You are here:
| Subject | Date Asked |
| does this test result mean that i can get pregnant? | 2/1/2012 |
| Q: i'm 25 yrs old trying to get pregnant for 3 months now, i checked with my doctor and took this test ... A: These tests are normal and show that your ovaries, thyroid and pituitary are functioning correctly. ... | |
| Low AMH levels | 2/1/2012 |
| Q: Ramirez, Its Dina from Boston... again! I hope I am not wearing out my welcome! Its just that you ... A: I'm afraid I can't comment on the specific protocols because there are lots of ways to do the same ... | |
| Had no embryos after pgd...please help | 1/29/2012 |
| Q: After months of iui, we had a month where I overtimed and converted to ivf as I had 10 follicles. I ... A: S. (California), Whether or not to do PGD is really a personal decision and should be in ... | |
| Low AMH levels | 1/27/2012 |
| Q: Ramirez, Its Dina from Boston... again! I hope I am not wearing out my welcome! Its just that you ... A: S. (Boston), Certainly from the information you gave me, it sounds like there is an egg quality ... | |
| prometrium and cramping | 1/26/2012 |
| Q: I was diagnosed with mild endometriosis 3 years ago. I had undergone laparoscopy. I have been trying ... A: The prometrium is not the source of your pain or cramping. It does n ot have that effect. ... | |
| Chemical Pregnancy | 1/26/2012 |
| Q: Good day i had a chemical pregnancy about 3 weeks ago. What is normal cervical mucus? I have been ... A: Sorry for the delay in getting back to you. Normal cervical mucous is either white or clear with no ... | |
| Tubal ligation- cycles stopped | 1/26/2012 |
| Q: I had my 4th child by c-section the end of July 2011. I had a tubal ligation done at the same time. ... A: S. (Ohio), A tubal ligation should not affect ovarian function unless the blood flow to the ovaries ... | |
| Infertility/Fertility | 1/26/2012 |
| Q: Good day! I am only 16 yrs.old, I have irregular menstruation. I haven't had menstruation for more ... A: I am shocked that your doctor would do an ultrasound. The lack of menstruation is not a reason to ... | |
| Nil Sperm | 1/25/2012 |
| Q: , I am married 7 years back and I have no children yet. I am 37 years old. I took ayurvedic ... A: Based on the two semen analyses, you are not ejaculating any sperm and therefore are not fertile. ... | |
| fertility treatment | 1/24/2012 |
| Q: My husband i have been trying for the past 18 months.i am 29 years old.the initial treatment was ... A: At this point, you should have a blood pregnancy test and an ultrasound to see what is going on. If ... | |
| 3rd failed IVF attempt- new protocol? | 1/23/2012 |
| Q: Dr. Ramirez, I just had my 3rd failed IVF cycle and I'm looking for some guidance. A little ... A: The Menopur (FSH/LH) is started at the same time as the Follistim (FSH). I don't recommend any ... | |
| Thought I had perfect ovulation, now doubts | 1/22/2012 |
| Q: I never thought I would reach the point where I would start asking questions online like this but ... A: S. (Indiana), I don't think you need to worry about the Femara. It could be that the dosage used ... | |
| 3rd failed IVF attempt- new protocol? | 1/22/2012 |
| Q: Dr. Ramirez, I just had my 3rd failed IVF cycle and I'm looking for some guidance. A little ... A: Let me take your questions sequentially for ease. 1. I don't have any feelings one way or the ... | |
| implantation failure | 1/21/2012 |
| Q: Ramirez, Thank you for this service you give. I’m 35, my husband is 36, and we’ve been TTC for a ... A: S. (California), 1. In terms of implantation failure, your question is very broad and I can't ... | |
| recurrent miscarriage, prometrium and baby aspirin | 1/19/2012 |
| Q: I am writing from Montana. I had a misacarriage in 1997, 98 and a tubal in 99. i was diagnosed with ... A: S.(Montana), The medications are good precautions and do not hurt. Most miscarriage occur because ... | |
| Trying to conceive after a miscarriage. | 1/19/2012 |
| Q: I am 30 years old and writing to you from Hertfordshire (just North of London), England. I have ... A: K., The bHCG or pregnancy hormone test can drop precipitously if all the pregnancy tissue is ... | |
| Excencephaly - Autopsy Report | 1/19/2012 |
| Q: I am Chitra(Age 26) writing from Coimbatore, India I have posted about my condition few months back ... A: I'm afraid that the pathology/autopsy report does not provide any additional information to your ... | |
| IUI vs intercourse | 1/19/2012 |
| Q: I am 37. I have been married since three years. I conceived twice in my first year of marriage and ... A: The basic premise of all infertility treatments is that the treatment has to treat the problem, ... | |
| fertility treatments | 1/18/2012 |
| Q: I am from NY. Hi I am a 34yr old woman with a 3yr old girl. It took me about 7 mths to conceive her ... A: S., Have you had ALL the infertility tests including laparoscopy? If all the tests were done and ... | |
| wants to concieve | 1/18/2012 |
| Q: sir I m suffering from PCOD.My doctor is giving me susten 300 and ovigyn-D can u plz tell me how ... A: I had to look these medications up because I was not familiar with these brand names. It amazes me ... | |
| provera/clomid | 1/18/2012 |
| Q: i have a few questions, but mainly would like to make sure i understand my Dr's instructions. My ... A: The first instruction is wrong. You're probably not seeing the right doctor and are being given ... | |
| Secondary infertility | 1/17/2012 |
| Q: Ramirez, It's been 14 months since my husband and I have been trying for our second child. I have a ... A: An HSG only shows that the tubes are open. It cannot detect scar tissue within the tubes and there ... | |
| Will follicle rupture at 14mm? | 1/17/2012 |
| Q: I'm from Malaysia, and I'm 28 this year. Started trying to conceive since February 2011. ... A: It is unlikely that the left 14 mm follicle ovulated. It did not reach ovulatory size, which is 18 ... | |
| delayed period... | 1/16/2012 |
| Q: I'm 28 yrs old and I'm trying to have a baby. i have tried for some time now but to no avail. i ... A: When you say that an ultrasound was done and "everything was in order", does that mean you had an ... | |
| Shrinking follicles | 1/15/2012 |
| Q: I have a gorgeous 5yr old boy, fell pregnant with no problems but had to have caesarian. Anyway have ... A: K., You present a very curious history, and I'm not sure I can explain it. You were stimulating ... | |
| Period after miscarrage & d&c | 1/15/2012 |
| Q: I had a miscarriage on 11/28/11. I was about 10 1/2 weeks pregnant. I blead for a week and stopped. ... A: S.(Washington), It can take 4-6 weeks for the ovary to reset and begin the natural cycle leading to ... | |
| follicle not rupturing | 1/15/2012 |
| Q: i,m 32 yrs old and have been trying to conceive for the last 3 yrs. All my tests are normal. I had a ... A: In terms of the follicle not rupturing, I am still not convinced that this is the case. If I ... | |
| Clomid | 1/15/2012 |
| Q: my name is Tara from England. Please can you help me with a question I have regarding Clomid. I ... A: K., There is no risk of taking Clomid on the alternative days, but I have to admit that I have ... | |
| 3rd failed IVF attempt- new protocol? | 1/14/2012 |
| Q: Dr. Ramirez, I just had my 3rd failed IVF cycle and I'm looking for some guidance. A little ... A: S.(Massachusettes), It is difficult to critique protocols and I generally do not. There are many ... | |
| Luteal phase defect, progesterone, hypothyroidism | 1/14/2012 |
| Q: I've been TTC since March 2011. I am 24 years old. I do have endometriosis, which I know can cause ... A: S,(Georgia), First let me say that you are probably not seeing the right doctor. He/She is giving ... | |
| Ovidrel question | 1/12/2012 |
| Q: I trigger with 250 of Ovidrel on December 30th at 8pm and had an IUI on January 1st around 9am. I ... A: S. (Penn), The home pregnancy test looks for a specific HCG molecule known as the bHCG molecule. ... | |
| follicle not rupturing | 1/11/2012 |
| Q: i,m 32 yrs old and have been trying to conceive for the last 3 yrs. All my tests are normal. I had a ... A: I cannot explain your situation with the limited information that you provide. How does your doctor ... | |
| Menopose | 1/11/2012 |
| Q: Menopose Im writing from South Africa. I have recently remarried and we wondered if it will be ... A: If your cycles are starting to become irregular, it is possible that you are entering the ... | |
| Pcos & iui | 1/10/2012 |
| Q: My name is jenni im 26 year old without any health condition i have been facing irregular menstrual ... A: S., I think your doctor is following a reasonable and acceptable conservative approach to your ... | |
| adenomyosis | 1/8/2012 |
| Q: I have some embryos frozen.I have adenomyois and endo and chronic endometritis diagnosed.Have done ... A: S. (Rhode Island), Your RE should have explained that one of the critical steps in getting ... | |
| my best option inIVF | 1/8/2012 |
| Q: I wrote to you around a year ago and found your advise very helpful.My name is Christina from UAE, I ... A: I would strongly recommend donor eggs based on your history. I recommend that you wait at least 6 ... | |
| Infertility Question | 1/7/2012 |
| Q: Ramirez, I am writing to you as I am now desperate with our situation and hoping to get some push ... A: First let me say that you should not feel "desperate" at this time. You have plenty of time to work ... | |
| causes of infertility-perimenopause, irregular circles..lpd? | 1/6/2012 |
| Q: I'm writing from Greece, i am 40 and in my doctor's view quite old to conceive naturally(I've been ... A: Your age is certainly an issue, because the quality of the eggs have declined significantly, and ... | |
| First round of IVF and ICSI vs 3 or 5 day transfer | 1/6/2012 |
| Q: I frequently review your answers and I appreciate your thoroughness. My husband and I live in ... A: S.(Washington), I'm going to take your questions in sequence which will make it easier to answer. ... | |
| my best option inIVF | 1/2/2012 |
| Q: I wrote to you around a year ago and found your advise very helpful.My name is Christina from UAE, I ... A: A.E., There is not basis for a stimulation with Clomid resulting in "better" eggs. There have been ... | |
| Gonadotropins versus Clomid | 12/30/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: 100 mg of Clomid is a low dosage protocol. Clomid can be used up to 250 mg per day. I do recommend ... | |
| Unicornuate uterus | 12/29/2011 |
| Q: ... I have a unicornuate uterus and my left side Is undeveloped. I've gone thru 6 pregnancies all ... A: S. (Pennsylvania), If the implantation would to occur on the healthy side of the uterus, then yes, ... | |
| PCOS and hyperprolactima TTC | 12/29/2011 |
| Q: I have a few questions for you,I hope you dont mind answering them as I do not know where to turn to ... A: K.(Ireland), I am sorry to hear about the two OHSS episodes. Sometimes this can be unexpected, but ... | |
| lupron depot and pregnancy | 12/28/2011 |
| Q: i started a 3-month cycle of lupron in october 2011 and i am due for a 6-month dose in january. ... A: S. (Washington), There is no magic number as to how long it will take for the effects of Lupron to ... | |
| 3 Years Infertility | 12/20/2011 |
| Q: Ramirez, Thank-you for reading this message, I greatly appreciate your advice. My husband and I ... A: K., Sorry for the delay in getting back to you. I had to do a little reviewing to answer your ... | |
| 39 & trying to concieve | 12/19/2011 |
| Q: So we have been trying for the last 14 months to get pregnant. I'm 39 and hubby 35. I already have ... A: S. (Massachusetts), I don't understand why it would take so long for you to see a specialist. I'm ... | |
| Pregnancy after Ablation | 12/19/2011 |
| Q: Tubal ligation 06/06/2005, endometrial ablation 12/2009 (due to heavy menstrual). I want to have ... A: S.(New York), There have been reported cases of pregnancy after endometrial ablation but that was ... | |
| infertility | 12/19/2011 |
| Q: i m 25 years old male, my problem is i do not have mustache and beard and also my penis size is too ... A: Make sure you are seeing an ENDOCRINOLOGIST or UROLOGIST for your problem, if in fact you have one. ... | |
| Causes of chemical pregnancies/implantation problems | 12/19/2011 |
| Q: it's Karri in NY. I have written to you in the past about my difficulties staying pregnant. I have ... A: S. (New York), Let me take the second question first since it is the easier of the two to answer. ... | |
| High risk pregnancy and IGT question | 12/19/2011 |
| Q: I am currently 21 weeks into my second pregnancy. We conceived after an IUI and I have PCOS and am ... A: S.(California), Your OB probably couldn't answer your question because there are no studies or any ... | |
| When TTC after miscarriage? | 12/18/2011 |
| Q: Ramirez, I am 33 yo. I recently got pregnant in October after our first try. But we miscarried ... A: S.(Georgia), A recent study shows that a woman is highly fertile within the first 6 months after a ... | |
| Provera | 12/17/2011 |
| Q: I was prescribe provera by my local health department to start my period on 10/06. I just now ... A: I have to admit that I am rather confused by your question and as to what is going on. By stating ... | |
| How did I get pregnant | 12/14/2011 |
| Q: My husband and I have tried for five years to get pregnant without any fertility help and nothing ... A: You probably had an ovarian dysfunction disorder called polycystic ovarian disease. Basically with ... | |
| Gonadotropins versus Clomid | 12/13/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: I do not like to comment on protocol specifics because there is no one way to do things. Please ... | |
| Estrogen and endometrium thickness | 12/12/2011 |
| Q: Ramirez, I´m 35 years old (will be 36 in Feb). I have been trying to get pregnant for 2 years (had ... A: 1. The estradiol patch or vaginal suppository would begin with CD#1 or 2. 2. If only 5% of the ... | |
| glucophage and fertility the 2nd time around | 12/11/2011 |
| Q: Ramirez, I am in between ob/gyn doctors and here in the states most insurance companies won't cover ... A: S. (Oregon), I cannot advocate Metformin unless it is indicated and without doing a blood test, I ... | |
| pregnancy? | 12/11/2011 |
| Q: my situation is my last perod was on the 12th of August 2011. i conveived around the 26th of August. ... A: The description of "fluid within the sac" but "cannot identify fetal pole or gestational sac" seems ... | |
| Short periods | 12/9/2011 |
| Q: I had the Mirena IUD inserted in April 2008 and had it removed April 2010. I had periods while ... A: S.(Kansas), The Mirena is no longer in your system. The hormone was gone as soon as the Mirena was ... | |
| Estrogen and endometrium thickness | 12/9/2011 |
| Q: Ramirez, I´m 35 years old (will be 36 in Feb). I have been trying to get pregnant for 2 years (had ... A: Yes, you can use estrogen in addition to the Menopur. I use it as an estrogen patch (Climara 0.2 mg ... | |
| Gonadotropins versus Clomid | 12/8/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: The simple answer is "NO. Her explanation is NOT correct." The gonadotropins are more effective ... | |
| Irregular periods | 12/5/2011 |
| Q: I've never had a normal period, it comes at random sometimes up to six months apart but am not sure ... A: S. (Pennsylvania), Your question is certainly logical but there is no definitive answer. We do ... | |
| Semen Analysis Report Evaluation | 12/2/2011 |
| Q: Volume: 1.7ml; Viscosity: Viscous; Total Count: 60 million/ml; Motality: 40%; Progression: F.Forward ... A: Not knowing what medications were used with your spinal problem, I'm afraid I can't give a specific ... | |
| Cramps in 2 week wait | 12/1/2011 |
| Q: I am 30 and experienced 3 failed ivfs and a m/c from natural pregnancy. Now I am In a 2ww from next ... A: I don't have any magic formulas for you to use, and without reviewing your medical records, find it ... | |
| IVF and shingle | 11/28/2011 |
| Q: I was 5 days into my 2ww after a second IVF (first was a BFN), when I got my first ever shingles ... A: Yes it is possible that a shingles outbreak could affect an implanting embryo. The immune response ... | |
| Semen Analysis Report Evaluation | 11/28/2011 |
| Q: Volume: 1.7ml; Viscosity: Viscous; Total Count: 60 million/ml; Motality: 40%; Progression: F.Forward ... A: This is an abnormal semen analysis and the medical diagnosis is Asthenoteratospermia. There are ... | |
| Very early period? | 11/27/2011 |
| Q: I had what seemed to be a regular period on the 7th of this month lasting for 7 days. I had no ... A: S. (Wisconsin), I could answer your question by giving you a list of diagnoses that cause abnormal ... | |
| fertility | 11/24/2011 |
| Q: I used to get my period only after taking the pills like Novelon or Divery in last 7days. My ... A: You have an ovulation disorder and this needs to be treated. The treatment course is called ... | |
| fertility | 11/23/2011 |
| Q: 4 months ago,at almost 36,I found myself unexpectedly pregnant. In my ignorance (partly due to some ... A: K. A woman's fertility decreases with age but does not reach zero until menopause(average age 50 ... | |
| Cramps in 2 week wait | 11/23/2011 |
| Q: I am 30 and experienced 3 failed ivfs and a m/c from natural pregnancy. Now I am In a 2ww from next ... A: The cramping is nonspecific and can be found with a pregnancy, as well as, an impending period. ... | |
| Primary Infertility | 11/22/2011 |
| Q: today i didi transvaginal pelvic Ultra sound the report is as mentioned below: Uterus: Anterverted ... A: Your ultrasound report is completely normal. The calcification in the cervix is an incidental ... | |
| fertility treatment | 11/21/2011 |
| Q: My husband i have been trying for the past 18 months.i am 29 years old.the initial treatment was ... A: An HSG cannot show that "salpinitis" is present in the tube but only that the tube is abnormal or ... | |
| Menstratration after abandoned cycle | 11/21/2011 |
| Q: I am 47yrs. I had my 6th ivf cycle in September 2011. The drugs used were climara patches10 days ... A: I think that two weeks after a failed IVF cycle is a little too soon, but my usual minimum waiting ... | |
| country? | 11/18/2011 |
| Q: Ramirez, I posted a question today few hours before( subject: fertility treatment). but i couldn't ... A: I just sent your answer. Sorry for the delay but I can't always get to these questions on a daily ... | |
| fertility treatment | 11/18/2011 |
| Q: My husband i have been trying for the past 18 months.i am 29 years old.the initial treatment was ... A: A preovulatory follicle should be a minimum of 18 mms. 13 mms is too small to ovulate so I don't ... | |
| increased metformin now period is late.. | 11/17/2011 |
| Q: I have been on met for 5yrs r more taking 500 1xaday and I was having regular periods every 28days ... A: S. (North Carolina), Metformin should not cause your cycles to become irregular but we consider a ... | |
| 3 IVF failures and immune testing | 11/16/2011 |
| Q: I am 30 yrs of age and TTC for 3.5 yrs. I had endometrioma on my right ovary which was remved. Going ... A: Your body does not distinguish between your naturally conceived embryos or IVF produced embryos. ... | |
| Conceiving again after infertility | 11/15/2011 |
| Q: I took Clomid 2 years ago after general infertility (long cycles, late ovulation without any ... A: S. (California), The purpose of Clomid is to induce ovulation if there is an ovulation disorder. ... | |
| infertility | 11/15/2011 |
| Q: I want to know: when I can to do recalization uterine tube for my wife by any method. Thakns for ... A: If your wife's tubes are blocked, whether or not they can be unblocked will depend on the cause of ... | |
| Can you help me? | 11/14/2011 |
| Q: my name is Alexandra and i am 15 yrs. Old and have had irregular periods that come every 5-6 months ... A: Birth control pills should work, unless you are unreliable in taking them (not good at taking meds ... | |
| Spread of Hepatitis B via IVF | 11/13/2011 |
| Q: Ramirez, I'm currently signed up with an agency as a gestational carrier. I have been matched with ... A: S., You have submitted a very interesting and difficult question. I think that it is unknown ... | |
| Timing of Hysteroscopy and Endometrial Biopsy | 11/12/2011 |
| Q: Ramirez, I have written to you in the past and you have been very helpful.Not sure if you remember ... A: No I don't agree with either of these explanations. If the purpose of the biopsy is to detect a ... | |
| Menstratration after abandoned cycle | 11/12/2011 |
| Q: I am 47yrs. I had my 6th ivf cycle in September 2011. The drugs used were climara patches10 days ... A: K., It's unfortunate that your cycle had to be cancelled. I had to do the same with a patient of ... | |
| Can you help me? | 11/10/2011 |
| Q: my name is Alexandra and i am 15 yrs. Old and have had irregular periods that come every 5-6 months ... A: S., NO pregnancy will not help this condition. In fact, you might have difficulty getting pregnant ... | |
| unicornuate uterus and transabdominal cerclage | 11/10/2011 |
| Q: October 2006 - miscarriage @ 8 weeks December 2006 - miscarriage @ 6 weeks July 2007 - miscariage @ ... A: The one remarkable thing I gained from reviewing your history is that it seems like everything was ... | |
| Trying to conceive for 12 months | 11/9/2011 |
| Q: It's now been exactly 12 months since my husband and I have been trying to conceive our second ... A: Have you had a hysteroscopy, Laparoscopy, Pelvic ultrasound, hormonal tests? Based on the limited ... | |
| Timing of Hysteroscopy and Endometrial Biopsy | 11/8/2011 |
| Q: Ramirez, I have written to you in the past and you have been very helpful.Not sure if you remember ... A: S. (Massachussetts), If you are on a birth control pill cycle, then the hysteroscopy can be done at ... | |
| My clomid dosage | 11/8/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: It does not make a difference. Good Luck, Dr. Edward J. Ramirez, M.D., FACOG Executive Medical ... | |
| Normal cycle, no ovulation? | 11/8/2011 |
