauma of testes | 10/17/2008 |
Q: What exactly represents male infertility caused by blunt testicular trauma? What kind of infertility ...
A: Trauma can cause inflammation of the testicle, scar tissue formation, damage to the tubules that ...
|
| High FSH | 10/16/2008 |
Q: I just have a quick question. I am 37 years old and had my FSH cd3 result back this month and it ...
A: The FSH level is a measure of ovarian function, not ovulation, and not a predictor of ovulation, ...
|
| Ovulation | 10/16/2008 |
Q: Dr. Ramirez, You answered a question a while back about my husband, and it was really helpful. We ...
A: The discharge that you have is consistent with ovulation and fairly common. It is not something to ...
|
| Geting Pregnant | 10/14/2008 |
Q: I am a 19 year old women. Me and my fiance have been try to get pregnant for 2 years and i just cant ...
A: You have an ovarian dysfunction that causes you to not ovulate. As a consequence, you are unable to ...
|
| How Safe Is Progesterone If I Don't Need It? | 10/14/2008 |
Q: Ramirez! I'm writing from Northern California. I have one living child who is three years, three ...
A: You are in my neck of the woods. Progesterone will not be detrimental to pregnancy or cause an ...
|
| FAILED IVF WITH ICIS | 10/14/2008 |
Q: Dr Ramirez my husband and I went through Ivf and had 6 eggs fertilize but on day five when we were ...
A: Based on the new information you gave me, the fertilization rate looks good. Generally, we use a ...
|
| Ovulation | 10/14/2008 |
Q: Well, Hi! hopefully someone can give me an answer. My husband and I have been trying to get pregnant ...
A: I would be happy to answer you question. I presume that because you require high dose Clomid that ...
|
| miscarriage | 10/13/2008 |
Q: I have had three miscarriages in the last couple years and have been to two fertility clinics. I ...
A: HSG's are generally painful, especially if the tubes are blocked. That is because they are ...
|
| Is this posibel | 10/12/2008 |
Q: Can a Surrogate mother become pregnant with an Egg donation of a 10 or 12 year old girl. Is this ...
A: I don't know if this is legal in other countries. It is not legal in the U.S. with or without ...
|
| Is this posibel | 10/11/2008 |
Q: Can a Surrogate mother become pregnant with an Egg donation of a 10 or 12 year old girl. Is this ...
A: Although this is possible medically, it is not legal in the U.S. Egg donors must be over the age of ...
|
| OB/GYN or RE? | 10/10/2008 |
Q: I am 26 years old.I had a miscarriage during Dec 2006. I am TTC from past 8 months, but no luck. I ...
A: Since you are just beginning the process of trying for pregnancy, I think that a good Ob/Gyn would ...
|
| IVF | 10/9/2008 |
Q: What determines whether a blastocyst cycle is done on day 5 versus an embryo transfer on day 3? Is ...
A: Most clinics have specific criteria that they use to decide whether or not to transfer at day # 3 or ...
|
| clarity | 10/9/2008 |
Q: Dr. Ramirez, Thank you so much for taken the time to give me the best answers I have received in ...
A: First, thanks for the complements. Please know that I served as a military physician for 9 years. ...
|
| immature follices | 10/9/2008 |
Q: im rabia and i am unmarried! my age is 17! and of 50 kg weight! i have immature follices in ma ...
A: If I interpreted your height correctly (5ft 6 inches), then you are not even close to being ...
|
| irregular cycle and ttc | 10/9/2008 |
Q: I have always had irregular cycles anywhere from 23 to 65 days. My mother and sister have irregular ...
A: You definitely need to see a specialist to help you with all of the problems: irregular cycles, ...
|
| FAILED IVF WITH ICIS | 10/9/2008 |
Q: Dr Ramirez my husband and I went through Ivf and had 6 eggs fertilize but on day five when we were ...
A: The test that was done was not a sperm chromosome test. There is no such test. It was a sperm ...
|
| Next steps - infertility | 10/8/2008 |
Q: Dr. Ramirez - my husband and I have been trying to conceive for over one year. We just had the ...
A: First I would calculate his TOTAL MOTILE COUNT based on his last semen analysis. You take the total ...
|
| immature follices | 10/8/2008 |
Q: im rabia and i am unmarried! my age is 17! and of 50 kg weight! i have immature follices in ma ...
A: Where are you writing from? It sounds like you have a disoder of the ovaries called polycystic ...
|
| Consulta sobre Clomid | 10/7/2008 |
Q: Hola, quería consultar lo siguiente, mi ginecologa me dio Clomid porque estoy con problemas de ...
A: Senora, Gracias por su pregunta. Yo soy suguro que usted tiene ovarios Poliquisticos. Un forma de ...
|
| IVF success rates | 10/7/2008 |
Q: Ramirez, I know success rates vary depending on the clinic and the individual patient. Can you ...
A: The national rates for age group are 43% deliveries in 2006. There is a range, however. In my ...
|
| Dont know the reason I cant concieve | 10/7/2008 |
Q: I am 30 yrs old and my husband and I have been trying to get pregnant for 4 yrs. Our first roadblock ...
A: I think that because you are in the military, and the military does not offer more that IUI, that is ...
|
| trying to get pregnant | 10/6/2008 |
Q: firstly i have pcos and have known that for about 5 years. i don't have periods. i have a little ...
A: You are on the right track but your doctor is sure taking a lot of time. I usually go 2 tabs then 4 ...
|
| Question re: 1st IUI tomorrow | 10/6/2008 |
Q: TTC for 1 1/2 yrs, DH SC all looks good, 3 cycles clomid alone with no success. 1st IUI, clomid days ...