| Q: I am wondering if it is possible to have a normal cycle and still not ovulate? My cycle is 27 days, ... A: S. (South Carolina), If you have regular and predictable cycles, such as you have explained, then ... | |
| Pregnancy | 11/7/2011 |
| Q: Ive previously had a miscarriage due to my hcg levels not increasing. I believe i am pregnant again ... A: S. (Alabama), In order for a urine pregnancy test to turn positive, the pregnancy hormone level ... | |
| HCG shot/starting period | 11/7/2011 |
| Q: My wife and I are on our 4th round of IUI and fertility treatments. We're in San Jose, CA. How ... A: Martinez from the U.S. (San Jose), The HCG injection is generally given when the follicle reaches ... | |
| try to conceive | 11/7/2011 |
| Q: 25yrs. i have pcod and trying to conceive. recently i have gone to the gync. and for the last 2 ... A: I'm afraid I don't know exactly what this means. It is not a standard term. A follicular cyst is ... | |
| Lower fertility after recurrent miscarriage | 11/7/2011 |
| Q: My question is this, can miscarriages actually lower fertility after having recurrent ones? Reason: ... A: Your wife now would be classified as a "habitual aborter/miscarrier" and needs to undergo an ... | |
| Infertility treatment | 11/6/2011 |
| Q: I am Gayathri from India. I am 26 yr old and I have PCOS. My LH level (14) is high on day 2. I am ... A: PCO patients are plagued by the problem of an ovarian dysfunction, meaning that the ovaries are not ... | |
| Fertility and progesterone levels | 11/5/2011 |
| Q: I am 41 years old, trying to conceive for the past 5 years, 1 miscarriage. Day 3 test for menopause ... A: S. (Ohio), First it would be better if you follow the advise of your doctor and not a nurse, and ... | |
| Very long irregular cycles | 11/4/2011 |
| Q: I got off the contraceptive pill in April in hope of getting pregnant with my second child (I have a ... A: S. (Boston), You have some type of ovulatory or ovarian dysfunction going on. You need to see a ... | |
| Infertility treatment | 11/3/2011 |
| Q: I am Gayathri from India. I am 26 yr old and I have PCOS. My LH level (14) is high on day 2. I am ... A: First, you need to understand that fertility treatments are not magic. They don't work 100% of the ... | |
| Antithyroid antibodies and IVF | 11/3/2011 |
| Q: I am now 30 yrs of age and have been TTC through ART for 2 years.I have endometriosis Grade3-4, I ... A: In terms of why your previous cycles failed, I cannot answer that question. I would need to do an ... | |
| PCOS - exencephaly - Irregular periods | 11/3/2011 |
| Q: I am Chitra(Age 26) writing from Coimbatore, India I have been married since 2 years and i was ... A: This is a question you should be asking your doctor. His office nurse or the doctor himself should ... | |
| Fertility | 11/1/2011 |
| Q: I am a 29 year old married mother of two from Kentucky. In 2000 I became pregnant while on the pill ... A: Tubes cannot regenerate but tubal ligations can fail because either they fuse back together and open ... | |
| My clomid dosage | 11/1/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: It will not make any difference. Good luck, Dr. Edward J. Ramirez, M.D., FACOG Executive Medical ... | |
| Duoloton l | 11/1/2011 |
| Q: Periods of my wife is late by 20dayas and we are assuming that she is pragnent, doctor has advised ... A: If your wife is late for her period, and you suspect she might be late, then the first thing you ... | |
| Anti-sperm antibodies? | 10/31/2011 |
| Q: Ramirez, I am 35 years old from Brazil. I have written you a question before. As I told you, I got ... A: Just because you have a high FSH, that does not mean that you cannot achieve a pregnancy either by ... | |
| Teratospermia | 10/31/2011 |
| Q: Doctor, what could be cause of Teratospemia? Many claim that 90% of cases the cause is unknown ... A: The cause is unknown. It occurs from malformation of the sperm within the testicle as the sperm is ... | |
| Pregnancy and Diet !! | 10/30/2011 |
| Q: Edward Ramirez, greetings... I am 21 years old and I am 7 months pregnant. Until now everything ... A: You have to eat a healthy and balanced diet. Do not change your diet unless directed to do so by ... | |
| Progesterone after ivf | 10/30/2011 |
| Q: My wife had ivf in Canada. She was prescribed Gonal-F, Repronex and Orgalutran for the stimulation ... A: Your reading is correct. Most programs, if not all, will continue the progesterone until at least 8 ... | |
| Provera | 10/26/2011 |
| Q: I was prescribe provera by my local health department to start my period on 10/06. I just now ... A: S. (W. Virginia), I am not sure what your doctor is doing. I am not confident, based on what you ... | |
| Egg Quality | 10/26/2011 |
| Q: Ramirez, I am 34 years old and have just failed my second cycle of IVF with ICSI. Just to give you ... A: S. (Virginia), Thank you for writing. I ALWAYS tell my patients that IVF CANNOT make you pregnant. ... | |
| Follicle size and ovidrel shot | 10/26/2011 |
| Q: I am on Gonal-f and my US yesterday showed I had 2 follicles measuring at 17mm and 14mm, my doctor ... A: S. If the follicles grow normally, they should increase by 2 mms each day. That means that they ... | |
| Anti-sperm antibodies? | 10/25/2011 |
| Q: Ramirez, I am 35 years old from Brazil. I have written you a question before. As I told you, I got ... A: I just answered your first question. If you already had an HSG and it is now clear, then I don't ... | |
| HCG shot too early? | 10/20/2011 |
| Q: Ramirez, I am 35 years old and live in Brazil. I am trying to get pregnant since Jan10. I actually ... A: HCG is given when the follicle is 18-24 mms. The exact time is dependent on your doctor's ... | |
| lubricants and getting pregnant | 10/18/2011 |
| Q: I was wondering if you can tell me if using a lubricant like KY sensitive Jelly can hurt your ... A: S. (New York), The rule of thumb is that lubricants like KY can interfere with sperm mobility and ... | |
| regarding spot bleeding | 10/18/2011 |
| Q: I'm 27 yrs. old. I am a pcod patient. after several infertility treatments i was unable to concieve. ... A: I would recommend that you look at my Blog under "Bleeding after Embryo transfer". Hopefully that ... | |
| Infertility | 10/18/2011 |
| Q: I am 38 years old with one child conceived naturally (clomid 50 mg & dostinex due to high prolactin) ... A: Without knowing what your prolactin level is, it is difficult for me to assess the need for ... | |
| Hydrosalpinx of right fallopian tube... | 10/17/2011 |
| Q: Ramirez...I am waiting to go back for my follow-up visit at my OB/GYN next Wed., 10/26...for repeat ... A: S. (Tennessee), Of course I cannot make a diagnosis via the internet. There are a myriad of ... | |
| Duoluton L need quires | 10/16/2011 |
| Q: i have a doute with usage of Duoluton L,I need your advice. I am Sri using Duoluton L for 2 cycles ... A: Duoluton is a birth control pill. It works by over-riding your ovaries and controlling your cycle ... | |
| My clomid dosage | 10/16/2011 |
| Q: I am from India. I am 39. I had two missed abortions at 36 and 37 both in the eighth week and after ... A: Yes, I think you should use a higher dosage of Clomid. At your age, the goal should be to try to ... | |
| regarding success of ivf | 10/14/2011 |
| Q: I'm 27 yrs. old. I am a pcod patient. after several infertility treatments i was unable to concieve. ... A: IVF success rates are very dependent on each individual clinic, and the country where it is ... | |
| keen to concieve | 10/12/2011 |
| Q: I have been trying to concieve since 1 year.I am 29 yrs old,and a professional with busy working ... A: First, let me reassure you that your lab tests, including FSH level, are all normal. I would ... | |
| Miscarriage with normal chromsomes | 10/11/2011 |
| Q: I have had 4 chemical pregnancies in the past 15 months. None were confirmed by bloodwork except ... A: The new information does not change my previous answer, but the appropriate treatment for MTHFR ... | |
| No Period After Surgery | 10/11/2011 |
| Q: my name is Alice and I'm 31 years old from Charlotte, NC. I had shoulder arthroscopy 7 weeks ago and ... A: S. (North Carolina), It is not common for your cycles to stop from surgery unless the ovaries or ... | |
| PCOS - exencephaly - Irregular periods | 10/11/2011 |
| Q: I am Chitra(Age 26) writing from Coimbatore, India I have been married since 2 years and i was ... A: Since you were able to get pregnant by using Clomid, and it is clear that your doctor is doing the ... | |
| False Negative after Beta- Miscarriage | 10/5/2011 |
| Q: Dr.Ramirez, I have written to you in the past and you have always been such a great sounding board. ... A: S. (Boston), Certainly what you have gone through is very unusual. It shows that late implantation ... | |
| Mid cycle spotting... | 10/4/2011 |
| Q: I am from Texas I am 27 years old and my menstrual cycles range from 42 days to 46 days, menses last ... A: S. (Texas), I am not too concerned with this discharge/spotting but more concerned about the length ... | |
| Confused | 10/4/2011 |
| Q: i'm from Yonkers, NY. I'm not sure if I chosed the right category for my y question, but I hope you ... A: S. (New York), You are correct in that once an ovary and tube are removed it cannot grow back. I ... | |
| hi | 10/4/2011 |
| Q: I am 19 years of age, I had my c-section last January. After a month i had my period but now i am ... A: What you are going through is not normal. I would recommend that you go see your Ob/Gyn doctor for ... | |
| irregular periods and abnormal bleeding | 9/29/2011 |
| Q: Edward I have been facing irregular periods all my life. I am 22 years old and i have always been ... A: The medication your are taking is a birth control pill and will have the possibility of the usual ... | |
| Atypical hyperplasia and PCOS | 9/29/2011 |
| Q: Ramirez, I'm a Canadian, temporarily living in South Africa. Greetings from Pretoria! I'm 44 yrs ... A: Atypia is NOT a absolute indication for hysterectomy, so no, you don't necessarily need to have your ... | |
| Chocolate Cysts and fertility | 9/28/2011 |
| Q: Ramirez, thank you for your generous advice. I was diagnosed with stage four Endometriosis because ... A: S. (Arizona), You are wiser than your doctors. The treatment of choice for stage four ... | |
| Miscarriage with normal chromsomes | 9/28/2011 |
| Q: I have had 4 chemical pregnancies in the past 15 months. None were confirmed by bloodwork except ... A: S. (NY), I apologize for the delay in getting back to you. Yours was a long letter so took time to ... | |
| Progesterone Supplementation | 9/28/2011 |
| Q: Ramirez, I am seeing a fertility specialist after almost 2 years of infertility. One of the things ... A: I love it when patients know more than their doctors. Good for you. Yes, studies have shown that ... | |
| HCG Injections After Ovulation | 9/27/2011 |
| Q: Dr. Ramirez, My husband and I have been trying to start our family for a few years. I have been ... A: S. (Colorado), HCG injections can be used to support the luteal phase in place of progesterone and ... | |
| metformin....again | 9/25/2011 |
| Q: Ramirez, Sorry to keep this up about the Metformin, but you have been so helpful in the ... A: Metformin does nothing to help with a continuation of pregnancy and does not need to be continued ... | |
| follicular phase bleeding | 9/25/2011 |
| Q: I am 37 yrs old and ttc #4. Every month, I have my period for 4 days, very heavy with clots, then ... A: S., It is possible that the breastfeeding is interfering with your normal hormonal state. You ... | |
| Luteal Phase Spotting | 9/25/2011 |
| Q: I'm a 29 year old female and have a 14 month old daughter. We have been TTC for 3 months (we ... A: It is still unusual and atypical to be related to bowel movements. Bowel movements don't contact, ... | |
| Living a personal nightmare | 9/25/2011 |
| Q: I am writing out of sheer desperation (as a guess a lot of people are when they contact you). I ... A: Sorry for the delay. This is my IVF week and it has been very busy. If your sister is in good ... | |
| Luteal Phase Spotting | 9/24/2011 |
| Q: I'm a 29 year old female and have a 14 month old daughter. We have been TTC for 3 months (we ... A: K., I don't think this spotting is of any concern and should not interfere with your getting ... | |
| High TSH 5.36 | 9/24/2011 |
| Q: My name is Asma i am 25 years old have a kid of 1 year for the last 6 months i am having heavy ... A: I think you already have the answer for this. You need to go see an Endocrinologist so that your ... | |
| try to conceive | 9/24/2011 |
| Q: 25yrs. i have pcod and trying to conceive. recently i have gone to the gync. and for the last 2 ... A: I get lots of letters from India and the most common problem I find is that these patients are ... | |
| Low estradiol levels | 9/21/2011 |
| Q: We are currently TTC our 2nd baby. My daughter who is 2 was conceived on our second cycle of ... A: S. (Pennsylvania), There is no fixed protocol when using gonadotropins such as Follistim. ... | |
| No Period after chemical pregnancy | 9/21/2011 |
| Q: I'm just writing to ask for professional advise as I'm so worried and frustrated. I'm 24 years old ... A: It is certainly possible that you had a chemical pregnancy, but I am not confident enough with urine ... | |
| Living a personal nightmare | 9/21/2011 |
| Q: I am writing out of sheer desperation (as a guess a lot of people are when they contact you). I ... A: First, I am doubtful of the diagnosis of "premature ovarian failure" if you are getting 9-13 eggs ... | |
| miscarriage | 9/20/2011 |
| Q: these are the only two times ive been pregnant and have both ended with chromosomal abnormalitys. i ... A: K., As you know, the embryos from both pregnancies were abnormal. It is unlikely at your age ... | |
| Endometriosis | 9/19/2011 |
| Q: I am 28, TTC for over 2 years and have been diagnosed with stage 4 endometriosis. I had a laprascopy ... A: IVF is your only treatment option for getting pregnant with stage IV endometriosis, so you have made ... | |
| metformin to prevent miscarriage | 9/19/2011 |
| Q: Ramirez, I had just sent you an e-mail asking what I can do to prevent another miscarriage. Have ... A: I just answered your first email. I would not recommend the Metformin. In fact, I have my PCO ... | |
| Can accutane cause infertility later on in life? | 9/19/2011 |
| Q: I've been experiencing serious and persistent skin problems, and my dermatologist wants to try ... A: No, Accutane is contraindicated in pregnancy, because it can cause fetal anomalies/abnormalities. ... | |
| PCOS/miscarriage | 9/18/2011 |
| Q: My husband and I have been trying for 5 years to conceive. I have PCOS and endometriosis. I did get ... A: Congratulations and I hope and pray that this pregnancy will proceed well. You are not correct in ... | |
| IVF | 9/17/2011 |
| Q: I am from Chicago. I am 39 years old and the mother of a 7 year old child I conceived naturally and ... A: S. (Chicago), I'm sorry to hear that you can't get the attention of either of your doctors to ... | |
| SECONDARY INFERTILITY | 9/14/2011 |
| Q: I PREVIOUSLY WROTE YOU ON MY SECONDARY INFERTILITY AND SPOTTING BEFORE MY PERIOD. I HAD NO TROUBLE ... A: S. (Massachusetts), I sure don't understand why your doctors would be "shocked" that these ... | |
| Prednisolone and Lovenox for IVF with Donor Egg | 9/14/2011 |
| Q: Dr. Ramirez: I am a 44-yr old with a history of numerous IVF attempts. Miraculously, cycle 1 (2007) ... A: S., In my patients that fail 2 IVF cycles, I automatically add prednisone, Heparin (lovenox can be ... | |
| Trigger shot with normal ovulation and IUI | 9/14/2011 |
| Q: I am a 37 year old American living in Germany. I have been trying to get pregnant via IUI - have ... A: S. (but based abroad), The only advantage of doing IUI within a natural cycle, in terms of ... | |
| Sperm count | 9/13/2011 |
| Q: I was prescribed tramadol for surgery I had 5 or 6 months back and I have been on it since to deal ... A: S., It should have no effect on your sperm count. Good Luck, Dr. Edward J. Ramirez, M.D., FACOG ... | |
| No response to HCG | 9/13/2011 |
| Q: Good afternoon! Writing from Ontario Canada.. I am hoping I can get your opinion.. I have ... A: If you had eggs that were sufficiently mature to fertilize and produce embryos, then the HCG did ... | |
| Cyrosurgery and Pregnancy | 9/12/2011 |
| Q: I'm having cyrosurgery thursday for abnormal cells. Me and my fiance are trying to get pregnant. The ... A: S. (Florida), I would recommend that you delay trying to get pregnant for 6 weeks (the amount of ... | |
| Ovulation monitoring u/s scan | 9/12/2011 |
| Q: Ramirez, I am 31 from India. We've been trying to conceive for about a year now with little luck so ... A: Your questions are certainly valid, but I am not sure there are any answers to them. First, it is ... | |
| blighted ovum miscarriage | 9/9/2011 |
| Q: I went in for an ultrasound for my first pregnancy and they told me I had a blighted ovum. I was 12 ... A: S. (Tennessee), More than likely the slight increase was within the margin of error for the lab and ... | |
| POS and getting pregnat | 9/9/2011 |
| Q: my name is Anna age 25. I was just diagnosed with POS in April by 2 doctors. I'm trying to get ... A: S. (Illinois), I think you need to visit my blog and look at my post regarding PCO. It is very ... | |
| No response to HCG | 9/8/2011 |
| Q: Good afternoon! Writing from Ontario Canada.. I am hoping I can get your opinion.. I have ... A: I know that this answer is probably not going to be sufficient for you, but I have never heard of ... | |
| Contraceptives and pregnancy | 9/7/2011 |
| Q: I had a norplant inserted under my arm about 3 years ago.I removed it this March,2011. Fortunately ... A: The average woman under the age of 30 takes 8-12 months to achieve pregnancy, and that would be ... | |
| Failed IVF cycle with poor embryos development, failed implantation and early bleeding | 9/7/2011 |
| Q: Ramirez,I'm writing to you from Toronto, Canada. Thank you in advance for your answer! My husband ... A: Your doctor is correct in that studies have shown that vaginal progesterone is just as effective as ... | |
| Struggling with infertility (only one ovary) | 8/31/2011 |
| Q: I am 35 years old and have been trying to conceive for 18 months. I lost my right ovary in Nov. 2007 ... A: That prolactin level is certainly abnormal. You need to be evaluated and then treated. The ... | |
| One Kidney and Reproductive Organs | 8/31/2011 |
| Q: I have just been back from my 20th week scan and my baby girl is missing a right kidney. NO right ... A: A missing kidney, or any renal disorder, can certainly mean that there is a disorder in the ... | |
| progesterone supplement post ovulation. | 8/30/2011 |
| Q: I have been TTC since the past 15 months, I have irregular mensuration cycle.My husband has no ... A: S. (California), I prescribe progesterone to ALL my infertility patients undergoing treatment. It ... | |
| Struggeling to get pregnant | 8/29/2011 |
| Q: Me and my wife have been trying now for more than 2 years to get pregnant. We have both been tested ... A: If you were closer, I would recommend that you come see me so that we can get things sorted out ... | |
| Obtaining sperm sample | 8/29/2011 |
| Q: As I understand it, to obtain the sperm, the man goes into a private room and masturbates into a ... A: There is no reason why the wife cannot help. I have had many patients where the wife had to go in ... | |
| Slow to respond with Antagonist | 8/28/2011 |
| Q: "Hi Dr. Ramirez I am awaiting a response from you but I wanted to update you with my progress since ... A: I just answered your first question and again I apologize that there was such a delay in getting ... | |
| infertility | 8/28/2011 |
| Q: We have been trying for a baby for nearly two years. My husband has had a semen analysis and it was ... A: No, what she told you does not mean that you will not be able to conceive. However, it may be ... | |
| Free fluid found via vaginal ultrasound | 8/27/2011 |
| Q: I went in for my well woman exam, and my doctor said that my uterus was the size of a woman who is ... A: This is exactly why I think that ultrasonographers should say absolutely nothing. Now she has ... | |
| Progesterone | 8/26/2011 |
| Q: I am in California. I am 43. I had a miscarriage and D&C about 7 weeks ago. We had genetic testing ... A: S. (California), Miscarriages are most commonly caused by genetic abnormalities, which is what I ... | |
| Failed IVF cycle with poor embryos development, failed implantation and early bleeding | 8/25/2011 |
| Q: Ramirez,I'm writing to you from Toronto, Canada. Thank you in advance for your answer! My husband ... A: Let me get to your questions directly. 1. Unfortunately, I don't comment on specific protocols ... | |
| Slow responder- IVF | 8/25/2011 |
| Q: Ramirez I am writing from Boston and feeling pretty desperate. I am hoping you can help. I am ... A: S. (Mass), I apologize for the delay in getting a response back to you. This week has been quite ... | |
| sterile for two years | 8/23/2011 |
| Q: I heard that breastfeeding was not a reliable birth control after 6 months. But a friend nursed her ... A: NO. Breastfeeding does not cause infertility. It certainly can delay fertility because of the ... | |
| Struggling with infertility (only one ovary) | 8/23/2011 |
| Q: I am 35 years old and have been trying to conceive for 18 months. I lost my right ovary in Nov. 2007 ... A: A prolactin level above 20 is not normal. This test should be repeated as a fasting prolactin first ... | |
| OVARIES | 8/23/2011 |
| Q: My daughter has lost both ovaries due to cysts. The doctor has put her on Progyluton. We are aware ... A: I sincerely hope that your daughter was not young because having cysts, if they are not malignant ... | |
| odd question | 8/22/2011 |
| Q: I have an odd question i feel silly asking my obgyn...I was supposed to get my period yesterday, I ... A: S., It is unlikely that any amusement park ride would increase the chances of a miscarriage or ... | |
| fsh level | 8/22/2011 |