A: It looks like everything is proceeding well. With IUI the goal is to have 2-3 follicles and you are ...
|
| Infertility | 10/6/2008 |
Q: I was diagnosed with hyperplasia with Atypia and was treated with Megace and I was clear so I went ...
A: The simple answer is "YES." Once the hyperplasia has been resolved, you are essentially back to ...
|
| regular but irregular periods | 10/5/2008 |
Q: I was browsing through your past answers and didn't find any questions quite like mine, so I decided ...
A: I am not too concerned about the spotting that precedes your period because that is fairly common. ...
|
| Oral Progesterone and Clomid | 10/5/2008 |
Q: My husband and I are trying to conceive our 2nd child, I Have Polycystic Ovarian Syndrome and we ...
A: First of all, you doctor is not treating you appropriately. He should not be just giving you a ...
|
| IVF | 10/3/2008 |
Q: I did 3 times IVF this year, but all failured due to low responser and lack number eggs (6 and 7 ...
A: It is not necessary from a medical point of view to take a rest, however, there should be a minimum ...
|
| hormone levels after iui | 10/3/2008 |
Q: I am currently undergoing fertility treatments. I had an iui performed on September 24th. I had my ...
A: Your estradiol level is fine, as is your progesterone level. This is the first doctor that I've ...
|
| IVF | 10/2/2008 |
Q: I did 3 times IVF this year, but all failured due to low responser and lack number eggs (6 and 7 ...
A: I think you are scheduled to see me are you not? All three protocols you used previously are ...
|
| clomid | 10/1/2008 |
Q: Dr.Ramirez, I am 33 years old with two children. The first was conceived without problems. The ...
A: I think that you are wise and well informed. If you are having regular cycles, then that is an ...
|
| possibly pregnant | 10/1/2008 |
Q: I have lived in Phoenix, Az. all of my life. I am 34 years old. My second husband and I have been ...
A: The symptoms certainly sound like you could be pregnant, so the easiest thing to do is check. If ...
|
| No period since off Pill & low estrogen levels | 9/30/2008 |
Q: I came off the pill in February as my husband and I are ready to try for a baby; however, I have not ...
A: I am shocked to hear that you can't get an appointment until January 09. You should fly here and ...
|
| Delayed/late ovulation | 9/30/2008 |
Q: I have been trying to conceive for 2 cycles, and I had come off the birth control pill about 3 ...
A: The simple answer to your question is yes. Your cycles are longer than usual and may be affecting ...
|
| Ovulating?? | 9/29/2008 |
Q: I got pregnat w/ my 3yr old very easily (welcomed but unexpected) A year later i became pregnant ...
A: If you are having abnormal bleeding (more than regular periods), then something is not right and ...
|
| Endometrin tablets | 9/29/2008 |
Q: Ramirez, I am taking Endometrin vaginal progesterone tablets for an IVF cycle. I have ...
A: Conlon, No the medication will not affect the endometriosis. In fact, Progesterone is used as a ...
|
| Two Stillborn births! | 9/29/2008 |
Q: I am a 29yo female that has PCOS, Endometriosis, and Fibroids and I have had 2 still born sons with ...
A: It sounds like you are under appropriate care from the appropriate specialists. There are many ...
|
| Progesterone Cream | 9/28/2008 |
Q: My husband and I are trying to conceive our third child. I am 32 and he is 34. With my first ...
A: If you are very regular, as you say, then something is not right because your ovulation should ...
|
| Two Stillborn births! | 9/28/2008 |
Q: I am a 29yo female that has PCOS, Endometriosis, and Fibroids and I have had 2 still born sons with ...
A: I presume that the autopsy of your first baby was normal, except for the placental finding, and I ...
|
| artifiical insemination | 9/27/2008 |
Q: I am thinking of coming to see you for artificial insemination I am 46 years old; had eggs checked 3 ...
A: Unfortunately, there are NO tests to check and see if your eggs are still viable and can produce a ...
|
| Ovulation | 9/26/2008 |
Q: I have been diagnosed with PCOS but i have no symptoms of PCOS. Presently i am trying to conceive ...
A: Many women have PCOS without knowing it and it is found with an infertility evaluation. There are ...
|
| re:breastfeeding | 9/25/2008 |
Q: I have a 13 month old who still occasionally breastfeeds but I really want to try to have another ...
A: The first thing you should do is wean your child off your breast. That is not the problem but ...
|
| Coagulation Panel - MTHFR | 9/24/2008 |
Q: TTC 4.5 yrs. (3.5 with RE) Many IUI's & IVF's. 3 chemical pregnancies - 2 with IUI 1 with IVF. AMA - ...
A: I'm afraid I am in agreement with your RE, although for slightly different reasons. We do know that ...
|
| 2 sacs and nothing inside | 9/24/2008 |
Q: Ramirez,I underwent a Cryo transfer on 8/16/08.3 embryos were transfered and 2 inplanted.Well I went ...
A: It sound like one of the embryos did not implant, one is a "blighted ovum" or empty sac, and one ...
|
| Follistim/IUI after failed IVF | 9/23/2008 |
Q: I have been diagnosed with PCOS for 2 years. I conceived my son naturally 7 years ago. My husband ...
A: In defense of your RE, 85% of patients with PCOS, eventually have to go to IVF because they don't ...
|
| infertility | 9/20/2008 |
Q: I had my left overy removed in 05 due to a cycs then july of 07 had a nother cycs removed off right ...
A: You can get pregnant with one ovary, and NO, you don't ovulate every other month. The remaining ...
|
| Gonal F | 9/20/2008 |
Q: For an IVF cycle, can using a Gonal F pen that was first used for injections over a month ago cause ...
A: With IVF I like to see as many follicles as I can with a total number less than 25. Over 25 ...
|
| strange clear vaginal mucus | 9/19/2008 |
Q: I have been married almost two years and I have not been able to get pregnant. I have noticed a ...