| Q: Iam 42 years old lady my menstrual recently became un regular , my fsh level is 21, is there is any ... A: I am sorry to report that the FSH level of 21 means that you are in menopause, which means that your ... | |
| 33, baby #2 and high FSH | 8/22/2011 |
| Q: I just turned 33 and I have one beautiful 18 mo little girl who is the love of my life. She was ... A: S.(Washington), Congratulations on achieving your first baby relatively easily. You do not have ... | |
| Periods after C-section | 8/22/2011 |
| Q: My wife delivered a girl child by C-section on 11th july 2011, on 20th August 2011, she resumed her ... A: Biswakarma from India, It is unusual for a woman to start a period one month after delivery. If ... | |
| Blood test results | 8/21/2011 |
| Q: I am writing from Doha – Qatar. I am 8 weeks pregnant NOW and heard the heart beats last week. I ... A: Your tests are all normal. Good Luck, Dr. Edward J. Ramirez, M.D., FACOG Executive Medical ... | |
| Two IVF cycles | 8/21/2011 |
| Q: I'm 27 and I have very mild PCOS and my doctors say that there is nothing to worry much about it to ... A: If you want to continue trying for pregnancy, I would recommend that you continue with your current ... | |
| Slow Heart Rate | 8/20/2011 |
| Q: I am the happy mother of four children. Needless to say, I am not new to pregnancy info. Here is ... A: S. (Ohio), Certainly a heart rate of less than 100 at 6+ weeks gestational age is not a good sign. ... | |
| two missed abortions with same reasons | 8/18/2011 |
| Q: My age is 29 now with regular periods of 26-28 day cycle.I had two missed abortion for D & C in a ... A: Your miscarriages were not the result of infection or any of the TORCH infections. If looks as if ... | |
| ovulating but put on clomid | 8/17/2011 |
| Q: Ramirez: thank you for your great service! I just turned 37 years old and have been ttc for 1 ... A: S. (Pennsylvania), The main problem, and only problem that you have identified, is your age. I ... | |
| Sperm Fallopian tubes | 8/17/2011 |
| Q: I spoke with my fertility specialist yesterday, and I neglected to clarify something. I don't have ... A: I'm afraid that your doctor is "pulling your leg" or giving you a "made up answer". There is ... | |
| Strange cycles after the pill... | 8/17/2011 |
| Q: My name is Heather and I am a 33 year old (soon to be 34) female from Pittsburgh, PA. I have a ... A: S. (Mass.) In general, if the cycle is within plus/minus 7 days then it is considered normal. For ... | |
| Fertility after ivf cycle | 8/17/2011 |
| Q: my name is Natalia and I am currently in Brazil. I am forty years old and have done all immune ... A: Of course you have to determine and only you know how much you trust your doctor's opinion. I have ... | |
| Struggling with infertility (only one ovary) | 8/16/2011 |
| Q: I am 35 years old and have been trying to conceive for 18 months. I lost my right ovary in Nov. 2007 ... A: Considering that all your tests have been normal, there are only two possible problems that I can ... | |
| Extreme Recurrent Pregnancy Loss | 8/12/2011 |
| Q: I am 33 and have a healthy 3 1/2 year old daughter who was conceived naturally. I have had 7 ... A: S.(Maryland), You certainly have recurrent abortion as a diagnosis, but the exact cause is unknown. ... | |
| Fertility after ivf cycle | 8/11/2011 |
| Q: my name is Natalia and I am currently in Brazil. I am forty years old and have done all immune ... A: There was a study recently that showed that after a miscarriage, the chances of pregnancy are ... | |
| hypothalamic amenorrhea | 8/10/2011 |
| Q: I have been diagnosed with HA in the last few months after getting the Mirena Coil removed 9months ... A: K. My first observation is that an every other day regimen is not a conventional regimen for HA. ... | |
| recurrent miscarriage | 8/10/2011 |
| Q: Ramirez: I will be brief. We have had 3 early miscarriages in the last year.Each one happens right ... A: S. (Florida), Well the good news is that the reversal worked. Your doctor did a good job. I ... | |
| IVF converted to timed intercourse? | 8/9/2011 |
| Q: Ramirez, I write to you from L.A. I am 38 and just started an IVF cycle after two FETs that did not ... A: S. (California), I don't recommend canceling IVF cycles normally because you never know if the ... | |
| Follicle unruptured @ 32mm | 8/8/2011 |
| Q: I am new to this site & some of the answers you have provided on this site answered some of the ... A: Your ovulatory follicle went cystic. That means that it did not ovulate/rupture. It sounds like ... | |
| Infertility | 8/8/2011 |
| Q: When I was 4 or 5 years old I was raped my a family member and the raping continue until I was 17 ... A: S. (Colorado), I was very saddened and angry to hear about your plight. I hope that the predator ... | |
| Cervix dilation | 8/5/2011 |
| Q: i am 32 female.i had a miscarriage in june 2010. USG showed endometrial polys and multiple fibroids ... A: I cannot answer the question as to why the cervical dilation was difficult. That should not have ... | |
| yolk sac v. fluid in early pregnancy | 8/5/2011 |
| Q: it's Carrie in NY. I went for my first u/s today at 5w 3d. I also had HCG levels drawn but they ... A: I'm sorry but I can't add anything to my previous answer despite this additonal information. I ... | |
| Should I do surgery? | 8/4/2011 |
| Q: my name is Natalia and I am currently in Brazil. I am forty years old and have done all immune ... A: It sounds like despite your age your ovaries are doing pretty well. You may not have a lot of eggs ... | |
| Confused | 8/3/2011 |
| Q: Im not sure whats going on with me iv been to doctor after doctor. Iv had some blood work done and ... A: S. (South Dakota), I'm afraid that I can't even presume to give you a hint at what is going on ... | |
| yolk sac v. fluid in early pregnancy | 8/3/2011 |
| Q: it's Carrie in NY. I went for my first u/s today at 5w 3d. I also had HCG levels drawn but they ... A: S., A "yolk sac" is a clearly defined finding or structure. It basically looks like a balloon. On ... | |
| pregnancy | 8/2/2011 |
| Q: I'm currently on birth control pills (ortho cept) but my boyfriend and I want to try to get ... A: If you started your period before the pill pack finished and you just stopped the pack, that is ... | |
| pregnancy | 8/2/2011 |
| Q: I'm currently on birth control pills (ortho cept) but my boyfriend and I want to try to get ... A: Boy that was a quick follow-up. I'm glad to hear that you have thought carefully and wish you the ... | |
| Heart rate and yolk sac | 8/1/2011 |
| Q: Is it normal for a 10 weeks fetus' heart rate to be 134 on ultrasound?? Or is this too low? Also, ... A: S., Your answer is YES. The yolk sac should be disappearing within this or next week if it is ... | |
| irregular menstrual cycles | 8/1/2011 |
| Q: I am having irregular menses and doctor had prescribed me melmet and folic acid tab i am diagnosed ... A: I am at a loss to understand why you are being placed on metformin for hypothyroidism. That is not ... | |
| Adenomyosis and Donor IVF | 7/31/2011 |
| Q: I am 38 years old and recently diagnosed with both diminished ovarian reserve (zero antral follicles ... A: S.?), There is no data or studies that indicate that adenomyosis can affect pregnancy rates. There ... | |
| will it | 7/31/2011 |
| Q: if you get your period a few days be fore you have work done on your teeth or mouth will that ... A: No the dental work will not be more painful because your mouth and your pelvis are not closely ... | |
| Low AMH and High FSH | 7/30/2011 |
| Q: I just recently received my results from my AMH test which was very low at .16 and before my FSH ... A: The AMH and FSH tests are used to measure ovarian function. When they are low in the case of the ... | |
| am i still fertile? | 7/30/2011 |
| Q: I had a early miscarriage about four months ago, and was told to give my body time to heal. Now I've ... A: S., By definition you are not considered having an infertility problem until you have been ... | |
| Ultrasounds | 7/29/2011 |
| Q: I have a question regarding ultrasounds.. If a woman was to go in for an ultrasound at 20 weeks but ... A: S., An ultrasound can determine the gestational age with a margin of error of 2 weeks. Therefore, ... | |
| Want to get preg | 7/29/2011 |
| Q: Good day, I want to get pregnant, I stopped using the pill 2 days ago and already started getting ... A: You should definitely try to wean yourself off this medication before becoming pregnant. It has not ... | |
| pregnancy | 7/28/2011 |
| Q: I'm currently on birth control pills (ortho cept) but my boyfriend and I want to try to get ... A: S., If you are planning to become pregnant, after the completion of this pack you would just stop ... | |
| ectopic due to IUD/salpingectomy/negative hsg | 7/28/2011 |
| Q: Ramirez, Approximately 8 years ago, after the birth of my first child, I had an IUD (copper T) ... A: S., You cannot be sure that the IUD was the cause of the ectopic. That would be a false ... | |
| Confused with semen analysis results | 7/28/2011 |
| Q: Ramirez, I have a question regarding my husbands semen analysis, my doctor is away until mid August ... A: Basically the semen analysis is completely normal. The three things that we look at are count, ... | |
| Infertility | 7/27/2011 |
| Q: before now i'd been preventing pregnancy by mensrogen for some years before last August 2010. Since ... A: The cysts that you have are not caused by your previous birth control pill and need to be treated ... | |
| How long should I continue to take meds? | 7/26/2011 |
| Q: This is Carrie again in NY. I wrote last month about seeing a fertility specialist for repeated ... A: S. (New York), I have my patients take the low dose aspirin until they are 10 weeks gestational ... | |
| embryo quality after thawing | 7/26/2011 |
| Q: Ramirez, I am writing from Israel. I am 27 with unexplained infertility and recently completed my ... A: There is no technology today that allows us to know exactly what the quality of an embryo is ... | |
| Progesterone and Luteal Phase Defect | 7/25/2011 |
| Q: My name is Valerie and I am writing from New Hampshire. I am a 32 year old female with secondary ... A: S. (New Hampshire), Luteal phase defect is not made by checking the mid-luteal progesterone level. ... | |
| Immature vs. Mature | 7/25/2011 |
| Q: Do immature eggs withstand freezing better than mature eggs? Thank you. (Question from the ... A: S., I am not sure that you have the terminology correct so if this answer does not suffice, please ... | |
| Infertility | 7/25/2011 |
| Q: I am in NJ. I went through my first round of Clomid (day 5-9) and IUI. I got my period day 8 after ... A: S. (California), This bleeding pattern is certainly curious considering that you were taking ... | |
| Clomid cycles | 7/24/2011 |
| Q: My husband and I have been trying to conceive our second child for almost 2 years now, I was ... A: S., Clomid can definitely speed up your ovulatory preparation and ovulation. That is why the cycle ... | |
| Follow-up to Hypothalamic Amenorrhea Question | 7/23/2011 |
| Q: I am a bit confused. I was originally diagnosed with PCOS but my diagnosis was changed when my lab ... A: A reproductive endocrinologist would be the best one to see, not a general Ob/Gyn. for now, Yaz or ... | |
| Appendix scar (horizontal: 6cm, vertical: 2mm) | 7/23/2011 |
| Q: Edward, my name is Karin from Austria. I had 2 failed IVF this year, although my last IVF had 3 ... A: Are you working in the U.A.E.? The appendectomy surgery would not have any impact on the failure of ... | |
| repeated implantation failures | 7/23/2011 |
| Q: Ramirez, My name is Anna from Germany, 40 years old, never pregnant before. I had 2 failed IVF this ... A: I was impressed to see that your ovary stimulated well and gave you an adequate number of embryos ... | |
| pregnancy | 7/23/2011 |
| Q: im jaz from New york and i was wondering if my chances of getting pregnant decreases after a ... A: I had to assume, as I mentioned, that you had surgery on one tube since you mentioned that you only ... | |
| pregnancy | 7/22/2011 |
| Q: im jaz from New york and i was wondering if my chances of getting pregnant decreases after a ... A: S. (New York), Certainly there is a possibility of a reduction in pregnancy rates with a ... | |
| Progesterone Levels | 7/22/2011 |
| Q: I am 5w today but Wednesday I went for blood work and my progesterone levels were 5.9 and I was ... A: S. (New York), The decreased progesterone levels are a little worrisome but not necessarily ... | |
| Fertility?? | 7/22/2011 |
| Q: I am from N.C. and I have 5 children ranging in age from 7-22. After my 7yr old was born, the next ... A: R from the U.S. (North Carolina), A tubal ligation is a surgery whereby different methods are used ... | |
| Hypothalamic Amenorrhea | 7/22/2011 |
| Q: I am 28 years old. I had "post-pill" amenorrhea when I was 20 for six months until I conceived my ... A: I don't think that Hypothalamic amenorrhea was the correct diagnosis, otherwise OHSS would not have ... | |
| Polycystic Ovarian Cyndrome | 7/22/2011 |
| Q: Hope you are doing well, i have a query related to polycystic ovarian syndrome. i have been facing ... A: First, I would recommend that you consult my blog where I have written extensively regarding PCO and ... | |
| Ovulation Test | 7/20/2011 |
| Q: So my husband and I are trying for our first child. We've trying for about 3 months with no luck ... A: An ovulation predictor kit (OPK) does not help any more than timing it well. I don't recommend it ... | |
| Reaccurring Chemical Pregnancies? | 7/19/2011 |
| Q: i am writing from the UK. I have wrote to you before about my own issues and found you very helpful ... A: K., In order to answer this question, we have to assume that she is in fact having chemical ... | |
| Can dead sperms fertilize | 7/19/2011 |
| Q: I come from nairobi, Kenya. A friend had to under go a fertility test after their marriage of four ... A: Truly dead sperm (immotile sperm)cannot fertilize an egg. However, having no sperm or dead sperm on ... | |
| Why is getting pregnant for the 2nd time not happening? | 7/19/2011 |
| Q: I'm writing from ON/Canada. For the past four months, we've been trying to get pregnant. We have a ... A: First, I would forget the baking soda. It does nothing to help with sex selection or anything else ... | |
| No Period, low BMI, low estrogen and low progesterone | 7/19/2011 |
| Q: , I am 26 years old, I weigh 113lbs. and I am 5'4. I went off of birth control in September of 2010 ... A: S. (Florida), Without seeing the actual hormone test results, I cannot give you an answer as to ... | |
| Infertility treatment - Some questions | 7/18/2011 |
| Q: I am under treatment for infertility. I have PCOS and blocked left fallopian tube. Last cycle ( ... A: I am afraid that I can't explain or understand your doctor's approach. The only other medication ... | |
| High FSH and other issues | 7/17/2011 |
| Q: Ramirez, I am writing from Canada. I have had some fertility investigations done (we've been ... A: Yes, I thought the reason for the lupron was for scheduling. The provera, or any progesterone for ... | |
| should I try for anotther baby | 7/16/2011 |
| Q: I am a healthy 33 year old woman with a 4 year old that is healthy and was a normal perfect ... A: S.(California), You doctor has advised you correctly. Despite each of these pregnancies ending up ... | |
| pre-seminal discharge in females | 7/15/2011 |
| Q: My question is regarding pre-seminal discharge. i want to know what extent of sexual stimulation ... A: I usually will not answer these types of questions, but i'll provide you a short answer in this ... | |
| recurrent IVF failure with early bleeding | 7/14/2011 |
| Q: Edward, Thank you in advance for your answer! I'm from Paraguay. I just went through my second ... A: Well, it looks like you were given adequate doses of the Prometrium of you used 200 mg vaginally 3-4 ... | |
| Period on day 6 post transfer | 7/14/2011 |
| Q: I have a question regarding spotting 5 days post transfer with full period bleed on 6 days post ... A: S. (New York), You had an ackward IVF cycle to say the least, was my first impression. There were ... | |
| Ovarian Shock | 7/14/2011 |
| Q: I TTC last 3 years with no luck i hae some endometroisis problem treatment did for the same periods ... A: Follistim is a fertility medication used to stimulate the ovaries to ovulate or increase the number ... | |
| recurrent IVF failure with early bleeding | 7/13/2011 |
| Q: Edward, Thank you in advance for your answer! I'm from Paraguay. I just went through my second ... A: You don't mention how much Prometrium you used in your cycles but I think that may be the problem. ... | |
| Thin Uterine Lining | 7/12/2011 |
| Q: Dr. Ramirez, I am 32 y/o and my husband is 36 (no male factor issues). We have been trying to get ... A: I have also had patients with the same problem. It is a difficult one. Hopefully, your lining will ... | |
| Low progesterone! | 7/12/2011 |
| Q: I am 28 years old and I am married. Me and my husband are trying to conceive in the last sixth ... A: The first recommendation I have is for you to come see me :), but I guess that would be too far. I ... | |
| Still not pregnant | 7/11/2011 |
| Q: Ramirez, I wrote you a few months back. My husband and I are still trying to get pregnant with our ... A: First, let me answer the easy question. You can take Motrin but should stop as soon as you get ... | |
| Pco and progyluton trying to concieve | 7/11/2011 |
| Q: I was on the pill for over 10 years but stopped it in May 2011 because my husband and I are planning ... A: That is a country I would like to visit one day. Do you speak French or Italian in Malta. Sorry ... | |
| PCOS?? Possible | 7/10/2011 |
| Q: To start off the back I have been ttc for two years, three years ago I was diagnosed with ... A: It sound like you have the disorder "hirsuitism" but you don't have any other criteria that can make ... | |
| ovulution | 7/10/2011 |
| Q: i have met him 3 times in year as he live a far.i have 28 day cycle and now at day 12 u/s shows ... A: If you have a 11.3 mms follicle on 7/9 then I would expect it to reach ovulatory size around 7/14 ... | |
| Cramps six months after d&c | 7/9/2011 |
| Q: I am hoping you might be able to tell me whether the cramping I am experiencing post-ovulation each ... A: I'm afraid I can't give you any specific advice as to the source of your cramping, but it may indeed ... | |
| Post Ovulatory HCG injections/infertility | 7/9/2011 |
| Q: I am from West Tennessee. My husband and I have a 6 yr. old, and have been trying to concieve #2 for ... A: S. (Tennessee), HCG is an okay method to use for luteal phase supplementation but an easier way ... | |
| Cortison (Prednisolon) | 7/8/2011 |
| Q: Ramirez, my name is Susanne from Germany. I am in the middle of the IVF and was told that I can use ... A: You cannot equate the injection that you had before to the oral tablets you will be taking. The ... | |
| Ovarian Shock | 7/8/2011 |
| Q: I TTC last 3 years with no luck i hae some endometroisis problem treatment did for the same periods ... A: I have no idea what your doctor means with the term "ovarian shock". It is not a medical term nor ... | |
| more frequent cycles | 7/8/2011 |
| Q: My question is regarding more frequent cycles. I am 37 and work at a job that is somewhat ... A: S. (Texas), Woman's cycles are very volatile and can be affected by many things including stress. ... | |
| Chances of Conception | 7/6/2011 |
| Q: Dr. Ramirez, This is Sarah from Kansas, USA. My husband is 36 and I will turn 36 in a month. We ... A: S. (Kansas), The minimum level needed for total motile count is 12M, so your husband is not far ... | |
| High FSH and other issues | 7/6/2011 |
| Q: Ramirez, I am writing from Canada. I have had some fertility investigations done (we've been ... A: I would not recommend the lupron either. You don't need it. He can plan the polyp removal in the ... | |
| less flow | 6/30/2011 |
| Q: .my height is 5"8' inch and my weight is 88 kg ... i hve some period problem as less flow only 2 ... A: The amount of flow with the menses can vary from person to person and therefore is not a problem nor ... | |
| bleeding after a positive HPT | 6/30/2011 |
| Q: Ramirez, thank u for always replying to my questions.. i had 2 faint positive HPTs, with 2 days ... A: First, I think you should look up my blog where the most popular blog post is regarding bleeding ... | |
| IVF | 6/30/2011 |
| Q: i am about to do my first ivf with a clinic and i got a lsit of medications that i will have to ... A: I cannot tell you if this is the right dose or not because it depends on the protocol your doctor ... | |
| period <24 hours / infertlity | 6/29/2011 |
| Q: My husband and have two daughters (6&7) and have been trying to conceive for over two years. I had a ... A: S. (Wyoming), The amount of flow and duration of the period are not significant and do not affect ... | |
| Infertility-correct treatment?, low progesterone, possible chemical pregnancies, starting femara | 6/29/2011 |
| Q: my husband and I are TTC #3. I had a miscarriage at 5 1/2 weeks in 2006, followed by uneventful ... A: S. (NY), Sorry for the delay in getting back to you. For the most part I cannot answer your ... | |
| Chance my laparoscopy was wrong? | 6/29/2011 |
| Q: My husband and I have been ttc for 14 months now with no luck. Two months ago I had a laparoscopy ... A: S. (Nebraska), Certainly the abilities of a surgeon to find and/or treat a condition is dependent ... | |
| bleeding after hsg | 6/28/2011 |
| Q: 2 days later i started bleeding again this time brown and red blood was just wondering if this was ... A: It is normal to have some spotting from an HSG because a catheter is placed into the uterus to ... | |
| Post Myomectomy | 6/28/2011 |
| Q: I had an abdominal myomectomy a week ago. A day after the procedure (while I was still in the ... A: S., The spotting can be normal, especially if the endometrial cavity was entered when the ... | |
| Chicken pox at the time of conception | 6/27/2011 |