A: One of the problems seeing a nurse practitioner is that because they have a limited knowledge base, ...
|
| Turning OFF the biological clock | 9/19/2008 |
Q: I sincerely, sincerely hope you can help me. I am a 30-yr-old female who is happily married to a ...
A: First of all, let's get the term "biological clock" straight. This term refers to the time that a ...
|
| Do I have a chance of viable pregnancy | 9/19/2008 |
Q: I am 42 years old Live in the UK and have been TTC conceive for 2 years, have had 2 m/c at 7 weeks. ...
A: I would recommend Assisted reproduction only because it can help reduce the chances of a miscarriage ...
|
| endometriosis & age - my fertility | 9/18/2008 |
Q: I was diagnosed with Endometriosis at 17. By the time I was 19 I was being told I should have a ...
A: I think that your doctors have causes some unneeded worry. There is certainly a risk that the ...
|
| Hypo and fertility | 9/18/2008 |
Q: I was diagnosed with PCOS back in 2003. It took us 2 years to conceive and get our daughter(we had ...
A: I don't think that the thyroid was the only component of your not becoming pregnant but was probably ...
|
| Low sperm count | 9/18/2008 |
Q: After trying to conceive for over a year, we saw a fertility specialist. I am fine, my husband has ...
A: I'm afraid that there are no tests to verify that the eggs are good. The tests that are done are ...
|
| Low sperm count | 9/17/2008 |
Q: After trying to conceive for over a year, we saw a fertility specialist. I am fine, my husband has ...
A: Excuse me if I am too frank and too honest. You actually have two MAJOR problems affecting your ...
|
| IVF - Bad eggs | 9/17/2008 |
Q: A bit of history...2 miscarriages in the last 2 years. We were referred to an RE who did testing and ...
A: Based on the information that you gave me, there is a high likelihood that the sperm is the problem. ...
|
| PCOS | 9/16/2008 |
Q: Dr. Ramirez- I was wondering your opinion about stopping my birth control and going straight to ...
A: I agree with your RE that you should go directly to ovulation induction and Clomid is usually the ...
|
| Early ovulation on clomid | 9/15/2008 |
Q: I am 40 years of age and now trying to concieve with my husband. I have had an HCG, and blood work ...
A: I presume that you are not seeing an infertility specialist but your general OB/GYN. My first piece ...
|
| immature follicle | 9/15/2008 |
Q: i m about 20 years old ..trying to concieve two years are gone...doctors told me i have immature ...
A: It sounds like you have an ovarian disorder called "Polycystic Ovarian Syndrome". In this disorder, ...
|
| Post vasectomy semen check | 9/15/2008 |
Q: I had a vasectomy done on 7/7/08 and am supposed to take a sample back to the Dr that did the ...
A: I am sorry that I misunderstood. I see. You are only checking for sperm. Go to the store and buy ...
|
| pregnancy | 9/15/2008 |
Q: now if you had sex on march 28th had a period on April 17th that means im not pregnant from that sex ...
A: If you had the baby on January 31st, and it was exactly at the 40 week gestational age mark (exactly ...
|
| pregnancy | 9/14/2008 |
Q: now if you had sex on march 28th had a period on April 17th that means im not pregnant from that sex ...
A: Based strictly on the dates, you are correct. However, it is not 100% for sure because your cycle ...
|
| Post vasectomy semen check | 9/14/2008 |
Q: I had a vasectomy done on 7/7/08 and am supposed to take a sample back to the Dr that did the ...
A: Just having sperm is not enough. You are correct in that viewing sperm is not that difficult. You ...
|
| Confused about my cycle and TTC | 9/13/2008 |
Q: I'm 29, I weigh 110 (5'5"). My husband and I have been TTC for a year however I just started taking ...
A: I hope that you are pregnant and you should that the home pregnancy test. If you are pregnant, then ...
|
| IVF - Bad eggs | 9/13/2008 |
Q: A bit of history...2 miscarriages in the last 2 years. We were referred to an RE who did testing and ...
A: Your history is a little odd, because for someone your age, I would have expected a better outcome ...
|
| menstruation | 9/12/2008 |
Q: I am 28yr old married and have got children.i gave normal birth and my little one is 4yrs old now.i ...
A: Certainly there is some type of disorder occurring that is causing your ovaries to not function. ...
|
| male infertility concern | 9/12/2008 |
Q: You are gynecologist, but I think you can answer my question. I suffered blunt testicular trauma. ...
A: Hematoma basically means a blood clot. It can occur at any level that there are blood vessels. So ...
|
| Regarding Conception | 9/12/2008 |
Q: I am a 34 year old married Indian woman, currently living in Melbourne, Australia. We got married in ...
A: Thannk you for your question. Overall, you have been pregnant spontaneously twice and are still ...
|
| Blood hormone levels and infertility | 9/12/2008 |
Q: I recently went to my MD to get my hormones tested as I have irregular periods and am trying to get ...
A: I don't think that any of these levels are concerning. The discrepancy between the LH and FSH ...
|
| Clomid & spotting? | 9/11/2008 |
Q: I am on my first round of Clomid. I took it CD 3-7. Yesterday, CD 19, I had dark brown spotting, ...
A: How are you being monitored for ovulation? Is your doctor not looking with the ultrasound to see if ...
|
| Lupron Dose | 9/11/2008 |
Q: Ramirez, Well I start my IVF cycle this month and i have been using BCP's since last month.. since ...
A: My worry is that your ovary will be too suppressed. Lupron is a medication that suppressed the ...
|
| infertility | 9/10/2008 |
Q: Dr. Ramirez, I am 31 years old my husband is 40. We have been trying to conceive for about 3 years. ...