| Q: how r u ??? I am on my day 12 of 3 day embryo transfer after ICSI... Today i did a HPT and was very ... A: If you are now 12 days past a day #3 embryo transfer, the first blood pregnancy test can be done. I ... | |
| Thyroid Miscarriage and Fertility Drugs | 6/27/2011 |
| Q: Ramirez, I’m in California. I just found out I’m pregnant, about 4weeks 4days. I had my first ... A: S. (California), The reason you are not feeling any pregnancy symptoms at this time is because the ... | |
| Thyroid and placenta clotting | 6/6/2011 |
| Q: I am 30 years old.During my first pregnancy(1 year back) I had the problem of placenta clotting and ... A: I am afraid that i cannot understand the diagnosis that your doctor has given you. I don't know ... | |
| PCOD | 6/6/2011 |
| Q: . I am 25 weight 70 KG / HEIGHT 5FT 3INCH. I was not having my period for three months. So showed to ... A: PCOD is an ovarian dysfunction, meaning that the ovary is not functioning correctly. In some women, ... | |
| Infertility | 6/6/2011 |
| Q: I know these injectin are expensive but i think its useful and i hae faith on doctor. A: Your doctor is certainly using lots of medications so I hope that it works for your sake. Good ... | |
| infertility | 6/6/2011 |
| Q: my name is Dawn from New Jersey. Hubby and I have been trying for baby # 2 for a few years now. My ... A: S., Sorry for the delay in getting this answer off to you. I am actually writing from London, ... | |
| Hyperplasia with atypia treatments | 6/5/2011 |
| Q: I recently had a D&C to remove the thicken lining. My doctor diagnosed me with hyperplasia with ... A: S. Birth control pills is NOT an alternative in this case because it has Estrogen in it. You can ... | |
| What are my chances? | 6/5/2011 |
| Q: I am currently 34 and my husband is 41. We have been trying to conceive (officially)for 10 months. ... A: S., Assuming there are no other problems, you should have the same chances of pregnancy as anyone ... | |
| No Periods | 6/4/2011 |
| Q: As i mentioned ion my previous mail i didnot get my peirods last Jan 28 2011 till date after ... A: If you are going to this doctor for care,then you have given your trust to that doctor and sould not ... | |
| PICSI, Embryos glue, antibiotic, Prednisolon (cortison), Aspirin and Lovenox 40 | 6/3/2011 |
| Q: Ramirez, my name is Jenny from Austria. I am 40 years old, have a failed 1.IVF this year (6 eggs, 4 ... A: Failing the first IVF is not that uncommon. The chances of pregnancy in the first try is 60% That ... | |
| infertility | 6/2/2011 |
| Q: I'm so glad to be able to get through. My husband and I have been trying to get pregnant for about ... A: The approach you are taking is the proper course. Something is going on and it needs to be found. ... | |
| IVF/Myomectomy | 6/2/2011 |
| Q: Dr. Ramirez, Danita from VA here! I wrote to you a few weeks ago concerning my RE wanting to freeze ... A: S. (Virginia), Low ovarian reserve is an indication that your ovaries might not stimulate well with ... | |
| No Periods | 6/2/2011 |
| Q: As i mentioned ion my previous mail i didnot get my peirods last Jan 28 2011 till date after ... A: Gynedol is a medication that is produced in and solely sold in India. It is not used in the rest of ... | |
| Birth control, ovarian cysts and uterine lining | 6/2/2011 |
| Q: I'm 28 years old and have recently been referred to an OBGYN for recurring ovarian cysts. My most ... A: Without reviewing your medical records it will be difficult for me to know exactly what your doctor ... | |
| On Clomid and have low Progesterone | 5/31/2011 |
| Q: I have a question. I am on CD 25 today and I was on Clomid days 2-7. I had a positive ovulation test ... A: S., General Ob/Gyn and Family practice doctors use the mid-luteal progesterone level (CD#20-22) to ... | |
| No Periods | 5/31/2011 |
| Q: As i mentioned ion my previous mail i didnot get my peirods last Jan 28 2011 till date after ... A: If you took the Unwanted 21 for 21 days and did not have a period, that is unusual. It should have ... | |
| Thyroid Antibodies and fertility | 5/31/2011 |
| Q: Ramirez, Stats: 35yof, normal hormonal blood work. 3 miscarriages(including 1 from IVF). Going ... A: S. (now in China), I hope that it is exciting and fun being in China. Are you doing your IVF ... | |
| Tamoxifen, clomid and PCOS | 5/27/2011 |
| Q: this is saman from UAE. I would like to have your expert opinion in my case. My infertility workup ... A: Yes, an HSG indirectly evaluates the uterine cavity and some doctors/clinics will accept it. The ... | |
| No Periods | 5/27/2011 |
| Q: I am from India i had send question before also and i got satisfactory answer from your end thanks a ... A: I don't like to counter your doctor's recommendations and treatment since you are seeing him/her and ... | |
| Fertility peace of mind - PS - I know you have more impt concerns | 5/27/2011 |
| Q: Okay, so, as indicated by yourself and Dr. Solberg, I should not fret about the issue of ... A: Okay. Here is my final answer. It is highly unlikely, if not impossible, to impregnate someone ... | |
| Miscarriage and pregnancy | 5/26/2011 |
| Q: I m gayathri from India. I really appreciate the service you do through this site. I have a great ... A: There certainly is a possibility of become pregnant soon after a miscarriage. In fact, there was a ... | |
| No Periods | 5/26/2011 |
| Q: I am from India i had send question before also and i got satisfactory answer from your end thanks a ... A: First, I have absolutely NO IDEA why your doctor has prescribed the Ulcicap, which is a medication ... | |
| Submucosal fibroid, polyp - bleeding and fertility | 5/26/2011 |
| Q: Ramirez, After 18 months of infertility, I have begun investigations with an RE. Semen analysis ... A: Resection of the fibroid and polyp are appropriate recommendations and I would proceed as your ... | |
| Tamoxifen, clomid and PCOS | 5/25/2011 |
| Q: this is saman from UAE. I would like to have your expert opinion in my case. My infertility workup ... A: Indeed based on the tests you have cited we know the following: 1. Your hypothalamic-ovarian ... | |
| Tamoxifen, clomid and PCOS | 5/18/2011 |
| Q: this is saman from UAE. I would like to have your expert opinion in my case. My infertility workup ... A: A.E., Clomid is not indicated if you are ovulating on your own, but many many doctors use it to ... | |
| No Periods | 5/18/2011 |
| Q: I am from India i had send question before also and i got satisfactory answer from your end thanks a ... A: The effects from Danazol and Lupron can linger for at least a month after the last injection so what ... | |
| Pregnancy | 5/17/2011 |
| Q: I tried for a child last 1 year bur could not succeed. All the reports are normal. My doctor advised ... A: Fertigyn or HCG does nothing more than trigger ovulation (if your ovaries do not do it by ... | |
| Hypothalamic Amennorhea/Ovarian Insensitivity | 5/17/2011 |
| Q: I was diagnosed with HA 18 months ago with normal (but low) hormone levels (FSH around 7) I never ... A: I agree that you don't completely fit the PCO definition. You may be an atypical PCO or a PCO ... | |
| Thin Endometrium Lining | 5/17/2011 |
| Q: I am from SE Michigan area and had a question about thin lining. I did 3 rounds of Injects with IUI ... A: S. (Michigan), A thin endometrial lining is a problem. There are various methods that people have ... | |
| Excessive bleeding during periods | 5/16/2011 |
| Q: My problem is excessive bleeding during the periods after delivery. Here is the background: I had ... A: This is not normal. The birth control pills should reduce the uterine lining so that they flow is ... | |
| Progesterone levels on day 21 | 5/16/2011 |
| Q: Im Sarah from Malaysia, I have been trying to conceive for the second time, for the last three years ... A: Your progesterone level is normal. Certainly one option you have is to use supplemental ... | |
| IVF protocol?? | 5/15/2011 |
| Q: I am from Canada and will turn 42 in a few weeks. I am trying to conceive my second baby after ... A: If you are going to use Lupron, then you have to start from CD21 of the preceding cycle. It is ... | |
| Pregancy/tubal reverseal/IVF | 5/15/2011 |
| Q: I had a tubal ligation done, and me and my husband want to have another child. So we was wondering ... A: S. (Missouri), You have the options of either doing IVF or a tubal reversal. IVF will certainly ... | |
| Self ICI | 5/15/2011 |
| Q: I am in my early 40’s. I am planning to do a “self insemination” with my husband. I would like ... A: S. (California), Since I am not a Naturopath, I cannot comment on the protocol or supplements that ... | |
| Clomid Protocol | 5/14/2011 |
| Q: Your willingness to answer fertility questions is admirable. Let me say, "Thank you!" I've been ... A: S. (California), Actually the answers to those questions are in the blog but are within the body of ... | |
| PROMETRIUM AND PREGNANCY | 5/14/2011 |
| Q: I AM 38 YRS. OLD. I HAD A BLIGHTED OVUM AT 34. THEN I HAD A HEALTHY PREGNANCY (TWO VESSEL CORD BUT ... A: S. (North Carolina), I would definitely recommend that you use the Prometrium vaginally rather than ... | |
| Collapsed veins - any alternative to frequent blood draws? | 5/14/2011 |
| Q: Ramirez, I'm currently undergoing cycle monitoring and my RE has not yet been able to pinpoint a ... A: I have never heard of such a ridiculous thing! Blood work is not required for simple ovulation ... | |
| Abdominal radiation and now miscarriages | 5/13/2011 |
| Q: I started having symptoms in my right leg from a tumor when I was 13 years old. The tumor was found ... A: S. (Penn.) This a rather difficult question to answer precisely. The effects of radiation depend ... | |
| Provera and Clomid | 5/13/2011 |
| Q: My Dr prescribed me provera to induce a period and then clomid to induce ovulation. She told me that ... A: S. (Nevada), You are wiser than your doctor, which means you are seeing the WRONG doctor. She is ... | |
| hcg beta levels question | 5/13/2011 |
| Q: My question is about beta levels, and how to interpret what they indicate. This is my first IVF / ... A: Congratulations. Both measured appropriate for their dates and the heart rates are within normal ... | |
| Spotting | 5/13/2011 |
| Q: Dr.Ramirez. I'm writing from Indiana. My husband and I have been trying to conceive for about a year ... A: S., The spotting could just be a normal variant. Periods are not exactly the same even in the same ... | |
| Hypothalamic Amennorhea/Ovarian Insensitivity | 5/12/2011 |
| Q: I was diagnosed with HA 18 months ago with normal (but low) hormone levels (FSH around 7) I never ... A: If you have normal FSH, LH, Prolactin and TSH levels, then the problem is not in the brain ... | |
| PCOS, CLOMID,HORMONAL IMBALANCE | 5/12/2011 |
| Q: Last February 1, 2011 I went to a Fertility Center, the doctor diagnosed me to have pcos, a dermoid ... A: Clomid therapy should always be monitored to determine (1) whether you are responding to that dose ... | |
| Hypothalamic Amennorhea/Ovarian Insensitivity | 5/11/2011 |
| Q: I was diagnosed with HA 18 months ago with normal (but low) hormone levels (FSH around 7) I never ... A: K., Based on an FSH level of 7, you do not have hypothalamic amenorrhea. In that disease, the FSH ... | |
| IVF and Tubal Blockage | 5/10/2011 |
| Q: My RE recently diagnosed me has having low ovarian reserve, hostile cervical mucus, fibroids, and a ... A: S., You have a very valid question and are correct as to how IVF works. I am also a little ... | |
| clomid | 5/10/2011 |
| Q: Me and my husband have been trying to have a baby for about a year. I'm 35 years old and have had ... A: K., My recommendation would be to have a pregnancy test done to rule out that possibility. If it ... | |
| ivf and bleeding | 5/9/2011 |
| Q: I recently got pregnant from my 1st ivf cycle and I am about 7wks.I started experiencing bleeding ... A: I'm sorry that you were not routed to my blog. You could probably just type it in to your browser ... | |
| Hi about pcos | 5/9/2011 |
| Q: thyronorm,folic acid,ovulate and progestrone tablets for 6 months.I finished my 6 months now but ... A: S. (Ohio), First, I would recommend that you look up my blog where I have written extensively about ... | |
| Estrogen w/ IUI | 5/7/2011 |
| Q: Dr. Ramirez, I am from the Dallas Fort Worth area. I am 32 years old and my husband is 35. We have ... A: S. (Texas), First, let me explain that in fact the Clomid and/or Femara could be the reason why ... | |
| IVF protocol?? | 5/7/2011 |
| Q: I am from Canada and will turn 42 in a few weeks. I am trying to conceive my second baby after ... A: The protocol you are using is a "mini-IVF" protocol and mainly used to help reduce the cost of ... | |
| Worried | 5/6/2011 |
| Q: I completely missed my January period, and when I got it in February it was late and prolonged (2 ... A: I wish that I could give you specific answers to your question, but I am afraid that I cannot. ... | |
| ivf and bleeding | 5/6/2011 |
| Q: I recently got pregnant from my 1st ivf cycle and I am about 7wks.I started experiencing bleeding ... A: K., First, I would like to refer you to my blog where I have written extensively about bleeding ... | |
| Infertility | 5/6/2011 |
| Q: I am the mother of two gorgeous boys aged 3 and 6. We have been trying to conceive number 3 for the ... A: I am amazed at some of the things doctors will say ("maybe it is not meant to be"). From the ... | |
| Only 4 eggs retrieved | 5/5/2011 |
| Q: Ramirez, My name is Ashley and I am 30 years old. I live in Alabama with my husband (also 30 years ... A: S., Since it only takes one good embryo to achieve a pregnancy, let us hope for the best and that ... | |
| ivf #2 protocol Dx: DOR | 5/5/2011 |
| Q: Katie from NYC: So, I took your advice and immediately wasted no time, and moved directly to IVF. ... A: I hate to comment on specific protocols because there is no one protocol that is right for everyone. ... | |
| Confused.... | 5/5/2011 |
| Q: Ramirez. I am writing from Indiana. I am a 26 year old married mother. I have been pregnant three ... A: S., I was very sorry to hear what you have gone through. Most likely and most commonly, the uterus ... | |
| sex selection | 5/4/2011 |
| Q: 1. What is your opinion on sex selection? 2. Do you think it is fair for people to have the right to ... A: S., Keep in mind that the answers I am giving you for your questions are personal opinions and do ... | |
| 3 day vs 5 day transfer | 5/3/2011 |
| Q: Dr. Ramirez, Greetings from Massachusetts! I am scheduled for my 1st IVF cycle this month. I begin ... A: S., Thank you for your inquiry. Noting that you had a positive pregnancy on an IUI cycle, that ... | |
| PCO or PCOS | 5/1/2011 |
| Q: Respected Dr Ramirez, I am myself a doctor, from Pakistan, having completed my MBBS last year. Now, ... A: Estrogen is the hormone required to produce an adequate endometrial lining for implantation. ... | |
| PCO or PCOS | 4/30/2011 |
| Q: Respected Dr Ramirez, I am myself a doctor, from Pakistan, having completed my MBBS last year. Now, ... A: In general, in the U.S., we don't recommend an infertility evaluation until you have been trying ... | |
| symptoms of pregnancy | 4/29/2011 |
| Q: i wanted to know, how early can a woman feel the pregnancy symptoms? my cycle lasts for almost 28-30 ... A: We usually recommend four IUI cycles. Once you have done four, the chances of pregnancy drop ... | |
| infrrtility | 4/29/2011 |
| Q: regularly from the past one year i am going through the induction tablet after that follicular ... A: I am sorry that you did not understand my previous answer. PCO patients have a basic problem of ... | |
| hcg beta levels question | 4/29/2011 |
| Q: My question is about beta levels, and how to interpret what they indicate. This is my first IVF / ... A: S., Absolute values of the bHCG cannot be interpreted (although many people try to). bHCG's are ... | |
| Sperm washing hands | 4/28/2011 |
| Q: Good afternoon Dr. This question relates to cleaning after sex/masturbation and I appreciate that ... A: C., Washing with soap and water is sufficient to kill and remove the semen and sperm. Nothing more ... | |
| infrrtility | 4/27/2011 |
| Q: regularly from the past one year i am going through the induction tablet after that follicular ... A: If PCO is your diagnosis, then the treatment of choice is ovulation induction, which is what you are ... | |
| IVF | 4/27/2011 |
| Q: Ramirez My name is An from Vietnam, 40 years old by end of March 2011. Just give you some ... A: It is interesting for me to see that IVF is being done in Vietnam. Keep in mind that protocols used ... | |
| Weird Periods | 4/27/2011 |
| Q: I've been married for 9 months now, and since the beginning I have not used any sort of birth ... A: I'm afraid I can't give you a specific answer to your question without doing a thorough evaluation, ... | |
| PCO or PCOS | 4/27/2011 |
| Q: Respected Dr Ramirez, I am myself a doctor, from Pakistan, having completed my MBBS last year. Now, ... A: A.E., I often have disagreements with how Physician's are doing things, especially those Physicians ... | |
| Time to move on to donor eggs? | 4/27/2011 |
| Q: I have gone through 3 failed IVF cycles. I’m wondering if it is time for me to move on to donor eggs ... A: S., I answered this question for you that you sent via my website but just in case you did not ... | |
| Progesterone While TTC | 4/20/2011 |
| Q: Ramirez, Here’s some background (as brief as I can make it). I am a 43 year old woman who has been ... A: S., I'm afraid I cannot comment on the untested and nontraditional protocol used by "Dr. Lee". ... | |
| Frozen Embryo Transfers | 4/20/2011 |
| Q: My name is Sarah from Boston. I am writing with a question regarding what I am going to be ... A: S., These are very good questions that you should direct to your doctor. It is his/her ... | |
| PCOS & Baby Aspirin | 4/20/2011 |
| Q: Me and my husband have been trying to conceive for 4 years, i have PCOS and have tried many cycles ... A: I cannot answer the question about hope for you other than to say that there is always hope and we ... | |
| Fertility work up Progesterone results | 4/19/2011 |
| Q: My RE ordered Progesterone blood tests on day 3,6,9,12 post LH surge. I have my results but do not ... A: I am sorry but I cannot substitute for your RE in terms of interpretation of the results because ... | |
| Cause of Anovulation | 4/19/2011 |
| Q: I have a question about something my RE told me that doesn't make sense. I'll give you a brief ... A: S., You are correct and you should call your RE on this one. I think he was making things too ... | |
| pregnency | 4/18/2011 |
| Q: igo for follicular study on 10th march ie on 11 day ,on 13th day follicule size is 11x10mm on right ... A: Congratulations! Bleeding in the first trimester seems to be very common. I would recommend that ... | |
| Conceiving naturally after cancelled ivf cycle | 4/18/2011 |
| Q: I found out today that my ivf cycle was cancelled due to not enough follicles stimulated. I was day ... A: I don't understand why your cycle was cancelled because it only takes 1-2 good embryos to get ... | |
| low estradiol levels | 4/17/2011 |
| Q: I had a birth control-induced period from 3/25/11-3/30/11. I met with my RE and started Menopur 75IU ... A: S., Of course there is a good chance that this could be a successful ovulation induction. I ... | |
| Chemical Pregnancy? | 4/16/2011 |
| Q: Dr Ramirez My husband has very poor morphology (less than 1%). Our RE has reccomended IVF w/ICSI.We ... A: S., Your doctor may very well be correct, but I don't think it is absolutely so. I have seen early ... | |
| harmones | 4/16/2011 |
| Q: .. i m from india ant ttc for 8 months hav regular period of 31day i hav question regarding a ... A: Interestingly, I just answered two questions from people with the same name. Were these questions ... | |
| Hcg levels and ectopic pregnancy | 4/16/2011 |
| Q: I have been infertile for over 17 years and two weeks ago found out I was pregnant. I am 40 and I ... A: S., It is too early to tell with these levels. An ectopic pregnancy could certainly be an option ... | |
| Sperm shape and recurrent miscarriage | 4/12/2011 |
| Q: My GP said 14% is normal. All other sperm results were very good. This is the only one that shouwed ... A: Certainly, it only takes one good sperm to achieve a pregnancy. I did not say that he could not get ... | |
| Cervical Mucus | 4/12/2011 |
| Q: I'm writing from Ireland :) I had two miscarriages so I'm tracking my hormones via blood tests at ... A: Femara (letrozole) is an antiestrogen so it does have some antiestrogen effects on your reproductive ... | |
| No Periods | 4/12/2011 |
| Q: Very thankful to you for satisfactory answers of yours. Now come to my question, I got my last ... A: If you took Lupron in March, then it would have an effect for at least one month and often the ... | |
| First ivf fail due to eggs quality,want help | 4/9/2011 |
| Q: I'm from dubai.I'm 30years and my husband is 33 years old.I do my first ivf month(feb2010).Trans ... A: It sounds like you hyperstimulated and are at risk of hyperstimulation syndrome. For that reason ... | |
| subchorionic bleed | 4/8/2011 |
| Q: Ramirez, I've asked you a few questions on this site and I really want to thank you for the help ... A: I'm afraid that in this case I don't have an answer to give you. It cannot be known exactly when ... | |
| No Periods | 4/8/2011 |
| Q: Very thankful to you for satisfactory answers of yours. Now come to my question, I got my last ... A: If I understand you correctly, you had a period in January 2011, then went on Danazol unti March and ... | |
| Implantation failure | 4/8/2011 |
| Q: Ramirez, This is Pooja from India. I am 34 year old and had undergone 3 IUI's out of which the ... A: There is no way to know exactly why your cycle failed. As I have explained, there seems to be a ... | |
| IVF pregnancy | 4/7/2011 |
| Q: if my embryos transplant did not occur, should i be having my periods by now or some thingelse??? ... A: As mentioned previously, I cannot tell you what is the cause of your bleeding. Since the pregnancy ... | |
| Implantation failure | 4/7/2011 |
| Q: Ramirez, This is Pooja from India. I am 34 year old and had undergone 3 IUI's out of which the ... A: I have to admit that you have me a bit confused. Are you undergoing an FET cycle now? But you also ... | |
| problem with friends regarding sex hormones | 4/7/2011 |
| Q: i am having an argument with my friends on whether having sex increases a woman's breast size. i ... A: The straight, clear and concise answer to your question is, unfortunately, no. I don't think that ... | |
| complicated | 4/7/2011 |
| Q: Ok I went to the Gyno in Dec of 2010 because I wasn't getting my period. He sent me for an ... A: I don't have any solutions to how to speed up the return of your natural cycles. The Depo can ... | |
| clomid and periods | 4/6/2011 |
| Q: I have noticed my periods becoming less and less the last 2 months i have only bleed for 1 day and ... A: K. You should NOT be taking Clomid every month. It leads to a thinning of the endometrial lining ... | |
| Implantation failure | 4/6/2011 |
| Q: Ramirez, This is Pooja from India. I am 34 year old and had undergone 3 IUI's out of which the ... A: First, you have to bear in mind that IVF is NOT a perfect technology. It accomplishes 7 of the 9 ... | |
| subchorionic bleed/low fetal heartbeat | 4/5/2011 |
| Q: I am just over 8 weeks pregnant. I felt some pulling in my lower abdomen and went to my RE. He did ... A: I'm afraid that what you have described are not good signs. The "subchorionic bleed" means that ... | |
| IVF success | 4/5/2011 |
| Q: I am writing from Boston, MA. I recently completed a frozen embryo transfer that was unsuccessful, ... A: S., I think that your thinking was tainted from the quick success of your first cycle. Only ... | |
| Sperm shape and recurrent miscarriage | 4/4/2011 |
| Q: My GP said 14% is normal. All other sperm results were very good. This is the only one that shouwed ... A: The normal for sperm morphology (shape) based on the W.H.O. standards, is 30% normal. That means ... | |
| complicated | 4/4/2011 |
| Q: Ok I went to the Gyno in Dec of 2010 because I wasn't getting my period. He sent me for an ... A: S., First, I don't think you need to worry about the hyperplasia at this point. You have been ... | |
| High Progestrone | 4/4/2011 |
| Q: I'm writing from Ireland :) I had two miscarriages so I'm tracking my hormones via blood tests at ... A: The progesterone level should not have an affect on your ability to become pregnant. Just make sure ... | |
| egg fertillity | 4/4/2011 |
| Q: I'm 51 in menopause and I've had a tubal ligation 19 years ago, I have 3 children of my own ages ... A: If you are in good health and your uterus checks out by ultrasound and hysteroscopy, there is no ... | |
| Ovolution !! | 4/3/2011 |
| Q: Greetings... I thank All experts and all the volunters for their services for humanity. Its a great ... A: By the time you finish intercourse, the sperm that will enter the cervix to reach the egg has ... | |
| IVF pregnancy | 4/3/2011 |
| Q: if my embryos transplant did not occur, should i be having my periods by now or some thingelse??? ... A: This is a simple question that should have directed to your IVF doctor. There is no reason why you ... | |
| Frozen Embryo Transfer | 4/3/2011 |
| Q: I'm writing from Boston MA. I am wondering what the success rates usually are for frozen embryos ... A: S., You can find out the national average rates for pregnancy with frozen embryo transfers from the ... | |
| Mature follicle size on Gonal F | 4/1/2011 |
| Q: I just had my first IUI this past Tues. and although the doctor was not happy with my follicles ... A: S., I have to admit I don't understand at all why your doctor triggered you at this point? Why not ... | |
| DCIS and IVF | 4/1/2011 |
| Q: I was about to undergo my 3rd ivf cycle and found I have DCIS. My Dr is suggesting radiation after ... A: S., This is certainly something that needs to be coordinated between your oncologist and your ... | |
| First ivf fail due to eggs quality,want help | 3/31/2011 |
| Q: I'm from dubai.I'm 30years and my husband is 33 years old.I do my first ivf month(feb2010).Trans ... A: I cannot comment on the specific protocol that other doctor's use because there are many different ... | |
| egg fertillity | 3/30/2011 |
| Q: I'm 51 in menopause and I've had a tubal ligation 19 years ago, I have 3 children of my own ages ... A: S., Menopause means that your ovaries have shut down. They are no longer functioning and ... | |
| pcos and taking contraceptive pill packets back to back | 3/30/2011 |
| Q: I stopped taking the contraceptive pill over one year ago. My periods did not come back naturally ... A: The birth control pill basically puts your ovaries at rest and takes over your cycle. It will not ... | |
| Breakthrough bleeding following failed IUI cycle with injectibles? | 3/30/2011 |
| Q: In February, I had a failed IUI cycle using Follistim. I'm 38 with a history of mild endometriosis. ... A: S., The bleeding episode you are experiencing is not normal after an IUI with using any fertility ... | |
| Overstimulation or a chronically weird response? | 3/29/2011 |
| Q: I was diagnosed with PCOS after going off birth control and stopped getting my period (after first ... A: S., I think the main problem is that your doctor does not have a good handle on your treatment. ... | |
| endometrial biopsy | 3/29/2011 |
| Q: I am scheduled to have an endometrial biopsy done because I am having difficulty getting pregnant. ... A: S., Your doctor should have explained how to schedule this. Because the period cannot be predicted ... | |
| Ovolution !! | 3/29/2011 |
| Q: Greetings... I thank All experts and all the volunters for their services for humanity. Its a great ... A: Your wife is not correct. If your wife has a 30 day menstrual cycle, then that means that ovulation ... | |
| Is clomid the best choice | 3/28/2011 |
| Q: I will try to make this brief. I am 38yrs old and last yr had my right ovary/tube removed due to ... A: You are the type of case that I hate to see. You are seeing the wrong docs, and that seems to be a ... | |
| Low Ovarian Count | 3/28/2011 |
| Q: I am needing advise. I am 32 yrs old and have been trying to have a baby for 2 yrs. I have seen two ... A: S., I am sorry to say, but you have what is called "decreased ovarian reserve." That means that ... | |
| First ivf fail due to eggs quality,want help | 3/28/2011 |
| Q: I'm from dubai.I'm 30years and my husband is 33 years old.I do my first ivf month(feb2010).Trans ... A: A.E., I'm afraid I cannot explain your situation, but I would not conclude that you have an egg ... | |
| failed first cycle ivf empty follicles | 3/27/2011 |
| Q: I am 35 years old and had been trying to conceive for a year. January I had my fertility tests done ... A: S., You were definitely under-dosed in this first cycle. With the high FSH level, I would have ... | |
| clomid and metformin | 3/27/2011 |
| Q: I was diagnosed with PCOS and my doc. prescribed 100 mg days 5-9 of clomid and 1000 metformin, i got ... A: S., The follicle sizes you gave are normal sizes and not indicative of impending ovulation. ... | |
| heavy and very long periods | 3/26/2011 |
| Q: i have been suffering for the last 3 years from heavy menstrual bleeding that lasts for 3 to 4 ... A: I have had multiple readers suggest natural methods, but there are none that I know of that have ... | |
| Ovarian Cyst & Endometriosis | 3/26/2011 |
| Q: my wife 26 years old suffers from endometriosis , completed marriage one year from Feb-10 to ... A: Your wife has stage IV endometriosis. If she wants to become pregnant then her only option would be ... | |
| Fertility | 3/26/2011 |
| Q: I was detected with a dermoid cyst in my right ovary in 2005. I underwent laparoscopy in 2006 and my ... A: First of all, the presence of a "hydrosalpinx" means that the right tube is blocked. Therefore, it ... | |
| Chances that luteal phase defect is only fertility issue? | 3/25/2011 |
| Q: You were kind enough to answer a question from me last May. Based on the fact that I have spotting ... A: You are facing and have faced the main problem with the Canadian medical system, which I have heard ... | |
| Using Femara and Ovidrel Trigger | 3/25/2011 |
| Q: I am here in Austin, Tx and my husband and I have been ttc #3 for 6 months. I have been diagnosed ... A: S., I think that I don't understand why your doctor prescribed Femara ovulation induction for ... | |
| hsg test | 3/25/2011 |
| Q: Ramirez, I would like to get your expert opinion on something. My husband and I have been trying to ... A: I think I agree with you. Besides, if you have only been trying for 6 months then you have not been ... | |
| Clomid cause you to skip cycles | 3/24/2011 |
| Q: I am a little concerned because i am 11 days late. I was diagnosed with PCOS last year and in ... A: S., The irregular cycle is not due to the Clomid but more likely due to the inherent ovarian ... | |
| IUI with !% morphology | 3/23/2011 |
| Q: My RE gave us a 20% chance of conceiving on clomid and IUI. We did two cycles. The first I had a ... A: S., The 20-24% IUI pregnancy rate is the maximum chance with IUI in general. It is not ... | |
| pituitary tumor | 3/23/2011 |
| Q: I have had a resection of my pituitary tumor after i gave birth to my son who is now 2yrs old. I ... A: S., If your pituitary hormones are normal, including the hormones that stimulate the ovary to ... | |
| heavy and very long periods | 3/23/2011 |
| Q: i have been suffering for the last 3 years from heavy menstrual bleeding that lasts for 3 to 4 ... A: I think you are correct that you probably have PCOD. I just answered a similar question with ... | |
| Thin Lining and Transfer | 3/23/2011 |
| Q: Ramirez, You mentioned in previous email that timing of transfer is critical and it depends on when ... A: What I mean by "timing" is not the exact time but the number of days from the HCG because that ... | |
| Getting pregnant after giving birth | 3/22/2011 |
| Q: I am from Oregon and I had a baby 8 weeks and 3 days ago. I breastfed 75% of the time for about a ... A: S., All I can really say is that there is a chance. There is no way for me to know how much of a ... | |
| Infertility and IUI | 3/22/2011 |
| Q: My husband and I have been trying for 18 months and are having difficulty because of varicocele. I ... A: Without knowing the whole history and whether or not there are any other problems, including your ... | |
| MTHFR | 3/21/2011 |
| Q: I have compound heterozygous MTHFR. My family discovered MTHFR when my Aunt was having TIA's at a ... A: MTHFR has been associated with some miscarriages. I cannot, just based on the information that you ... | |
| Infertility (late periods) | 3/21/2011 |
| Q: I am tryiong to concieve last 3 years. I did on 6 January 2011 report as follows: H-Lap, D&C/ ... A: There is no harm in having sexual relations at this time, but I would not count on having a better ... | |
| PCOS | 3/20/2011 |
| Q: My girl friend just got diagonised with PCOS. She is 21.Her Ultra sound report read endometrium ... A: I have written extensively regarding PCOS in my blog. I would recommend that you go to it and ... | |
| is premature progesterone rise cause a problem with IVF drug protocols? (AMA) | 3/19/2011 |
| Q: I have written to you before and you were so kind to answer my questions thoughtfully. I hope you do ... A: S., Well, you are certainly showing me that you are intelligent and quite adept in doing scientific ... | |
| Irregular periods | 3/19/2011 |
| Q: I'm John and I'm writing from Atlanta, Georgia. I am wondering if it is possible to be pregnant and ... A: The answer to your question is YES and NO. There is always a chance of pregnancy even in situations ... | |
| i realy worried | 3/19/2011 |
| Q: im trying to get pregnant about a year ago but ith no results.my infertility doctor tell me that i ... A: The only question that I have is whether or not your tubes are open. You seem to be normal in every ... | |
| Infertility (late periods) | 3/18/2011 |
| Q: I am tryiong to concieve last 3 years. I did on 6 January 2011 report as follows: H-Lap, D&C/ ... A: Yes, if you have already taken two months of Danazole and have just taken a third month of Lupron ... | |
| Infertility | 3/18/2011 |
| Q: My wife had 2 miscarriages at the age of 38 and 39 both the miscarriages occurred at around 8 to 9 ... A: It is unfortunate that your wife lost two pregnancies. However, we know that as a woman ages, her ... | |
| e2 levels during IVF stims | 3/17/2011 |
| Q: Katie from NYC: So, I took your advice and immediately wasted no time, and moved directly to IVF. ... A: The E3 on the third day of stimulation is called the CD#5 E2 level. It is the first check to see ... | |
| Proceed with Laparoscopy | 3/17/2011 |
| Q: I’m from Calgary, Alberta in Canada. I am 33 and my husband is 30, we are both healthy and we’ve ... A: You pose an interesting question and the answer will be based on personal desires. Given that your ... | |
| infertility | 3/17/2011 |
| Q: igo for follicular study on 10th march ie on 11 day ,on 13th day follicule size is 11x10mm on right ... A: It is not possible to know if ovulation (egg rupture) occurred or not with ultrasound unless an ... | |
| PFYSICAL CYCLES AND EMPTY FOLLICLES | 3/16/2011 |
| Q: First of all sorry for my bad English. I am from Greece/Europe and I am 42 years old. I have ... A: I wish that I had a better option to offer you but unfortunately you have probably reached the end ... | |
| Infertility (late periods) | 3/16/2011 |
| Q: I am tryiong to concieve last 3 years. I did on 6 January 2011 report as follows: H-Lap, D&C/ ... A: Danazol is a medication that is given for the treatment of endometriosis. It inhibits estrogen ... | |
| Infertility | 3/16/2011 |
| Q: i am 30 yrs old female married for past 4 years living in Abu Dhabi, UAE. i am trying to conceive ... A: A.E., The first thing I would do is repeat the FSH level. It should be done on the second or third ... | |
| clomid and spotting | 3/15/2011 |
| Q: I am on my 3 course of clomid, this time round, as i had a miscarriage aug 10. The first month on ... A: K. I cannot tell you exactly what the recent spotting is, but of course, there is always the ... | |
| laxatives and infertility ? | 3/15/2011 |
| Q: For the last few years I was using laxatives to lose weight. Since January 2010 I stopped using them ... A: The increased use of laxatives has not been associated with infertility. However, keep in mind that ... | |
| Poor Egg quality (lacking cytoplasm) | 3/15/2011 |
| Q: Ramirez, First off thank you for your time in reading this. I've just been through my first round ... A: I usually don't like to comment on different protocols because there is no "right" protocol. There ... | |
| scar tissues.. | 3/11/2011 |
| Q: my menstrual cycle has been very abnormal since I was 10...there are months where I would go without ... A: Unfortunately I cannot answer your question because you don't tell me why you had to do IVF. Was it ... | |
| bimonthly periods | 3/11/2011 |
| Q: Ever since I had an epidural steroid injection in my low back, I've been experiencing periods twice ... A: S., I'm afraid I have never heard of epidural steroids causing this side effect. Certainly ... | |
| Spotting before period | 3/11/2011 |
| Q: Ramirez- Thank you for reading my question. I am 41 years old, healthy and active. My husband and I ... A: S., First, I would strongly recommend that you seek out and start seeing an RE or comparable ... | |
| secondary infertility? | 3/10/2011 |
| Q: I am Debbie from NY, 33yr old female. I have a beautiful 2.5yr old girl. (It took about 6 mths to ... A: S., You are jumping the gun a little. We define infertility as the inability to become pregnant ... | |
| polycystic ovaries | 3/10/2011 |
| Q: I am 27 years & have POLYCYSTIC OVARIES, which is diagnosed after pelvic U/S by my doctor. I have a ... A: The terms "polycystic" in PCO is a misnomer. That means that it is not a correct name. The name ... | |
| Nuchal Translucency | 3/9/2011 |
| Q: I had my dating scan last Thursday (12w6d) and was sent to prenatal diagnostics as the NT ... A: K. The purpose of the testing you have done is to determine if there is a need for more testing, ... | |
| Infertility | 3/9/2011 |
| Q: hanks for your valuable time Doctor, As we discussed in last mail my last MC date was 28th January ... A: I apologize for misunderstanding your question and circumstances. If you did Danazol therapy for 3 ... | |
| Follistim vs. Gonal-F | 3/8/2011 |
| Q: Is there a difference between Follistim and Gonal-F? Why do some doctors prefer one over the other? ... A: S., Technically there is no difference between these two medications. I don't know about other ... | |
| Infertility | 3/8/2011 |
| Q: I'm not sure where else to go. My husband and I have been trying for 5 years to have a baby. He ... A: First let me say that I avoid moral judgements so my opinion is based on reason alone. There is no ... | |
| Late ovulation | 3/8/2011 |
| Q: I m gayathri from India. I have got irregular periods. I have been undergoing a treatment to ... A: If you don't get pregnant, the menses will usually be 14 days from the day of ovulation. So, if you ... | |
| fertility | 3/7/2011 |
| Q: I'm currently taking I'm of synthyroid daily. Will taking clomid have an effect on my synthyroid? ... A: S., Clomid will not affect your thyroid or synthroid dose. If you have irregular cycles, then ... | |
| IVF & blood disorder | 3/7/2011 |
| Q: Ramirez, I've been diagnosed with diminishing ovarian reserve and my husband has poor morphology. I ... A: S., I think that too much is being read into this cycle. I disagree with your doctor's decision to ... | |
| Blastocyst Grading | 3/7/2011 |
| Q: My husband and I recently went through our first IVF. We have been trying for 2.5 years to get ... A: S., The answer to your question is yes and no. It is ambiguous because grading does not ... | |
| Infertility | 3/7/2011 |
| Q: hanks for your valuable time Doctor, As we discussed in last mail my last MC date was 28th January ... A: I presume that you mean that you are 10 days late from when you would have expected a normal period? ... | |
| Short Luteal Phase After Cycle Only Went To Retrieval | 3/7/2011 |
| Q: Ramirez, I am 44 turning 45 this June. I have had 3 failed ivf's - 1 didn't go beyond retrieval ... A: Remember that this is an artificial cycle and not your normal one. This spotting could just be ... | |
| secondary infertility | 3/6/2011 |
| Q: I am 31 years old and have a 3.5 year old that was conceived naturally after 2 months of trying. I ... A: S., If you have had a full infertility evaluation and nothing was found, and you have not responded ... | |
| secondary infertility | 3/6/2011 |
| Q: I am 34 years of age , have a 4 yr old daughter conceived without diffficulty. After 14 months ... A: All medications state that there is an increased risk of defects in pregnancy as a hedge on their ... | |
| 3 mature follicles | 3/6/2011 |
| Q: I am 30 years old and have been ttc for 12 months. This month is our first time doing monitored ... A: I think your instructions were appropriate and the timing correct. Because you are using ... | |
| Hydrotubation | 3/5/2011 |
| Q: I'm with a new RE that specializes in laparoscopy for infertility. He did an HSG and I have one ... A: If you are going to see an RE, he should be able to give you all your options including the option ... | |
| Provera... now what? | 3/5/2011 |
| Q: my name is Morgan and I am from Houston. I stopped taking combination birth control back in August ... A: S., You are manifesting and ovulatory dysfunction. I cannot tell you exactly what is going on ... | |
| Almost 41 with endometriosis and 3 miscarriages | 3/5/2011 |
| Q: I am from Melbourne, Australia. My doctor says I am "only 40" and there is still a good chance of ... A: Keep in mind that statistics is just a "reflection" of reality but not reality. There are always ... | |
| Estrogen, Clomid & Fish Oil | 3/4/2011 |
| Q: I'm writing from Maine. My husband and I have been trying to conceive for a year now with no luck. ... A: S., Your understanding of Clomid is incorrect. Clomid causes the brain to increase the output of ... | |
| Chest Xray effect | 3/4/2011 |
| Q: Ramirez, I just knew that i am pregnant, i had to do an Xray chest to apply for a visa. I need to ... A: A chest xray is not enough radiation to affect a pregnancy, fetus or developing baby. It takes a ... | |
| Right Dosage of Stimulation | 3/4/2011 |
| Q: Ramirez, I am 44 turning 45 this June. I have had 3 failed ivf's - 1 didn't go beyond retrieval ... A: I don't think that the hiatus' that you took have improved your situation. Time is actually your ... | |
| Estrace tablets vs. patches | 3/4/2011 |
| Q: Ramirez, My doctor has me using patches 7-10 days before my menstrual period for an ivf cycle. I ... A: I disagree with your doctor's explanations about using estrogen before the start of the IVF cycle to ... | |
| Endometriosis | 3/3/2011 |
| Q: My husband and I have been trying to conceive our first baby for 3 years. We're in our early 20's so ... A: S., I hate it when Ob/Gyn docs only do one thing and attribute the infertility problem to that one ... | |
| DCIS and IVF | 3/3/2011 |
| Q: Ramirez, Thank you very much for your time. My question is concerning the risk of recurrence with ... A: S., I recently did a literature search and discussed this very subject with colleagues of mine at ... | |
| Hysterosalpingogram report | 3/3/2011 |
| Q: yestrday I had the above test.It read as below: "ARCUATE TYPE OF UTERUS IS SEE. BOTH FALLOPIAN TUBES ... A: This is really a question that your doctor should have already answered for you. It is his/her ... | |
| Poor Egg quality (lacking cytoplasm) | 3/3/2011 |
| Q: Ramirez, First off thank you for your time in reading this. I've just been through my first round ... A: S., There is nothing that can be done to improve egg quality, but you are missing a very important ... | |
| Alcohol and infertility | 3/3/2011 |