A: I'm glad to hear that the complex hyperplasia and cancer are gone. That buys you time. However, as ...
|
| IVF medications | 9/10/2008 |
Q: I'm about to be starting my first IVF cycle using Menopur and Gonal F. I heard that they can be ...
A: Yes, some clinics will let the patients mix the Gonal-f into the Menopur so that they only take one ...
|
| abnormal pap smear | 9/10/2008 |
Q: RAMIREZ I RECENTLY WENT TO THE GYN DR TO GET A PAP SMEAR.A DAY BEFORE GOING I HAD A CONSTANT ITCH ...
A: The abnormality you had was probably atypical squamous cells, which is a low grade abnormality. It ...
|
| Clomid 3-7 | 9/9/2008 |
Q: I have been on clomid on and off for almost 2 years now. At first I was on it for 11 months 150mg ...
A: You have used Clomid for way too long. We do not recommend it for more than 6 months. In addition, ...
|
| Possiblity of Early Period after HCG Trigger Injection | 9/8/2008 |
Q: Dr. Ramirez, I have been dx with unexplained IF. My husband & I are in our mid 20s and have been ...
A: First, although we do see implantation bleeding late in the cycle. It is not universal, so that you ...
|
| miscarriage | 9/8/2008 |
Q: I have had three miscarriages in the last couple years and have been to two fertility clinics. I ...
A: You've thrown quite a lot of different things at me. There are several issues that you have brought ...
|
| miscarriages | 9/8/2008 |
Q: Ramirez, I am a healthy 31 yr old and my husband is healthy and 33 (no children). We got pregnant ...
A: The majority of miscarriages is caused by a spontaneous chromosomal anomaly, like yours. The good ...
|
| prolonged period. | 9/8/2008 |
Q: Ramirez, I would like to thank you for taking the time to answer my question. I am a 21 year old I ...
A: I won't be able to figure out what is wrong because you need to have some additional testing done. ...
|
| fertility | 9/8/2008 |
Q: i used to have a mobile phone in my pocket regularly for a number of years from when was about 12 ...
A: Your note did not have a question, however, neither incident that you described has any effect on ...
|
| clomid | 9/7/2008 |
Q: mi ginecologa me mando clomid porq llevo 9 meses tratando de embarazarme y no lo he logrado. lo tome ...
A: Hola Sandra, Gracias por su pregunta. Yo pienso que la razon que su ginecologo esta usando Clomid ...
|
| infertility | 9/6/2008 |
Q: Dr. Ramirez, I am 31 years old my husband is 40. We have been trying to conceive for about 3 years. ...
A: Thank you for the very long history. You are certainly faced with a dilemma. However, you are not ...
|
| pcos | 9/6/2008 |
Q: i was diagnosed withe pcos after having amennorhoea for five years. i had been on the depo injection ...
A: I advise my patients to have intercourse on cycle day # 13-17, which is the fertile period. Based ...
|
| Poor egg fertilisation | 9/6/2008 |
Q: I am 33 years old and have been TTC for 2 years. I have secondary infertility (my son was conceived ...
A: Poor fertilization is due to either poor egg quality or poor sperm quality. Despite the fact that ...
|
| Who's baby is it?? im confused... | 9/5/2008 |
Q: i got pregnant and im not sure who the father of my baby is, my baby is 4 months old and doesnt ...
A: The only way to know for sure which partner is the biologic father is to do a paternity test. You ...
|
| how do i know 4 ure | 9/5/2008 |
Q: EJRamirez .. writing from ont canda kinda scared just wounderin if there is any chance of ...
A: If you had your period on 11 August, and you usually have regular periods each month, then you ...
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| Tubes tied | 9/4/2008 |
Q: if you have your tubes tied can you have them untied to get pregnant? how is the procedure done and ...
A: The term "tied" is actually a misnomer. Basically, all tubal ligation procedures damage a portion ...
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| Am I supposed to have a period when we are trying to supress my ovaries?? | 9/4/2008 |
Q: Ramirez...I have written to you before.. I have been prescribed oral contraceptives for 3 months ...
A: You should have been able to get that information easily from your IVF clinic. They are not doing a ...
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| infertility | 9/4/2008 |
Q: I had unprotected sex with two different guys in the last 2 years. Both guys pulling out only 20% of ...
A: The Factor V is not directly contributing to your inability to get pregnant, although it has been ...
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| concerned | 9/3/2008 |
Q: I was on the birth control for 10 years and got off of it in Februrary. I have not had a period ...
A: Your doctor is interpreting the results completely wrong. (you might want to find another doctor or ...
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| Long Term Menstrual Irregulartity + Dysmenorrhea | 9/2/2008 |
Q: I am a 19 year old female (obviously). I had my first period when I was approximately 11 years old ...
A: For a 19 year old, your writing is incredibly sophisticated and impressive. You seem to be well ...
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| trying to conceive | 9/2/2008 |
Q: I'm a 24yo female who just gav birth to my first child Jan 28, 2008. My husband and I got pregnant ...
A: First, do not worry so much that you have not gotten pregnant yet. It has not been enough time. ...
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| hCG Trigger Failure | 9/2/2008 |
Q: I'm 38 and my menstrual cycles became erratic after an abdominoplasty removed approximately 1.2kg ...
A: It is not possible to know if ovulation actually occurred or not. We presume, based on the ...
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| ovarian wedge resurrection? | 9/1/2008 |
Q: I have 2 cysts of size 2-3 cm on my rt ovary since last 5-6 years. My gynae has advised for analysis ...
A: Certainly if these cysts have been there for the past 5-6 years, they should be removed. I would ...
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| Empty follicles during IVF attempt | 8/31/2008 |
Q: I am 41 years old and already have two children aged 14 and 12. Both children were conceived within ...