| Q: Dr. Ramirez, I'm writing to you from North Carolina, how nice to meet you. I am 27 years old, have ... A: S., The definition of infertility is if a woman under the age of 35 has not achieve a spontaneous ... | |
| Right Dosage of Stimulation | 3/2/2011 |
| Q: Ramirez, I am 44 turning 45 this June. I have had 3 failed ivf's - 1 didn't go beyond retrieval ... A: S., In general I don't comment on specific protocols because each doctor has their personal ... | |
| Estrace tablets vs. patches | 3/2/2011 |
| Q: Ramirez, My doctor has me using patches 7-10 days before my menstrual period for an ivf cycle. I ... A: S., In general I don't like to comment on the specific protocols that doctors use. Every doctor ... | |
| hormonal imbalanced problem | 3/2/2011 |
| Q: my doc scan my cervix and said i had hormonal unbalanced problem. because of that i missed my ... A: I'm afraid I cannot tell you what these symptoms are from. It would be a little too early to have ... | |
| Infertility | 3/2/2011 |
| Q: Doctor I am from India, My last Period was on 28 january, and today 2 of March that means 4 days ... A: I would wait until your period is seven days overdue. At that point you should ask your doctor for ... | |
| Low Morphology- Any chance of successful IUI? | 3/1/2011 |
| Q: Dr. Ramirez, I was hoping to get your thoughts on the chances of a successful IUI with low ... A: S., 0% is not a "low" morphology, it means there are NO normal sperm. IUI will NOT work if there ... | |
| estrodiol vulrate | 3/1/2011 |
| Q: is there any role of estrodiol vulrate in case if ovulation is occurring but still pregnancy is not ... A: Estradiol valerate is a form of estrogen. It can be used as an estrogen supplement if there is an ... | |
| endometrial tb | 3/1/2011 |
| Q: I m 29 yrs married female. suffering from infertility due to endometrioma which caused blockage of ... A: Yes, endometrial TB can lead to implantation failure and miscarriage. It causes a mild endometritis ... | |
| adenomyosis/bleeding | 3/1/2011 |
| Q: adenomyosis was discovered after a surgical operation to remove fibroid,ido not have any kid ... A: If you have been trying for pregnancy for a year or more, then you need to see a fertility ... | |
| Endometrial thinning | 3/1/2011 |
| Q: I'm Suzanne from Iowa. I have a slightly extensive gyn history. First, i am currently 43 y/o. I ... A: S., The fact that you were able to become pregnant shows that you certainly have the potential to ... | |
| TTC #2 concerns | 2/28/2011 |
| Q: I am 34 and have an almost 2 year old. My husband and I have been trying to conceive for 5 months. ... A: I think you may be worrying unnecessarily. We don't define infertility until a woman has been ... | |
| LPD after C-section 14 months ago | 2/28/2011 |
| Q: Dr. Ramirez, My little boy is 14 months old (delivered via planned c-section due to large size). ... A: I'm afraid that the additional information does not help to shed light on your current situation. ... | |
| infertility | 2/28/2011 |
| Q: my lmp was on 6 oct ,on 12 oct i go through HSG X-Ray which show both fallopin tubes are open,on 5 ... A: It sounds like you had an adequate IUI cycle with at least one follicle of ovulatory size. The only ... | |
| Injections | 2/28/2011 |
| Q: Dr. Ramirez-I have done some reading, and I have many questions in my mind about the safety of ... A: S., Thanks for the very interesting question. As a clinician that has used these medications for ... | |
| secondary infertility | 2/16/2011 |
| Q: I am 34 years of age , have a 4 yr old daughter conceived without diffficulty. After 14 months ... A: Without reviewing your entire medical records I am unable to give you a definitive answer as to ... | |
| Chemical Pregnancy and IVF | 2/16/2011 |
| Q: Ramirez, I am 30 and my first ivf attempt ended in chemical pregnancy. I got a positive beta 8dp5dt, ... A: A chemical pregnancy and subsequent miscarriage can occur in up to 40% of pregnancies. Your could ... | |
| Ultrasound report after using clomid | 2/16/2011 |
| Q: Im 24 i hav never been pregnant before,I have polycystic ovarian syndrome i have had a regular ... A: This is definitely a question that should be answered by your doctor! That is what you pay him/her ... | |
| LPD Treatment | 2/15/2011 |
| Q: My husband and I just started trying to have a baby in June 2010. I have PCOS and was worried that ... A: S., If the doctor you are seeing is a fertility specialist (a real one), then this is a very simple ... | |
| HCG and U/S | 2/15/2011 |
| Q: I am trying to have my 2nd child. My first is 3 years old. Before getting pregnant with her I had 2 ... A: S., It is difficult to make an "exact" decision based on HCG levels, but the levels are within ... | |
| Ovulation | 2/15/2011 |
| Q: I am taking Clomid at the moment 50mg and this cycle I took it days 3-7 , I had ewcm on day 4 and 5 ... A: I am shocked at your question because your doctor should be monitoring you for (1) your response to ... | |
| Ovidrel does it work the first time? | 2/15/2011 |
| Q: i am going 4 my scans friday after taking fertomid tablets since last week wednesday. I would like ... A: First of all, there is NO WAY for anyone to know if there is an egg within a follicle or not. That ... | |
| hCg trigger timing | 2/15/2011 |
| Q: I am writing from Hawaii with several questions. The background is the following: I am 36 years ... A: S., First, let me say that I am a little skeptical of your doctor, as I notice that you are based ... | |
| hormonal imbalanced problem | 2/14/2011 |
| Q: my doc scan my cervix and said i had hormonal unbalanced problem. because of that i missed my ... A: I am assuming that your doctor has prescribed Clomid to help you to become pregnant in this cycle. ... | |
| ovulation | 2/14/2011 |
| Q: Had sex on the 15th of January 2011, i think i was ovulating. well i took the morning after pills ... A: The morning after pills would have terminated your cycle and therefore altered it from its original ... | |
| infertility/ fertility | 2/13/2011 |
| Q: my name is vanessa. Last year around march I started using nuva ring and I stopped using around ... A: In order to answer your question, you would need to undergo an infertility evaluation to check each ... | |
| Progesterone | 2/13/2011 |
| Q: ! Dr Ramirez I hope you are well. It is Lisa from England again..... the last time I contacted ... A: K., The previous miscarriage was probably not from a low progesterone as you surmised. I cannot ... | |
| INFERTILITY | 2/12/2011 |
| Q: s convenience) Follistem and menopur- stemmed for 4 days then cancelled due to only having 3 ... A: S., First let me say that using the birth control pill is NOT just for the doctor's convenience. ... | |
| Starting clomid next month. | 2/12/2011 |
| Q: Ramirez. Here I am writing again. I previously emailed you, I had a miscarriage in Feb 2010, at ... A: Once the pregnancy reaches 8 weeks and the size is appropriate for dates and the heart rate at 120 ... | |
| infertility | 2/12/2011 |
| Q: my lmp was on 6 oct ,on 12 oct i go through HSG X-Ray which show both fallopin tubes are open,on 5 ... A: I cannot tell you your chances of success other than the normal chances based on your age. Since ... | |
| infertility/ fertility | 2/11/2011 |
| Q: my name is vanessa. Last year around march I started using nuva ring and I stopped using around ... A: S., The Nuva ring should have NO effect on your fertility once it is removed. So, you don't need ... | |
| Infertility | 2/11/2011 |
| Q: I am tryiong to concieve last 3 years. I did all the test they are normal then i did HSG in that ... A: I already answered that question specifically so I don't want to be repetative. You need to consult ... | |
| Not ovulating six months after D&C | 2/11/2011 |
| Q: I am writing from Pittsburgh, PA. I had a miscarriage in late August 2010 (at 10 weeks gestation). ... A: S., It sounds like you have some sort of Ovarian dysfunction going on. I cannot tell you exactly ... | |
| low progesterone and recent miscarriage | 2/10/2011 |
| Q: I am writing to you from a remote community in SE Alaska, We have a clinic and Doctors here but, no ... A: S., Progesterone levels measured at the mid-luteal phase do not make the diagnosis of luteal phase ... | |
| Infertility | 2/10/2011 |
| Q: I am tryiong to concieve last 3 years. I did all the test they are normal then i did HSG in that ... A: The laparoscopy showed that your tubes and uterus are completely normal. The abnormal finding was ... | |
| Concerned | 2/10/2011 |
| Q: I discovered my FSH ranges are between 10.5- 11.9. I am only 32 yrs old. I went to a new doctor and ... A: S., If you are doing IVF then your doctor should have explained to you what an elevated FSH level ... | |
| LPD after C-section 14 months ago | 2/9/2011 |
| Q: Dr. Ramirez, My little boy is 14 months old (delivered via planned c-section due to large size). ... A: S., First, I would recommend that you look up my blog where I discuss how I recommend Clomid cycles ... | |
| No Period for 3 months | 2/9/2011 |
| Q: I had history of scar tissue (Asherman Syndrome) since my Myomectory surgery in 2008. I have very ... A: S., You bring up several isues so let me see if I can give you the information that you need. ... | |
| Ovidrel does it work the first time? | 2/9/2011 |
| Q: i am going 4 my scans friday after taking fertomid tablets since last week wednesday. I would like ... A: Ovidrel is a hormone called HCG and is used to trigger ovulation. Only a single injection is ... | |
| hormonal imbalanced problem | 2/9/2011 |
| Q: my doc scan my cervix and said i had hormonal unbalanced problem. because of that i missed my ... A: A.E., By "hormonal imbalance" I presume that your doctor means that your ovaries are not ... | |
| Depo Provera | 2/9/2011 |
| Q: How easy is it to get pregnant after just coming off of the depo provera birth control shot? I am ... A: S., The effects of Depo provera can certainly linger for up to three months but you need to look up ... | |
| Getting pregnant with number 2 | 2/8/2011 |
| Q: How long will it take to get pregnant with your second child? We already have a three year old and ... A: I cannot tell you how long it will take for you but the majority of women at your age will take 8-12 ... | |
| help | 2/7/2011 |
| Q: I am a 36 year old female that has been trying to conceive for 2.5 years now. We began our journey ... A: You have to keep in mind that you were very young when you had your previous children and in your ... | |
| hi doctor | 2/7/2011 |
| Q: i am Lydia from ALGERIA i am 23 years old, i am married for 3 years ,my husband and i agreed not to ... A: By "yellow body" I presume your doctor is referring to a corpus luteum cyst and this does not ... | |
| HSG or Laparascopic of Fallopian tube | 2/7/2011 |
| Q: could you please give me some point of wiew about my case: I was in a hospital in Europe and had a ... A: I surely would have treated you differently. There are criteria that we use to suspect an ectopic ... | |
| pain after hcg trigger | 2/6/2011 |
| Q: i am wondering if it is normal to experience pain in stomach upto 5 days after the hcg trigger shot. ... A: S., Some people will feel ovulation "pain" and the amount of pain will often depend on how many ... | |
| infertility | 2/6/2011 |
| Q: i am 24y and have been married for 3 and half years by now.I am under follicular study for ... A: The ovulation kit does NOT mean that you ovulated. It checks for a hormonal rise called the "LH ... | |
| PCOS, clomid, and day 21 blood test | 2/6/2011 |
| Q: I am a 32 yr old female. I fell pregnant on my 3rd month of clomid I'm last June ( I was previously ... A: I think your doctor is correct in thinking that maybe ovulation was later than expected and you ... | |
| Tranfers | 2/5/2011 |
| Q: the first one I had very good responses but not successful. This time I was slow to respond but made ... A: S., Fibroids have not been shown to influence the pregnancy rates with IVF unless the fibroid is ... | |
| Recurrent Miscarriage | 2/5/2011 |
| Q: I'm 25 and have had 2 miscarriages. 1 at 8.5 weeks after hearing a heartbeat, and 1 blighted ovum ... A: S., You are correct. Clomid is used for ovulation induction or to increase the number of eggs ... | |
| muticustic ovary | 2/5/2011 |
| Q: , I am 29y/o,my menarche was when i was 16 y/o and since then it has been irregular ,it comes every ... A: I understood what you meant and "multicystic, polycystic and multifollicular" are all describing the ... | |
| trying to conceive four months no luck! | 2/5/2011 |
| Q: My husband and I are trying to get pregnant with our second baby, I got pregnant very easily with my ... A: I don't think you need to draw any conclusions from this, and worry unnecessarily. It all could ... | |
| Worried I may have endo. | 2/4/2011 |
| Q: I'm 26 years old and my husband and I have been TTC for 11 months now. The last two months I have ... A: S., I am wondering if you had any infertility testing prior to starting on the Clomid, or did your ... | |
| IVF post Prolactinoma | 2/4/2011 |
| Q: no return of periods despite shrinking of prolactinoma found. Many consultants heads being scratched ... A: K., There are several problem that you report. Let me take them one at a time. You mentioned that ... | |
| muticustic ovary | 2/3/2011 |
| Q: , I am 29y/o,my menarche was when i was 16 y/o and since then it has been irregular ,it comes every ... A: S., I presume that the term "multicystic" that your doctor used is the same as PCO. Multicystic is ... | |
| Progesterone levels ivf | 2/3/2011 |
| Q: I am currently 20 days past my retrieval and doing well. Hcg is rising well but I am concerned with ... A: S., The decreasing levels is a little concerning, and I agree that I don't like the pattern. The ... | |
| post breat cancer fertility treatment | 2/3/2011 |
| Q: I am writing to you from London, UK. Thank you for reading my e-mail. It would be easier if I start ... A: K., I am very sorry to hear that you had breast cancer at such an early age, but I send my prayers ... | |
| 7 days of premenstrual spotting, Dr. says this is normal? | 2/2/2011 |
| Q: Since going of birth control pills, my premenstrual spotting has increased each cycle. I went to an ... A: S., I am not sure that I agree with your Gyn doc that 7 days of premenstrual spotting is normal. ... | |
| ttc | 2/2/2011 |
| Q: And it just don't seem to happen I've he'd a test and they told me that my sperm am low so is there ... A: K., The definition of infertility is the inability to achieve pregnancy within 12 months. Once ... | |
| High FSH and fluctuating TSH w/o meds | 2/1/2011 |
| Q: I am 35 years old (yesterday). Have been trying for baby #2 (#1 spontaneous conception) for 14 ... A: S., Happy Birthday! I think you are misinterpreting the meaning of the FSH level. It does not ... | |
| Fertility meds (maybe) shortening my luteal phase ?? Help | 2/1/2011 |
| Q: We've been TTC over a year and I have never fallen pregnant. I ovulate regularly, so we are ... A: A shortened luteal phase is called a luteal phase defect. It is not usually caused by the ... | |
| trying to conceive four months no luck! | 1/31/2011 |
| Q: My husband and I are trying to get pregnant with our second baby, I got pregnant very easily with my ... A: You'll have to wait at least 10-14 days to check a home urine pregnancy test. At 8 days ... | |
| Pain in ovary | 1/31/2011 |
| Q: My name is Jen. I am 28 years old and healthy and have never been pregnant. Normal BMI (20.26). I ... A: S., You will need to wait and see what the fSH and LH levels are after a natural cycle. This test ... | |
| Primary Infertility | 1/31/2011 |
| Q: I m 27 Years old, my husband 30 i m trying to concieve last 2.5 years but still chilless i had done ... A: Danazol is an appropriate follow-up treatment for endometriosis. It is not my preference, however, ... | |
| Endometriosis | 1/31/2011 |
| Q: I believe to have mild endo not bad, but I'm afraid it's keeping me from conceiving. I'm 16, but ... A: S., I think you are worrying unnecessarily. Most women in their peak fertile years (16-29) will ... | |
| Primary Infertility | 1/28/2011 |
| Q: I m 27 Years old, my husband 30 i m trying to concieve last 2.5 years but still chilless i had done ... A: From the information that you gave me, you were found to have stage II-III endometriosis. That was ... | |
| no period, but want to conceive | 1/28/2011 |
| Q: I am 21 years old, and my husband and I want to try for a baby this year. I couldn't have a period ... A: S., The answers to your questions are all NO, except for the last question which is YES. I think ... | |
| IVF | 1/28/2011 |
| Q: Hope you are well. Its Lisa from England again!. I have added my previous questions and your ... A: I agree that there is a lot of conflicting information on the Internet, and in general, chat rooms ... | |
| Brown spotting | 1/27/2011 |
| Q: actively trying to conceive since 3 years( miscarriage in 2009) Last menses Dec 22nd with 4 days ... A: S., If this bleeding is not usual for you, then you need to be checked. So, I would recommend that ... | |
| High FSH | 1/27/2011 |
| Q: I am 43 and from New Delhi. I had an IUI baby at 41 in Nov. 2008. Six months after delivery I ... A: Yes, your antithyroid antibodies could have an affect on your fertility but is probably not the ... | |
| pcos question | 1/27/2011 |
| Q: thou my husband also has low sperm count and i also have endo, my question is should i just give up ... A: You have two problems that have to be addressed in the treatment: 1. sperm abnormality 2. ... | |
| MTHFR - Miscarriages - Infertility | 1/26/2011 |
| Q: I have been trying to find an OB that can help me because I do NOT want to go to a fertility clinic. ... A: S., The reason you cannot find an Ob that will help you in this regard is because you are exceeding ... | |
| Provera, no withdrawal | 1/26/2011 |
| Q: I am 30. I had been on the Pill for 12yr when I went off in mid Sept as I am starting to TTC. I ... A: S., In general, provera is given as the first line medication to induce a period but when it does ... | |
| long cycles | 1/26/2011 |
| Q: Ramirez I am 28 years old, married once, never been pregnant. I am 122lbs, 5'4. I have fertility ... A: S., First, you need to go see the right doctor. You obviously have some type of ovulation disorder ... | |
| PCOS and getting pregnant | 1/25/2011 |
| Q: I have been reading your blog, and I have a specific question so am writing to you. I am a 27 yr old ... A: S., The usual dose of Metformin (glucophage) is 500 mg three times per day for a total daily dose ... | |
| Fertility | 1/25/2011 |
| Q: from lreland I had my period on 29th November and a laparascopy and hysterscopy on the 1st of ... A: Mirena is a progesterone IUD (hormonal) and so will alter your natural cycles. That is probably the ... | |
| IVF | 1/25/2011 |
| Q: Hope you are well. Its Lisa from England again!. I have added my previous questions and your ... A: As you probably can surmise, I get lots of questions and can't remember everyone. I still think ... | |
| Empty Follicle & Resistance to Stimulant Drugs | 1/25/2011 |
| Q: My first IVF cycle was converted to iui, because i produced only 2 good eggs, resulted in negative. ... A: First, you don't have empty follicle syndrome. That is when no eggs are retrieved. Often in PCOS ... | |
| Could I be pregnant? | 1/25/2011 |
| Q: My doctor advised me that I have PCOS and gave me prometrium and clomid to aide my to get pregnant. ... A: S., Neither your temperature nor your OPK are reliable because you have dysfunctional cycles. If ... | |
| iui query | 1/24/2011 |
| Q: This would be my third IUI , I conceived in the third attempt, however miscarried within 6 weeks. I ... A: IUI's are done when the follicle reaches ovulatory size, NOT scheduled in advance. Your doctor ... | |
| Chocolate Cysts | 1/24/2011 |
| Q: I am writing to you from India. I am 34 years old and I have a son who is 5 years old. I have been ... A: Since you have been able to get pregnant several times in the past, it shows that everything ... | |
| follicle size | 1/23/2011 |
| Q: I had 3 follicles when I received the trigger shot. 30mm 24mm and not sure what size the 3rd one ... A: S., I'm sorry to say but those follicle sizes are way too big. The trigger should be given when ... | |
| IVF question | 1/23/2011 |
| Q: I am in the process of undergoing an IVF cycle for the second time, in hopes to have a second baby. ... A: S., I am surprised that your doctor has not answered this question for you. It should have been ... | |
| Needing help on falling pregnnat, I am on heaps of prescription medication | 1/21/2011 |
| Q: I have been trying to fall pregnant since last Feb with no success, I've had the tests done and ... A: I'm afraid that there is not a natural answer for you, and I think that is what you are seeking. ... | |
| High FSH | 1/21/2011 |
| Q: I am 43 and from New Delhi. I had an IUI baby at 41 in Nov. 2008. Six months after delivery I ... A: Your FSH is an indication of ovarian function and the level shows that your ovaries are not ... | |
| Infertility - CT Scans and x-ray exposure | 1/21/2011 |
| Q: Dr Ramirez, I have read some of the questions about CT Scans/ x-rays and infertility. However, ... A: My first comment, after talking with a Urologist friend of mine, is why you are having CT scan every ... | |
| please help | 1/20/2011 |
| Q: ok 5 yrs ago got pregnet and then about 2 weeks later i had a misscarage and i didnt go to the er. ... A: S., Your irregular periods are not related to the miscarriage. The problem lies in the fact that ... | |
| Bi-monthly periods? | 1/20/2011 |
| Q: I am a healthy average weight 25 year old. I have never had any health concerns until this. In Sept. ... A: Sorry for my misunderstanding because of the term "bi-monthly" which is twice per month (bi-yearly ... | |
| elevated estrogen levels | 1/20/2011 |
| Q: My wife and I have started the IVF process. She has been taking lupron for 11 days when we had our ... A: That high a level does not make sense. A normal peak estradiol level at ovulation in a natural cycle ... | |
| IVF: should i use my own eggs? | 1/19/2011 |
| Q: Ramirez, I'm writing to you from South Texas. I just turned 45 and in the past 4 months I have gone ... A: I apologize for causing you this strife. I don't want you to give up, rather, I am just here to ... | |
| elevated estrogen levels | 1/19/2011 |
| Q: My wife and I have started the IVF process. She has been taking lupron for 11 days when we had our ... A: Certainly a level of 600 is very high and abnormal in that tie in her cycle. Usually it indicates ... | |
| hi doctor | 1/18/2011 |
| Q: i am Lydia from ALGERIA i am 23 years old, i am married for 3 years ,my husband and i agreed not to ... A: It seems that you are smarter than your doctor and should probably consider finding a new one. ... | |
| about infertility | 1/18/2011 |
| Q: i hav pcos problam..and this cycle my doctor give me letrozole 5 mg with injection and found one ... A: You should do a pregnancy test at this point. I recommend a blood pregnancy test rather than a home ... | |
| FSH, LH testing.....??? | 1/18/2011 |
| Q: Okay i had a bunch of labs done on me on the 21st day. Everyone keeps telling me that the OB was ... A: In order to interpret the FSH, LH and Estradiol properly, it needs to be drawn on the cycle day #2 ... | |
| Bi-monthly periods? | 1/17/2011 |
| Q: I am a healthy average weight 25 year old. I have never had any health concerns until this. In Sept. ... A: S., It is abnormal for you to be having a period every two weeks. It needs to be evaluated. There ... | |
| Polycystic ovaries | 1/17/2011 |
| Q: Sara, UK Hi I recently got diagnosed with polycystic ovaries, I am overweight though. I'm a ... A: K. First, I would recommend that you look at my blog where I have written extensively about PCO ... | |
| bleeding after embryo transfer | 1/17/2011 |
| Q: i did et one grade one, since i only had 2 good quality ones. This is my first ivf/icsi, my self and ... A: I am sorry for your result, but keep trying. IVF is not a perfect technology. The last two steps ... | |
| late ovulation | 1/17/2011 |
| Q: I am 36 years old. I have had two failed IVF cycles (the last being October 2010) and a stillbirth ... A: Yes, with patients that have irregular ovulation, sometimes they will ovulate late. I cannot give ... | |
| TTC and weird irregular period | 1/17/2011 |
| Q: I am 23 and I have been trying to conceive for about four months. I have to say that before trying ... A: S., The period where you were trying for pregnancy could have been a pregnancy but ended in an ... | |
| IVF: should i use my own eggs? | 1/16/2011 |
| Q: Ramirez, I'm writing to you from South Texas. I just turned 45 and in the past 4 months I have gone ... A: S., I am very very surprised that your "top notch" doctor recommended you to try IUI's that many ... | |
| Complex Hyperplasia with atypia | 1/15/2011 |
| Q: Dr., I was wondering in your experience if you heard of anyone having the same problem I have and ... A: S., First, the complex hyperplasia is a pre-cancerous condition so it has to be treated first. ... | |
| What next after poor embryo quality? | 1/15/2011 |
| Q: I'm 32 and have been trying to conceive for 2 years. On discovering that my husband had 98% poor ... A: K., I am really surprised at the poor embryo development. Certainly abnormal sperm could be the ... | |
| clomid pregnancy and periods | 1/15/2011 |
| Q: Am in south africa I started on first cycle of clomid 100mg and am now 6 days late I have monitored ... A: If you have not had a blood pregnancy test, that is what I would recommend that you do first. If it ... | |
| Why No period after spotting 1 day? | 1/14/2011 |
| Q: I am from Hillsborough, NJ. I haven't had my period since October. I have really irregular periods ... A: S., There are multiple possibilities, too numerous to go over in this forum. I think it would be ... | |
| Follicle Size | 1/14/2011 |
| Q: This is about my sister in Denver CO - 40 years old. She had sought the help of a second fertility ... A: S., I would hate to give your sister false hope, but the fact that she had follicles is a good ... | |
| clomid troubles | 1/13/2011 |
| Q: I am on my 2nd round of Clomid. I ovulated late last cycle on 50mg, so this cycle my dose is 100mg. ... A: I think that this new flow is your real period and this should define your cycle. If you want, you ... | |
| Fertility Question | 1/13/2011 |
| Q: I really need some advice. I'm 34 and have 2 children. My husband and I would like another child. ... A: So, based on what you told me, you have two definite problems: endometriosis and tubal blockage, and ... | |
| FSH and lining | 1/13/2011 |
| Q: I am doing my first round of FSH injections (Puregon). I have PCOS, so my doctor had me take 50 UI ... A: K., I am concerned by the protocol that your doctor is using. It tells me that he is not an ... | |
| bleeding after embryo transfer | 1/13/2011 |
| Q: i did et one grade one, since i only had 2 good quality ones. This is my first ivf/icsi, my self and ... A: I would recommend that you look at my blog where I have written specifically about bleeding after ... | |
| follow up question doctor | 1/12/2011 |
| Q: i'm from the philippines. an endocrinologist/fertilitt expert here in my country are very rare and ... A: Yes, you should stop the metformin once you become pregnant. The usual reason for metformin is for ... | |
| What is wrong with me? | 1/12/2011 |
| Q: I am seeing a reproductive endocrinologist for 4 months now. They have done many test to me and my ... A: S., Of course I cannot tell you what is wrong with you by the internet. But, have you done a ... | |
| Embarrassing question about fertility treatment and body hair | 1/12/2011 |
| Q: I'm Darlene from Canada. I have an embarrassing question and I find it easier to ask over the ... A: I don't think that you need to feel embarrassed about showing your body to your doctor. We would ... | |
| Clomid | 1/11/2011 |
| Q: I am from Southern California. I have been trying to get pregnant for 2 years. I started clomid for ... A: S., Clomid would not have any affect on your period. The period stopping was probably because it ... | |
| Am I infertile? | 1/11/2011 |
| Q: Im a 21 year old female from the UK. Since I was 13, when I started puberty, my periods were always ... A: K., By now, any residual effect from the implants should have worn off, so the irregular cycles ... | |
| Wierd Cycles After Discontinuing Nuvaring | 1/10/2011 |
| Q: I am writing from Louisiana. Six months ago I discontinued using the Nuvaring hoping to get ... A: S., Sometimes after using a prolonged hormonal medication like the Nuva ring, the ovaries can take ... | |
| amenorrhea | 1/10/2011 |
| Q: Dr. Ramirez, I am a healthy 31 year old who lives in northern CA. I weigh 150lbs, run 6-8 miles a ... A: S., You and I are neighbors since I am in Northern California as well. If your FSH and LH were ... | |
| What protocol? Also, excess estrogen, egg quality? | 1/10/2011 |
| Q: Ramirez, Can you help figure out what the next step should be? I'm 39 but have day 3 tests of 6.4 ... A: S., Before I answer the specifics of your questions, let me precede with the disclaimer that (1) ... | |
| Irregular periods and trying to get pregnant | 1/9/2011 |
| Q: I have irregular periods and was on medicines (birth control) for regularisation.Now I'm married and ... A: S. Prometrium does not induce ovulation, it simply causes a withdrawal bleed. If you have ... | |
| I am thin, I think it's PCOS, my OB said it's not | 1/9/2011 |
| Q: I have irregular perdiods. I am 24 y/o going 25. I recently had a Trans vaginal ultrasound.It said I ... A: PCOS is not defined by ultrasound appearance but it can be one of the components. The first ... | |
| Lupron Depot | 1/7/2011 |
| Q: Dr. Ramirez, I have been suffering with horrible periods since they began, and now at 36 years ... A: S., It has always been my recommendation to "make" the diagnosis rather than "assume" it as your ... | |
| Currently in IVF cycle | 1/6/2011 |
| Q: I am on day 6 of gonal-f 300iu and yesterday was told that my estrogen levels were the same as at my ... A: S., The CD#7 estradiol level is an indication that you are not responding to stimulation at this ... | |
| miscarriage | 1/6/2011 |
| Q: I am from Hampshire in the UK and wonder if you are able to help with a few questions I have? I am ... A: K. I am sorry to hear of your losses. 1. Being overweight or obese does NOT increase your chances ... | |
| best technique | 1/6/2011 |
| Q: Edward, my husband did a varicocele operation since 10 months. the spermogram test is before the ... A: Based on the repeat semen analysis, there is only one problem, which is the motility of 20%. That ... | |
| Regular late ovulation/long cycles | 1/6/2011 |
| Q: I went off the pill at the end of May '10. I started tracking ovulation in September. Since that ... A: S., I guess the answer to your question is how invasive you want to be at this time. Clomid, ... | |
| Unruptured follicles in a natural cycle | 12/26/2010 |
| Q: Iam 40 years old .. I had 2 miscarriages last year.. No heart beats detected.. I have been trying ... A: A.E. Yes you can use HCG in a natural cycle. There is absolutely no reason not to. Your doctor is ... | |
| FSH Levels Changed after Difficulty with Colonoscopy | 12/26/2010 |
| Q: I have heard stress levels can cause infertility problems. I had a very difficult colonoscopy ... A: It is very unlikely that the colonoscopy had anything to do with your FSH levels. It is purely ... | |
| best technique | 12/25/2010 |
| Q: Edward, my husband did a varicocele operation since 10 months. the spermogram test is before the ... A: Your husband's semen analysis is more than adequate for conception either through natural timed ... | |
| hi Dr, | 12/24/2010 |
| Q: i am 31 years old,married from 4yrs ago and i have a baby 3years, and i tried to get pregnant again ... A: A follicle size of 16 mms is not quite sufficient for ovulation, but if you have regular menstrual ... | |
| early pregnancy | 12/22/2010 |
| Q: I am 29 yrs female.This year I underwent 2 IVF cycles both of which failed due to unknown reasons. ... A: I know that I just answered your question, but forgot to address the question of changing clinics. ... | |
| early pregnancy | 12/22/2010 |
| Q: I am 29 yrs female.This year I underwent 2 IVF cycles both of which failed due to unknown reasons. ... A: The one question I cannot answer is "what are my chances of conceiving." The fact that you had a ... | |
| ovidrel and late ovulation | 12/22/2010 |
| Q: I was wondering if there is a chance that a person might ovulate later then the 24-36 hours with ... A: S., Giving ovidrel or HCG does not give a specific time line for ovulation. It can occur anywhere ... | |
| Ivf | 12/21/2010 |
| Q: I have suffered from amenorrhea for years. I may have dotting for one day and that is it. My husband ... A: S., In terms of hope, you should look at my blog as well. You don't mention your age, but there is ... | |
| Lots of EWCM that lasts a week | 12/21/2010 |
| Q: I am writing you from Alberta, Canada. I have been doing many searches on the internet to find an ... A: I think that you are putting too much value on cervical mucous. It is an indirect measure of the ... | |
| Empty Follicle Syndrome | 12/21/2010 |
| Q: I was wondering if you could help me? I am 30 yrs old and been trying for a baby for almost 5 years ... A: K. I have to admit that I have not heard of a person having "empty follicles" twice. The cause of ... | |
| Low TSH cause infertility?? | 12/21/2010 |
| Q: Since my daughter was born 21 months ago, we've been trying to get pregnant with no luck. My period ... A: S., Thyroid stimulating hormone is produced in the Pituitary along with many other hormone ... | |
| Irregular Periods | 12/15/2010 |
| Q: Good evening, Dr. Ramirez. Thank you for taking the time to read this email. I am concerned about my ... A: K., I can't give you specific advice because I don't have enough information. Certainly if your ... | |
| Long cycles and conception | 12/15/2010 |
| Q: I have been trying to conceive for 4 years and in that time have had 3 miscarriages. I have had ... A: K. You have not give me enough information to do a detailed analysis of your situation. However, ... | |
| Clomid and spotting | 12/15/2010 |
| Q: Was wondering if you knew why Clomid would cause cramping and spotting mid cycle while on Clomid? It ... A: S., This is not a side effect of Clomid. It is possible that it is mid-cycle, ovulatory related. ... | |
| Difficulty concieving at 38 | 12/15/2010 |
| Q: Ramirez, I've read through many of your posts and found them helpful and really informative, so I ... A: S., There is no question that you have the ability to get pregnant, as proven by your prior two ... | |
| Trying to get pregnant after a pregnancy was termed | 12/14/2010 |
| Q: Dr Ramirez, my name is Maria Torres-Thorne, my husband and I tried to get pregnant on our own for 14 ... A: My condolences and sympathy for your loss. Because of your age, you are at risk for genetic ... | |
| not concieving | 12/14/2010 |
| Q: i am 32 married with no baby,me n my husband have been tryin for last two years with no luck,i had a ... A: K. from Saudi Arabia, You can certainly conceive with only one ovary. As long as that ovary is ... | |
| Multiple Miscarriages | 12/13/2010 |
| Q: I have had three miscarriages in 10 months and am now pregnant again. My doctor did a ... A: S., We define "habitual abortion" or "recurrent miscarriage" as someone who has three or more ... | |
| pre-mature menopause??? | 12/13/2010 |
| Q: I'm a 31 year old female. My last regular period was in July 2010. I experienced a couple of ... A: If you have elevated FSH levels greater than 20, it is an indication that the ovaries have stopped ... | |
| early pregnancy | 12/11/2010 |
| Q: I am 29 yrs female.This year I underwent 2 IVF cycles both of which failed due to unknown reasons. ... A: Congratulations. The brown spotting is probably due to the progesterone suppositories (pessaries) ... | |
| Endometrium lining | 12/10/2010 |
| Q: I am 41 yrs old and live in Spain with my husband. We have just been to another fertility clinic ... A: Your endometrial lining sheds and regrows every month. It does not stay thin forever. The minimum ... | |
| Continuing Clomid after Miscarriage | 12/9/2010 |
| Q: I was put on 50mg Clomid due to pcos and long cycles (42-43 days). Right away, my cycles reduced to ... A: When I answered your previous question, I was not implying that I agreed with continuous Clomid ... | |
| donating my eggs | 12/9/2010 |
| Q: What is the age limit for donating your eggs?ddef6 A: It depends on the clinic or donor agency that you work with. They all set their own rules. Most ... | |
| Metformin/late period | 12/8/2010 |
| Q: I have PCOS and had had a few erratic periods prior to being put onto metformin in August, ... A: If metformin has lead to regular menstrual cycles, which indicates that ovulation is occurring ... | |
| infertility question | 12/8/2010 |
| Q: .i was diagnosed with bilateral tubal oclusion...did lap surgery a year ago...had 2 miscarriage ... A: S., It is not necessarily unusual for you to not have had a pregnancy in two IVF attempts, but ... | |
| lupron depot endometriosis IVF | 12/8/2010 |
| Q: I was put on Lupron for three months for endometriosis my question is how soon after lupron ... A: You can start from the fourth month after the Lupron injection, which would be the soonest, but most ... | |
| Continuing Clomid after Miscarriage | 12/8/2010 |
| Q: I was put on 50mg Clomid due to pcos and long cycles (42-43 days). Right away, my cycles reduced to ... A: K. Because you responded to 50mg of Clomid previously, you certainly don't need to increase the ... | |
| 2 failed IVF | 12/7/2010 |
| Q: I just failed my second IVF procedure. I am 37 years old living in the bay area. My husband has slow ... A: S., I am sorry to hear of your failures, but IVF is certainly the best treatment for you based on ... | |
| polycysts | 12/7/2010 |
| Q: My question is, I was told by my doctor that I have polycysts on my ovaries and that I am not ... A: S., Polycystic ovarian disease is an ovarian dysfunction whereby the ovaries do not process the ... | |
| Missed periods | 12/7/2010 |
| Q: I had irregular periods and have made it reuralized by using some pills. Now for past 3 months i ... A: It is too bad that your doctor did not explain this to you because it is his responsibility to ... | |
| Spotting? Progesterone Suppositories | 12/6/2010 |
| Q: Dr. Ramirez, I am hoping that you can help answer some questions for me as I am feeling confused ... A: Once you are taking progesterone, the temp chart is not reliable. I cannot explain why the temp ... | |
| HMG for the first time | 12/6/2010 |
| Q: I'm 36 years and having difficulties trying to conceive my 2nd child. I'm writing from Argentina. My ... A: Usually with IUI, we want out patients to ovulate 2-3 eggs at a time in order to increase the ... | |
| Birth Control and PCOS | 12/6/2010 |
| Q: I have been taking Birth Control for 2 months now because of my diagnoses of PCOS. Before getting ... A: Of course taking the birth control pills will prevent you from getting pregnant so if you want to ... | |
| Spotting? Progesterone Suppositories | 12/3/2010 |
| Q: Dr. Ramirez, I am hoping that you can help answer some questions for me as I am feeling confused ... A: I am confident that this bleeding is not your period, but keep in mind that there are always ... | |
| Spotting? Progesterone Suppositories | 12/3/2010 |
| Q: Dr. Ramirez, I am hoping that you can help answer some questions for me as I am feeling confused ... A: I have found that vaginal spotting is very common with the use of Crinone in my IVF patients, so I ... | |
| progesterone overdosis for infertility treatment? | 12/3/2010 |
| Q: I am currently undergoing infertility treatment in Taiwan. I was stimulated with gonal-f and hcg, ... A: I don't think that the amount of progesterone that you received is of sufficient dosage to interfere ... | |
| Cervical Mucus | 12/3/2010 |
| Q: From Az here, This is more of a technical question to which I'm getting two inconsistent answers ... A: I am not sure what your question is about or why you ask it. In technical terms, cervical mucous is ... | |
| no sperm | 12/2/2010 |
| Q: i have 2 children with my husband. he was later diagonised with diabetis. my husband is no more ... A: If the diabetes has affected his testicles and therefore there is no longer sperm production, it is ... | |
| IVF | 12/2/2010 |
| Q: I have finished 3 IVF cycles with one embryo at the time. The last one ended in a chemical ... A: I have a novel idea that one of my patients suggested and used. She obtained donor eggs from a ... | |
| Progesterone supplements and IUI | 12/2/2010 |
| Q: I'm 31, never pregnant. Dx PCOS, receiving metformin 1500 mg a day. 3 cycles with clomid with no ... A: You have a very valid question and you should ask your doctor why they don't give progesterone after ... | |
| Infertility | 12/1/2010 |
| Q: Are there common reasons why some people do not respond to Follistem? I just turned 35 and I am on ... A: S., The most common reason for a lack of response to Follistim is that the dose is not high enough. ... | |
| clomid and the effects of pregnancy test. | 12/1/2010 |
| Q: I have been on clomid 50mg for 4 months. Usually my cycle is 30 days. At this stage I am two weeks ... A: Your doctor is WRONG! If the clomid worked correctly, and you ovulated, and if a pregnancy ... | |
| Cervical Mucus after D&C | 11/30/2010 |
| Q: D&C on 11-02-10, +OPK on 11-20-10,sex on 17,18,19th of Nov. now 11-30-10 having CM like I would if I ... A: S., I doubt that the OPK on 11/20 was correct. After a D&C for a miscarriage (I presume that is ... | |
| Help please ! | 11/30/2010 |
| Q: I am writing from Ohio and my fiance and i have been trying to have a baby for over year it seems ... A: S., The only advice I can give is directions for using the calendar method to time your ... | |
| infertility | 11/30/2010 |
| Q: my lmp was on 6 oct ,on 12 oct i go through HSG X-Ray which show both fallopin tubes are open,on 5 ... A: A "chemical pregnancy" is a pregnancy that does not fully develop, and so cannot be seen by ... | |
| provera in first trimester | 11/29/2010 |
| Q: I have a history of miscarrage in the first trimester. My Dr has put me on pregnyl inj 500 twice a ... A: Congratulations on your pregnancy. I do not recommend provera and you are wise to question that ... | |
| Fertility after Tubal Reversal | 11/29/2010 |
| Q: I'm 44 yrs old & my fiance is 30. I had surgery for tubal reversal with one of the best in the world ... A: S., If Dr. Silbers is so good, why did he not advise you that in addition to the tubal ligation, ... | |
| Cervical Mucous question | 11/29/2010 |
| Q: I have been TTC for 6 months. I've been told that I have a slightly short luteal phase (11 days) and ... A: S., I'm afraid you have your physiology wrong. The cervical mucous is hormonally dependent. It ... | |
| Egg quality | 11/28/2010 |
| Q: Is the damage done by smoking to egg quality permanent? Or is there a Detox period after quitting ... A: S. I presume that if any damage is done to female eggs from smoking, it is permanent because you ... | |
| Correct ultrasound ovulation interpretation? | 11/28/2010 |
| Q: I am writing from Athens, Ga and I recently underwent my third IUI cycle. This is the first one ... A: It was quite a while ago, but I think the article was either in the journal "Fertility and ... | |
| Hope for pregnancy, ovulation question | 11/28/2010 |
| Q: What are my chances to get pregnant? Age factor = 40 Day 2 FSH =checked four months 5 - 7 range with ... A: The problem with trying to evaluate your ovulation with OPK vs BBT is that neither of these tests ... | |
| Need help to understand follicular study | 11/28/2010 |
| Q: I have been trying to conceive from last six months.And my doctor suggested me to take letrozo and ... A: The follicle needs to reach a size of 18-24mms in order for ovulation to occur. Anything less than ... | |
| Ovulation Issues | 11/27/2010 |