A: IVF is certainly the best option for you at your age, notwithstading the sperm problem. I recommend ...
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| positive pregnancy test with low bbt | 8/31/2008 |
Q: my name is elvie. I had hcg injection on day 13. i took pregnancy test on day 28 and its positive ...
A: If the BHCG is low, sometimes it can indicate that a miscarriage will occur. Progesterone will not ...
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| Menopur symptoms | 8/31/2008 |
Q: I have recently stopped using menopur injections after I overstimulated. My scan showed fluid on my ...
A: The symptoms that you are experiencing can be consistent with enlarged ovaries from the stimulation, ...
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| overy and utres removal | 8/31/2008 |
Q: Honourable sir/madam malpaniji, namasteji my wife age 44, height 5.4, weight 71 kg she had multiple ...
A: Prafulkumar Kotecha, Thank you for your question. From you description of the findings and ...
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| Interpreting hormone levels | 8/30/2008 |
Q: Good afternoon! I am 37 y/o, trying to conceive with donor sperm (from Oregon), with a h/o of PCOS. ...
A: If I can be so bold, I would recommend that you see an infertility subspecialist or RE. The reason ...
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| consecutive Turner's syndrome pregnancy losses | 8/30/2008 |
Q: Ramirez, I have had two consecutive pregnancy losses this year (January and July) and both ...
A: Unfortunately, there are no statistics describing the incidence of two consecutive Turner's ...
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| positive pregnancy test with low bbt | 8/30/2008 |
Q: my name is elvie. I had hcg injection on day 13. i took pregnancy test on day 28 and its positive ...
A: There is certainly the possiblity that you are pregnant. The problem withe the home pregnancy test ...
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| early miscarrige? | 8/29/2008 |
Q: My partner and I have been trying to get pregnant for about four or five months. The first couple of ...
A: Based on this limited experience, I don't think that you had a miscarriage, although it is possible. ...
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| Trying to conceive | 8/29/2008 |
Q: On the 13th day of my cycle - my follicle size is 6.3 mm. The scan said there was a suspected PCOD. ...
A: Based on that ultrasound, there is no indication of a pre-ovulatory follicle, although everything ...
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| Trying to conceive | 8/28/2008 |
Q: On the 13th day of my cycle - my follicle size is 6.3 mm. The scan said there was a suspected PCOD. ...
A: Certain of the facts that you have given me do not make sense. You state that you have "regular ...
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| If my ovaries are hyperactive or underactive ? | 8/28/2008 |
Q: I am 38 yr female, used to get pregnant pretty easy with other male partner; now due to my husband's ...
A: I have to admit that I am a little confused. Your ovaries were certainly hyper-responsive, as ...
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| Absence of Sperm | 8/27/2008 |
Q: Dr.Ramirez, My husband was born with exstrophy of the urinary bladder (in 1965 before some of the ...
A: What a coincidence. My last question was from a "Sarah" too. I think that the testicular biopsy ...
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| Ovulation Microscope | 8/27/2008 |
Q: I just read an article about using an ovulation microscope to track ovulation. Is there any way I ...
A: Cervical mucous changes depending on the hormone levels. The cervical mucous at the mid-cyce, time ...
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| Ovaries | 8/26/2008 |
Q: A few days ago I went to a fertility clinic and they said I was getting ready to ovulate and my ...
A: Your ovaries are on the verge of ovulation. It is not possible to know when you will ovulate ...
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| Immature Follicles | 8/25/2008 |
Q: I have been trying to conceive for two years. So far, I have done 12 total cycles of clomid. We ...
A: You have already exceeded the number of cycles on Clomid that is recommended by ASRM and fertility ...
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| CBFM/OPK/Trigger shot | 8/25/2008 |
Q: Hx: TTC 4.5 yrs. (3.5 with RE) Many IUI's & IVF's. 3 chemical pregnancies - 2 with IUI 1 with IVF. ...
A: I'll have to say, I'm not very texting literate so I had to think hard to figure them out. But I ...
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| Menstruation &.... | 8/25/2008 |
Q: I'm 29 years old, and would like to ask 2 questions to you in regards to women's health. 1. When ...
A: Yes, your current menstruation cycle is normal and not worrisome. A woman's cycle length can change ...
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| Regrding ovulation | 8/25/2008 |
Q: I have my periods on 10/8/2008. there is formation of egg but the egg size become 25mm on 23/8/2008. ...
A: The 25 mm size on cycle day # 16 is what I would expect the follicle size to be at the time of ...
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| birth control | 8/23/2008 |
Q: I am getting married on October 4, 2008. I miscalculated my period when picking the date, so I was ...
A: Stopping the green pills was okay, depending on where you were in your pack. The brown discharge is ...
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| Placenta Previa and Low Progesterone | 8/22/2008 |
Q: Ramirez: I am a 35 yo with no children. I found out I am 7 weeks pregnant and went for blood work ...
A: First of all, I don't think you need to consider terminating this pregnancy because there is nothing ...
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| infertility | 8/22/2008 |
Q: my husband & I have been ttc for about 3 yrs. I think we will have to consider IVF. Whilst on ...
A: TTC? Does that mean "trying to conceive". Sorry, I am not very texting literate. You mention that ...
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| IUI | 8/21/2008 |
Q: I'm on clomid for my 2nd IUI, as the first one didn't work out. The first cycle I went for the sonar ...
A: Clomid does not inhibit your body's natural ovulatory processes, therefore, you can indeed mount an ...
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| frequent spotting | 8/20/2008 |
Q: Ramirez, my question is that I have a LP of 8 days. I ovulate on day 23. I always spot beginning of ...
A: First of all, the bleeding pattern that you are having is not normal, and also not conducive to ...
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| frequent spotting | 8/20/2008 |
Q: Ramirez, my question is that I have a LP of 8 days. I ovulate on day 23. I always spot beginning of ...
A: I thought I answered this question and sent it but it may have gotten lost somehow. So if this is ...
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| small query | 8/20/2008 |
Q: , I have a small query thats been troubling for past few days. I am 26 yr old female married for 8 ...
A: It sounds like the discharge that occurs with a Yeast infection (Candida). This is a very common ...
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| pocs | 8/19/2008 |
Q: I have been seeing a specialist, however when i ask about the facial hair (that i have real bad)i ...
A: Increased facial hair (hirsuitism) is a long term side effect of the condition known as PCOS or ...
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| ovulate | 8/19/2008 |
Q: I am 18, have endometriosis, diagnosed from laporotomy,had endometriol cycst on ovary at age 16. I ...
A: If you are having regular menstrual cycles, then you are still ovulating. I am concerned at the ...
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| tubligation | 8/18/2008 |
Q: I had a c section in Dec 2006 and i had my tubes tied. I recently spotted instead of my period this ...
A: Where are you writing from? Spotting by itelf is not a sign of pregnancy. There are many reasons ...
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| High levels of estrogen | 8/18/2008 |
Q: I am 30 years old and have been trying to get pregnant for 3 years. I have had 4 cycles of clomid ...
A: The ideal treatment would be IVF with ICSI. However, because you are young, I would recommend 3-4 ...
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| Early pregnancy +infertility | 8/17/2008 |
Q: On 28th July I discovered I was pregnant following IVF. My HCG numbers have been excellent. ...
A: Where are you writing from? In the early preganncy, less than 6 weeks gestational age, estrogen is ...
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| IUD Pregnacey? | 8/17/2008 |
Q: Ok Well..After my first child. I wait the reg. 6 weeks before going to the doctor. Well he put a IUD ...
A: Where are you writing from? There is a know failure rate of 4.6% within the first year of use, with ...
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| TTC | 8/16/2008 |
Q: I have a 25 day cycle and my period usually lasts 3 t0 4 days. when do u think I would ovulate? when ...
A: Where are you writing from? Generally the second half of the cycle is the most constant. It is 14 ...
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| TTC | 8/16/2008 |
Q: Edward, I am 27 yrs old from Zurich, and have been pregnant once before but had to go for an ...
A: You are my first patient from Zurich. Thanks for writing. If you are in the normal weight range, I ...
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| Chemical Pregnancy | 8/15/2008 |
Q: I am just about to turn 35 and have no children. My husband and I have been trying for three months. ...
A: Yes. It may not go back to normal right away because of the persistance of pregnancy hormone. ...
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| does HRT prevent ovulation? | 8/15/2008 |
Q: I am 27 and haven't had a period in about 18 months. I had normal periods up until age 19, then I ...
A: Could you let me know where you are writing from? From your description, it sounds like you have ...
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| Gonal-F Injections | 8/14/2008 |
Q: I'm injecting my wife with 75 units of Gonal-F using the Gonal-F pen. After I inject it and count ...
A: Where are you writing from. Obviously, your clinic is not talking with you well enough. They need ...
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| High estrogen | 8/13/2008 |
Q: Well I am currently seeing a RE for fertility issues. I have been trying to get pregnant for three ...
A: I'm afraid that I can't completely interpret what the nurse advised because it didn't make complete ...
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| Regarding Fertility | 8/13/2008 |
Q: I am trying for a baby for the past 6 mnths with no success..I know it might take more time even if ...
A: In answer to your question. Starting on the 9th day of your cycle is way too early. Most women ...
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| BBT interpretation | 8/12/2008 |
Q: First, thank you for your time. It is awesome that you would offer your advice on line. I am on ...
A: I always get thrilled finding out that I am influencing someone in another part of the world. You ...
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| Regarding Fertility | 8/12/2008 |
Q: I am trying for a baby for the past 6 mnths with no success..I know it might take more time even if ...
A: Where are you writing from? First of all, you have not tried long enough. 85% of women your age ...
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| On Clomid and still have period on day 8 | 8/12/2008 |
Q: my Dr. put me on clomid days 5-9. I am on day 8 and I am still bleeding. I usually have a pretty ...
A: Where are you writing from? You don't need to worry. This can be normal and will not affect the ...
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| chronic inflammatory of the cervix | 8/11/2008 |
Q: I am 23 yrs old now n i've had a biopsy of my cervix after having an abnormal pap smear. I was told ...
A: T. Thank you for your question. Where are you writing from? I'm afraid I won't be able to help ...
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| Pregancy symptoms every month, no pregnancy | 8/11/2008 |
Q: My husband and I have been trying to conceive for 3 months now, and ever since we have started ...
A: Where are you writing from? First, I would advice that you get a serum pregnancy test. You could ...
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| BBT interpretation | 8/10/2008 |
Q: First, thank you for your time. It is awesome that you would offer your advice on line. I am on ...
A: Where are you writing from? I would not analyze the temperature chart so closely. It is not that ...
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| wondering about PCOS. | 8/8/2008 |
Q: Im just wondering, im 19 years old and a couple of years ago i had a blood test and was told i have ...
A: Where are you writing from? There is a variety of different PCOS types. The classic is irregular ...
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| ovulating with PCOD? | 8/7/2008 |
Q: I am 26 yrs female married for 8 months.We are trying to conceive without any success till now. My ...
A: Where are you writing from? It sounds like you have undergone a pretty good evaluation, but the ...
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| High levels of estrogen | 8/6/2008 |
Q: I am 30 years old and have been trying to get pregnant for 3 years. I have had 4 cycles of clomid ...
A: No don't worry. Wait the full week and the period should start. Let you doctor know if you don't ...
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| PCOS or something else? | 8/6/2008 |
Q: I'm a 27 year old woman. I'm not pregnant. I went off the pill 7 months ago, and have not had a ...
A: Where are you writing from? Your history does not quite fit PCOS. The most likely diagnosis is ...
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| don't know what to do? | 8/6/2008 |
Q: I found out in March that I have a 2cm unilocular ovarian cyst. I was on Fecom birth control for 3 ...
A: A 2 cm unilocular cyst is not that bad. However, since it has not responded to birth control pills, ...
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| male infertility | 8/5/2008 |
Q: CAN YOU PLEASE HELP ME- I HAD UNDESENDED TESTICLES UNTIL AGE 29. MY WIFE AND I WANT TO HAVE A CHILD ...
A: Where are you writing from? The problem with undescended testes is that it causes the cessation of ...
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| Spotting and Provera | 8/5/2008 |
Q: Ramirez, I was put on 10 MG Provera by my doctor b/c I have irregular periods. Before I started the ...
A: Where are you writing from? I presume that you are on the Provera to regular your cycles and use it ...
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| had biopsy of cervix | 8/5/2008 |
Q: and from blackpool, ok in December 07 i had a huge ovarian cyst removed it weighed over 121b prior ...
A: and thank you for letting me know where you are from. I'm always curious to see where my answers ...
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| High levels of estrogen | 8/5/2008 |
Q: I am 30 years old and have been trying to get pregnant for 3 years. I have had 4 cycles of clomid ...
A: The cyst I was referring to is a physiologic cyst, not the cysts of PCOS. If there was no cyst at ...
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| High levels of estrogen | 8/4/2008 |
Q: I am 30 years old and have been trying to get pregnant for 3 years. I have had 4 cycles of clomid ...
A: Where are you writing from? An elevated Estradiol level is an indication of ovarian hormone ...
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| frequent spotting | 8/4/2008 |
Q: Ramirez, my question is that I have a LP of 8 days. I ovulate on day 23. I always spot beginning of ...
A: Where are you writing from? The luteal phase is one of the most exact parts of a woman's cycle, if ...
|
| Chance of second time pregnancy with Clomid | 8/3/2008 |
Q: I am from St. Louis, MO. I am 28 years old. You had answered a question for me a week ago. Thank ...
A: Hello again. Basically, each cycle is a complete new and independent cycle. The previous ones do ...
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| endometrial thickness and implantation | 8/2/2008 |
Q: I was previously given clomid, but characteristics of my period was concerning for possible thinning ...
A: My younger brother is an ENT physician and also did a fellowship in facial plastic surgery. Yes. ...
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| Ovulation | 8/2/2008 |
Q: I conceived my first child on 150 mg of Clomid. I charted and it said that I ovulated on cycle day ...
A: Where are you writing from? The OPK's will show the LH surge if it is done at the appropriate time ...
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| endometrial thickness and implantation | 8/2/2008 |
Q: I was previously given clomid, but characteristics of my period was concerning for possible thinning ...
A: Where are you writing from? I always curious. You didn't mention if your RE placed you on any ...
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| Low Ovarian Reserve | 8/1/2008 |
Q: I have just turned 37 years old and this year have been through two IVF cycles both of which were ...
A: You are the second patient from the UK. As I mentioned previously, the diagnosis "low ovarian ...
|
| Please Help us | 8/1/2008 |
Q: , i was wondering if you can help me at this please.. my girlfriend drinks about 1 to 1.5 litters ...
A: Where are you writing from? Caffiene intake has not been associated with menstrual irregularity. ...
|
| Misscarriage | 8/1/2008 |
Q: I was wondering if it was possible to misscarry and not know it. Can you possibly misscarry and have ...
A: Where are you writing from? The answer to all your questions is YES. When a miscarriage occurs ...
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| Low Ovarian Reserve | 8/1/2008 |
Q: I have just turned 37 years old and this year have been through two IVF cycles both of which were ...
A: Where are you writing from? You diagnosis of low ovarian reserve is based on the poor response to ...
|
| Infertile? | 7/31/2008 |
Q: My fiance and I have been having unprotected sex for the last 2 years. Although we haven't been ...
A: You are still in your most fertile years. Statistically, a woman in your age group has an 85% ...
|
| Unexplained Infertility | 7/31/2008 |
Q: My husband and I are trying to get pregnant for 16 months now. I am 36 and my husband is 37 years ...
A: I am sorry that your doctor didn't want to look. I look with the ultrasound with each insemination ...
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| Radioactive iodine and Ovarian Failure | 7/30/2008 |
Q: I am 27 years old. In Jan 2005 I was diagnosed with Graves disease and treated with radioactive ...
A: There is no correlation between Radioactive iodine and premature ovarian failure. However, Grave's ...
|
| Increasing chance of pregnancy | 7/30/2008 |
Q: which best sexual position to increase chance of pregnancy & which beter do sex once daily or more?
A: Where are you writing from? In answer to your first question. There is no specific position that ...
|
| Unexplained Infertility | 7/30/2008 |
Q: My husband and I are trying to get pregnant for 16 months now. I am 36 and my husband is 37 years ...
A: Kelly, As I explained before, I would have done two IUI's at 24 hrs and 48hrs in order to make sure ...
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| Chemical Pregnancy | 7/29/2008 |
Q: I am just about to turn 35 and have no children. My husband and I have been trying for three months. ...
A: Where are you writing from? Well, both a luteal phase defect and abnormal eggs can cause an early ...
|
| Clomid and hypothyroidism | 7/29/2008 |
Q: I am a 27 year old female. My periods have always been irregular. I had 3 rounds of clomid to get ...
A: Where are you writing from? No Clomid will not make your cycles worst. In women that are ...
|
| can xray affects fertility? | 7/28/2008 |
Q: i recently did hsg in early Jul 08 to check for block tubes & etc. Gynae proclaim all is clear and ...
A: It intrigues me that these letters are coming from all over the world. I think you are the furthest ...
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| Unexplained Infertility | 7/27/2008 |
Q: My husband and I are trying to get pregnant for 16 months now. I am 36 and my husband is 37 years ...
A: I appologize for not getting back to you yesterday. It was Sunday and I was away from home and my ...
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| Tubeligation | 7/27/2008 |
Q: I had a c section oct. 30 2007 and also had a tubel. All I remember that day is hearing the docs ...
A: No. IVF is not painful. It is uncomfortable, however, because your ovaries swell from all of the ...
|
| Chemical Pregnancy | 7/27/2008 |
Q: My first pregnancy resulted in identical twins. Sadly, I lost my girls at 22 weeks due to a ...
A: Boy, you are on the opposite Coast from me. Good luck. I hope it works out well. In terms of ...
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| Tubeligation | 7/26/2008 |
Q: I had a c section oct. 30 2007 and also had a tubel. All I remember that day is hearing the docs ...
A: Please let me know where you are writing from. Without knowing the exact procedure that was done, I ...
|
| Chemical Pregnancy | 7/26/2008 |
Q: My first pregnancy resulted in identical twins. Sadly, I lost my girls at 22 weeks due to a ...
A: Where are you writing from? I am sorry to hear about your IVf cycle, however, the good thing to ...
|
| Birth Control | 7/26/2008 |
Q: I don't know if I am in the right area but I will give it a go. Hi, as you know my name is Markeisha ...
A: It is not unusual for a teen to have irregular periods, but 4 years is a little long. I recommend ...
|
| charting bbt question? | 7/25/2008 |
Q: Edward I've been trying to conceive for 5 years now and I just started charting my cycles this is ...
A: Could you please let me know where you are writing from? First of all, if you have not seen a ...
|
| can xray affects fertility? | 7/25/2008 |
Q: i recently did hsg in early Jul 08 to check for block tubes & etc. Gynae proclaim all is clear and ...
A: Where are you writing from? I think your doctor is being overly cautious. The amount of radiation ...
|
| Infertility | 7/23/2008 |
Q: I am 22 years old and have been trying to get pregnant for over 2 years now. Recently i have had the ...
A: Well it seems that you have been through quite a lot. If you had a complete infertility evaluation, ...
|
| Irregularity after Lupron | 7/23/2008 |
Q: I am looking for some advice on irregularity after taking Lupron for endo. I had a lap. in Nov. of ...
A: Lupron is notorious for lasting a while after the last injection. However, by this time, your ...
|
| Infertility | 7/22/2008 |
Q: I am 22 years old and have been trying to get pregnant for over 2 years now. Recently i have had the ...
A: I am not sure what the minor surgery was that you had previously. Was it a laparoscopy or a ...
|
| Ovulation while on Clomid | 7/21/2008 |
Q: my name is Christine and my husband and I have been tryting to TTC since Sept. 07. I just finished ...
A: Yes is it normal to ovulate on cycle day # 12. Often, with a Clomid or fertility drug cycle, ...
|
| What is wrong with me | 7/19/2008 |
Q: First of all, I would like to thank you for taking the time to read my question. Mr Ramirez, I ...
A: I understand your question, yet I don't have enough information to answer it. Certainly, your BMI ...
|
| fertility and LH / FSH | 7/19/2008 |
Q: Ramirez, I am 36 years old and recently started trying to conceive. My periods have always been ...
A: You don't have the full form of PCOD, therefore you have periods. The problem is that your hormonal ...
|
| fertility and LH / FSH | 7/19/2008 |
Q: Ramirez, I am 36 years old and recently started trying to conceive. My periods have always been ...
A: You are wiser than your Ob/Gyn doctor. Your high LH/FSH level is an indication that you have an ...
|
| infertility | 7/18/2008 |
Q: I have a history of anorexia, from ages 24 until 28, however prior to the diease my cycles were ...
A: Anorexia stops menstrual cycles by shutting down the brains hormonal output. So that the ovary is ...
|
| Infertility | 7/17/2008 |
Q: I was diagnosed with Complex Hyperplasia with Atypia and a well differentiated adenocarcinoma. I ...
A: As I mentioned before, many PCO patients do not respond to Clomid, even at high doses. I would ...
|
| vaginal estrogen and poor follicle growth | 7/17/2008 |
Q: Dr. Ramirez, I am 30 yrs old, husband 34 yr. old have been trying to conceive for 3 yrs. Husband ...
A: First of all, I think you are in competent hands, so don't worry too much. You are a little ...
|
| trying to concieve | 7/17/2008 |
Q: can you get pg without a period..none for a year.. can a take a pill to help me have a menponse baby ...
A: You've given me limited information to completely answer but based on no period for a year and the ...
|
| Infertility | 7/17/2008 |
Q: I was diagnosed with Complex Hyperplasia with Atypia and a well differentiated adenocarcinoma. I ...
A: You have quite a complicated problem, and I hope that the information you have given is not ...
|
| clomid,progesterone and ovulation | 7/16/2008 |
Q: I am 37 years old with 2 children (6 and 4) who were conceived very easily. At age 36 we began ...
A: In reviewing your question, let me explain some basic concepts first. It sounds like the ultrasound ...
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| Clomid and late ovulation | 7/16/2008 |
Q: Dr. Ramirez, We have been trying to get pregnant with our 3rd child for about 4 months. I have been ...
A: If your OPK was positive for pregnancy, then you should have your OB/GYN doctor do a blood pregnancy ...
|