| Q: I am 22 years old and have never had problems with periods coming regularly or anything. When I got ... A: S., First let me reassure you that it is not impossible to have another baby and because of the ... | |
| Astheozoospermia | 11/27/2010 |
| Q: My report reads as follow' please guide whether quality can be improved, or else what options do i ... A: I would recommend that you first repeat the semen analysis to verify the results. This time, do not ... | |
| Correct ultrasound ovulation interpretation? | 11/27/2010 |
| Q: I am writing from Athens, Ga and I recently underwent my third IUI cycle. This is the first one ... A: S., I can see why you are so confused. Too much wrong information is being propagated. First, an ... | |
| Infertility | 11/25/2010 |
| Q: Brief history and question...I am 36 and have been trying to become pregnant for 3 years. I became ... A: The ovarian follicles have nothing to do with your ovarian reserve. Ovarian reserve is a measure of ... | |
| Hope for pregnancy, ovulation question | 11/24/2010 |
| Q: What are my chances to get pregnant? Age factor = 40 Day 2 FSH =checked four months 5 - 7 range with ... A: S., Thanks for providing all the information. It all looks very good and shows that your ovaries ... | |
| ivf long protocol | 11/24/2010 |
| Q: would appreciate an opinion on this current ivf cycle I'm on and my previous failed cycle. I'm 37. ... A: You don't have a question, but let me comment on the information that you have given me. The ... | |
| infertility | 11/22/2010 |
| Q: I am a 27 year old female who was dx with endometriosis at age of 16. Since that time, I have ... A: It seems that your ovaries have not returned to normal function yet after stopping the Seasonale. ... | |
| Not ovulating after nuvaring? | 11/22/2010 |
| Q: I was on nuvaring for about 5 years. I stopped in June. I have had periods every 25-29 days since ... A: S., I would recommend that you see a fertility specialist if you are trying to get pregnant. A ... | |
| pco | 11/22/2010 |
| Q: i m a pco,i want to concieve and am on a medication.i hav taken injections for my follicles to grow ... A: At this point, the only way to know if ovulation occurred is an indirect test called a mid-luteal ... | |
| will it affect my pregnancy | 11/21/2010 |
| Q: I am 19 and i have been experiencing irregular periods from the past 1 year.I have consulted 2 ... A: None of these medications will affect your future chances of pregnancy or the pregnancy outcome. ... | |
| Failed IVF | 11/21/2010 |
| Q: I am 41 (42 in March)and have just come through a failed IVF cycle (our 1st attempt). I'm not sure ... A: There have been no studies verifying any benefit to the addition of DHEA and so I don't use it. I ... | |
| pregnancy? | 11/21/2010 |
| Q: I always have a regular period lasting 5-6 days and it s usually starts on the 1st or so of each ... A: S., This discharge does not have any significance. The cervical mucous and discharge will change ... | |
| 40 and Decreased ovulation, no period | 11/21/2010 |
| Q: I recently came off the pill, loestrin 24fe in June to undergo fertility testing. I had a period ... A: Because you are not menopausal, your ovaries are still functioning and you are still producing ... | |
| After a Medical Miscarriage | 11/20/2010 |
| Q: I am a 29 year old female from Pennsylvania. My husband (also 29) and I started trying to conceive ... A: S., In general, a medical induction of miscarriage should not lead to scar tissue formation within ... | |
| TTC with HCG Trigger Shot | 11/20/2010 |
| Q: I have 5 kids naturally from a previous relationship and my partner has 4 kids from previous ... A: S., You are seeing the absolutely WRONG health care provider. A midwife is NOT trained to do ... | |
| Small right simple hydrosalpinx | 11/20/2010 |
| Q: Today i got the Ultrasonography of the lower abdomen and below were the conclusions from the report ... A: The ovarian cyst is called a corpus luteum cyst and probably resulted from ovulation based on the ... | |
| Failed IVF | 11/20/2010 |
| Q: I am 41 (42 in March)and have just come through a failed IVF cycle (our 1st attempt). I'm not sure ... A: As you well understand, IVF pregnancy rates are very dependent on the age effect on eggs. As a ... | |
| iregular bleeding | 11/20/2010 |
| Q: I now have one every 29-34 days. I just had mine two weeks ago and now i seem to be spotting again ... A: S., I cannot tell you what is going on without doing a thorough evaluation. It could be hormonal, ... | |
| Bleeding after HSG test | 11/19/2010 |
| Q: I had an HSG test 7 days ago (no blockage found). The first 2 days after, I had some light spotting ... A: It is possible that the HSG caused the menses to start early and that is the cause of your bleeding. ... | |
| trying to get pregnant!! | 11/19/2010 |
| Q: im 20 years old, me and my boyfriend have been trying for a baby for about 13 months, but nothing! ... A: K. Bacteria such as Chlamydia can lead to tubal blockage and result in infertility. However, ... | |
| Irregular bleeding | 11/11/2010 |
| Q: I had my daughter on july 14th, since I was unable to breast feed ive had a regular period since the ... A: The "morning after pill" is a quick course of the birth control pill. It over-rides the normal ... | |
| Progesterone suppositories: Effect on home pregnancy test | 11/10/2010 |
| Q: I will run out of my progesterone suppository tomorrow, the 8th day after I should have ovulated. I ... A: S., Pregnancy tests are not affected by progesterone, however, the purpose of the progesterone is ... | |
| High Dose Clomid | 11/10/2010 |
| Q: Ramirez, I am writing from Philadelphia, PA and am 39 years old. I have had 9 pregnancies, 7 ... A: S., I am very sorry to hear about all your losses, but your age is the culprit. That is what I ... | |
| hypothalamic amenorrhea | 11/9/2010 |
| Q: I am a 32 year old female who has been somewhat diagnosed with HA. I haven't had a menstrual cycle ... A: If you have hypothalamic amenorrhea, that means that your hypothalamus is not stimulating the ... | |
| Starting clomid next month. | 11/9/2010 |
| Q: Ramirez. Here I am writing again. I previously emailed you, I had a miscarriage in Feb 2010, at ... A: I think you misunderstood a little. I don't disagree with ovulating patients using Clomid, I just ... | |
| 40 and Decreased ovulation, no period | 11/9/2010 |
| Q: I recently came off the pill, loestrin 24fe in June to undergo fertility testing. I had a period ... A: S., The elevated FSH level, the measure for ovarian reserve, shows that time is getting critical ... | |
| Scar Tissue from DNC | 11/8/2010 |
| Q: Good Morning All.....My name is Dequom and I'm from Barbados in the West Indies Just to give you a ... A: What your doctor is referring to when she talks about "scar tissue in the cervix" is probably ... | |
| hrt and the chance to conceive | 11/8/2010 |
| Q: I am 42 years old and have had irregular periods for about the last 10 months, also hot flushes, ... A: K. The term "early menopause" is actually a misnomer. There is no way to tell if a woman is ... | |
| D&C Complications (2.5 months in) | 11/7/2010 |
| Q: Around August 8 I was found to pregnant at a hospital (while being looked at for something else). I ... A: Well, I am sorry to hear that no one has taken responsibility for you but that is the problem with ... | |
| iui next week | 11/7/2010 |
| Q: 00 and I feel it was wasted should I go for u/s in am to check? A: S., I am worried that you might be correct. That is not how I or most infertility specialists do ... | |
| Advice about Clomid | 11/7/2010 |
| Q: I am 29 years old and have never been pregnant. I have been trying for 3 years. I sought the help of ... A: S., A mid-tulealphase progesterone level above 10 is an indirect indication of ovulation. That ... | |
| Endometriosis and IVF with egg donation | 11/6/2010 |
| Q: How do look upon having an egg-donation IVF treatment while having endometriosis with a cyst of 3-5 ... A: That is a very interesting question. Thank you for asking me. Technically, if you are going to do ... | |
| Endometriosis and Ovulation | 11/6/2010 |
| Q: I was diagnosed 4 years ago with stage IV endo after having it excised during a lap. I had a ... A: Technically, you have not tried for pregnancy long enough to suspect that a problem exists. We do ... | |
| Worried | 11/5/2010 |
| Q: I want to know what causes infertility. I started wondering this after my husbad got hit in his ... A: First of all, don't jump to conclusions. Getting hit in the testicle does not cause infertility, ... | |
| D&C Complications (2.5 months in) | 11/4/2010 |
| Q: Around August 8 I was found to pregnant at a hospital (while being looked at for something else). I ... A: S., Have you seen a Gynecologist? Going to the ER is great for emergencies but terrible for ... | |
| confused | 11/4/2010 |
| Q: im paigen from the uk, my problem is that i have got pcos and been trieng for a baby for 3 years, my ... A: K., You need to go see an infertility specialist. By definition, you have an infertility problem ... | |
| Pregnancy | 11/4/2010 |
| Q: Is it possible for a human pregnancy to last a year and half? I know normal pregnancy last 40 weeks ... A: S., The answer is NO. If the pregnancy goes beyond 42 weeks, it is considered late and high risk ... | |
| IVF cycle 2 weeks wait. | 11/4/2010 |
| Q: iam on my cycle #2.first cycle i had a biochemical pregnancy,then frozen embryo transfer, i had dnc ... A: Yes, it can be normal to have light cramping after IVF and still be pregnant. I think that it is ... | |
| IUI with Clomid | 11/3/2010 |
| Q: I am 27 years old and my husband and I have been trying to get pregnant for 4 years. We have ... A: "Undiagnosed infertility" means that the cause has not been found, which implies that you either ... | |
| Delay in periods and dryness | 11/3/2010 |
| Q: My wife and I used to have great love making but recently we faced problem of her not getting wet ... A: There is nothing "natural" that I can recommend. You'll have to see or talk with a Naturopath to ... | |
| PLEASE HELP! | 11/3/2010 |
| Q: FINALLY AFTER 8YRS OF UNPROTECTED SEX I GOT PREGNANT IN 2009.THE PREGNANCY WAS UNEXPECTED SO ME AND ... A: S., Before you jump to the conclusion that you won't be able to get pregnant, you need to undergo ... | |
| Ultrasound question | 11/2/2010 |
| Q: Ramirez, I am 43 and became pregnant through IVF. At my 7w4d transvaginal US, there was no ... A: S., Congratulations!! You've beaten the odds in getting pregnant, but are facing the other problem ... | |
| multiple fetus/one viable | 11/2/2010 |
| Q: my daughter in law went for her first ultrasound this morning and was told she is carrying 3 fetus's ... A: This is a question that is better posed to a Perinatologist, an Obstetrical sub-specialist, because ... | |
| Low ovarian reserve -- does this mean low quality? | 11/2/2010 |
| Q: I'm a 34 years old, with one daughter, 6 years old. I've been trying for 2 years to conceive again, ... A: S., The elevated FSH is an indication of low ovarian reserve but does not measure or indicate low ... | |
| 4 failed ICSI's | 11/2/2010 |
| Q: I am 28 years old and my husband is 35. My husband was diagnosed 2 years ago with sever ... A: A.E., Some of your description is a surprise for me. I presume that your doctor did a semen ... | |
| provera for fertility | 11/1/2010 |
| Q: I have been TTC for 2 years now and have been to a few fertility doctors. I have just been given ... A: S., Your question does not quite have enough information in it so I have to make some assumptions.j ... | |
| Seeking Advice | 11/1/2010 |
| Q: I am writing from Doha Qatar. My doctor had prescribed Duphaston two 10mg tablets twice daily after ... A: Duphaston is a synthetic progesterone with progesterone like properties. Progesterone is required ... | |
| ICSI and diabetes | 10/31/2010 |
| Q: i am in the UK. My husband had a semen analysis result and he had Moderate Oligospermia and Severe ... A: K., Sperm can only undergo DNA testing apart from IVF/ICSI because the sperm tested are essentially ... | |
| trying actively. | 10/30/2010 |
| Q: my name is Sana. Me and my husband have been trying to conceive for 1 and half year now but no ... A: You have a diagnosis of infertility because you have been unable to get pregnant within 1 year ... | |
| IUI timing with Ovidrel trigger | 10/30/2010 |
| Q: I am on my third cycle of IUI with Clomid 150mg CD 3-7 and Ovidrel trigger shot. Due to an injury ... A: S., You are second guessing your doctor, which is a sign that you don't completely trust her. I am ... | |
| IVF doubts... | 10/30/2010 |
| Q: Iam on IVF cycle#2. when i go for the cycle the Dr gives me some hormone injections so that i don't ... A: I would not generalize to state "doctors" in your question because I have no idea why your doctor is ... | |
| Took Clomid --- Heavy Mid-cycle Bleeding | 10/30/2010 |
| Q: I am writing from Portland, Oregon. In August of 2009, I found out I was pregnant. It took me ... A: S., The bleeding you had is called dysfunctional bleeding which is an indication that the ovarian ... | |
| getting pregnant after IUD | 10/29/2010 |
| Q: I am a pretty healthy 25 year old woman with two children ages 5 and 3. I am writing from ... A: S., I usually will recommend that the IUD be pulled when you are on your period. Becuase there is ... | |
| High FSH | 10/29/2010 |
| Q: Ramirez, First, thank you very much for taking the time to answer so many questions. Your column ... A: S., An elevated FSH above 20 indicates that your ovaries are no longer functioning i.e. in ... | |
| Delay in periods and dryness | 10/29/2010 |
| Q: My wife and I used to have great love making but recently we faced problem of her not getting wet ... A: This shows an irregular menstrual cycle, and as mentioned earlier, shows that the ovaries are not ... | |
| IVF doubts... | 10/29/2010 |
| Q: Iam on IVF cycle#2. when i go for the cycle the Dr gives me some hormone injections so that i don't ... A: I am not sure that I am understanding your question or situation but let me see if I can give you an ... | |
| PCOD & PREGNANCY | 10/28/2010 |
| Q: ! am writing frm India Orissa state. My problem z am 28 yrs married for 2.4 yrs and ttc for last ... A: The diagnosis of PCO is NOT made by ultrasound, it is made by multiple signs and symptoms of which ... | |
| Delay in periods and dryness | 10/27/2010 |
| Q: My wife and I used to have great love making but recently we faced problem of her not getting wet ... A: S., The current "dryness" has nothing to do with the previous Dermoid cyst (tumor). Dermoids ... | |
| Fertility Treatments and Options | 10/26/2010 |
| Q: I am 33 years old and have been diagnosed with stage 4 endometriosis by laparoscopy to remove it.My ... A: With stage IV endometriosis, I usually will recommend IVF. That does not mean that it is the only ... | |
| How big of a role does PCOS play in infertility? | 10/26/2010 |
| Q: Ramirez. My name is Whitney, I'm 27 and have been married for five years. I have had two ... A: S., PCOS can definitely affect fertility if it is affecting your ovarian function. PCO is defined ... | |
| Hcg levels and IVF | 10/26/2010 |
| Q: R. - I am 39 years old and we have male factor infertility. In our first completed IVF cycle we had ... A: S., The minimum requirement for HCG rising in a normal pregnancy is an 80% rise, not 100% ... | |
| IVF cancelled (empty follies) | 10/25/2010 |
| Q: I am from Cuba but I live in Miami. I am 40 y/o now. I had my first IVF cycle at 39 that failed, ... A: Lupron should have worked just as well as the Ovidrel. I use that exclusively in my PCO patients to ... | |
| Endo, short luteal phase, clomid, and odd periods | 10/25/2010 |
| Q: ..here's my history: TTC for 3 years, I'm 36 years old Ovulate on day 17, been charting basal temp. ... A: It sounds like you could have a luteal phase defect based on a short luteal phase. The test for ... | |
| vaginal dryness | 10/23/2010 |
| Q: Today I found the dryness in my wife"s vagiana, she is 23 yrs old and we have a plan for our baby ... A: I share your concern, and often don't understand why some doctors from India do what they do. The ... | |
| Is it safe to have sex a couple days after conception | 10/23/2010 |
| Q: My husband and I are trying to get pregnant for the first time. We've been following the The ... A: Most couples have sex regularly without knowing that they are pregnant and there is no harm, so I ... | |
| Ovulation and IUI timing | 10/22/2010 |
| Q: I'm on my 4th cycle of IUI - I just had it done Thursday morning. I did a digital ovulation test ... A: S., When only 1 IUI is done, usually it is timed to be 36 hrs from the HCG trigger or LH surge. ... | |
| infertility and craniopharyngioma | 10/22/2010 |
| Q: I am 26 and had surgery in 2006 for a pituitary tumour-Craniopharyngioma. I am now trying to get ... A: I still cannot tell you why you are not getting pregnant, however, it does not seem to be because of ... | |
| IUI/Progesterone Suppositories | 10/21/2010 |
| Q: I recently had an IUI the day after I had a positive OPK. My Dr. instructed me to start using 200mg ... A: S., Progesterone is used to help with implantation and maintain the pregnancy if it should occur. ... | |
| IVF cancelled (empty follies) | 10/21/2010 |
| Q: I am from Cuba but I live in Miami. I am 40 y/o now. I had my first IVF cycle at 39 that failed, ... A: S., We tend to see a higher incidence of "empty follicle syndrome" with increasing age. This is ... | |
| ivf success rates for pcos | 10/21/2010 |
| Q: i am 28 years old and have gone through 7 unsuccessful rounds (1 miscarriage) of fertility treatment ... A: Pregnancy rates with IVF are very dependent on the clinic that you attend. In women under the age ... | |
| Menstration | 10/21/2010 |
| Q: I am a 22 year old women from Utah. In late September I had what I thought was a period but it ... A: S., I think your doctor is not taking you seriously enough. If you continue bleeding through extra ... | |
| ultrasound/ pregnancy | 10/20/2010 |
| Q: from louisiana, usa i have had a 6 week ultrasound, 10 week, and 20week scan where doct measured and ... A: S., The most accurate ultrasound for dating is at 7-9 weeks gestational age (margin of error 3 ... | |
| fertility and provera and clomid | 10/20/2010 |
| Q: I am on Provera right now. I take 10mg everyday, and I was told that it would start my cycle. I have ... A: The period usually doesn't start until you finish the Provera. The usual regmimen to start a cycle ... | |
| Marathon running, Lack of mensturation and Fertility | 10/20/2010 |
| Q: My husband and I would like to get pregnant over the next 8 months. I was on the pill until last ... A: The problem with competitive runners is that they lose a tremendous amount of body fat and so cannot ... | |
| IUI | 10/19/2010 |
| Q: I am having IUI in England. My first attempt was cancelled as i ovulated myself before the follicle ... A: I presume that your consultant does not do IVF and therefore is not a fertility subspecialist? In ... | |
| Clomid vs. Laparoscopy | 10/15/2010 |
| Q: I've been trying to conceive for about a year and my doctor and I are ready to take a more ... A: S., In order for you to achieve pregnancy, if you have been having trouble, you have to find the ... | |
| im 20 and infertile? | 10/15/2010 |
| Q: Ramirez, my name is Erin, and I am a 20 yo female from Oregon, I have recently started a diet plan, ... A: S., The purpose of the birth control pill is to regulate your cycles because your ovaries are not ... | |
| Am I infertile? | 10/14/2010 |
| Q: When I was younger from the ages four till seven I was raped. I have been sexually active and have ... A: S., I am very grieved to hear your tragic story. I can't imagine someone doing something like that ... | |
| Fertility Treatments | 10/14/2010 |
| Q: I have started evaluation with a RE at the beginning of August. I have so far been diagnosed as ... A: You may like your doctor but he is wasting your time. Neither he nor his nurse know what they are ... | |
| progesterone levels | 10/13/2010 |
| Q: i am trying to conceive 9 mths.i have 3 children i conceived each quickly.i have just turned 30.my ... A: Your progesterone level was in the normal range indicating ovulation. 3 days late for a menses is ... | |
| PCOS/PCOD | 10/13/2010 |
| Q: I'm suffering from PCOD from past 3 yrs and undergone many treatment like allopathic it given a very ... A: I have written extensively about PCOD in my blog and on my website. Please refer to it as it will ... | |
| infertility and craniopharyngioma | 10/12/2010 |
| Q: I am 26 and had surgery in 2006 for a pituitary tumour-Craniopharyngioma. I am now trying to get ... A: You have not given me enough information to make a suggestion. Why is it that your doctor says you ... | |
| 2nd IVF result | 10/12/2010 |
| Q: I am 29 yrs old and went for my second IVF cycle with ER on 26th Sept 10 and ET at 28th sept. The ... A: The level designated as positive depends on the parameter used by the lab that did the test. In my ... | |
| 7 follicles | 10/12/2010 |
| Q: I am on my 7th IUI cycle (a mc on the 4th attempt). This month I have 7 follicles mature and ready ... A: S., I would not continue the cycle with 7 ovulatory sized follicles (>15 mms)because of the risk of ... | |
| Question about CMV Igg | 10/7/2010 |
| Q: .i'm writing from Alabama. We're using an anon sperm donor from a sperm bank,doing @ home iui. We ... A: I would recommend that you use a CMV negative donor. There's no sense in taking any chances and ... | |
| infertility due to miscarriage | 10/6/2010 |
| Q: my boyfriend and i had unprotected sex on the 4th sept. which was also the 2nd day of my period. My ... A: Unfortunately, the details of your story don't quite make sense. It is not possible to become ... | |
| periods problems | 10/6/2010 |
| Q: i am from india.i have severe pain when my periods starts.recently i was asked to take duoluton-l ... A: Hormonal pills can affect your menstrual cycle, but the body will usually accomodate them within 3 ... | |
| Ovarian cysts | 10/6/2010 |
| Q: I was wondering if ovarian cysts have any affect on pregancy test?? if so how and why?? i have read ... A: S., The only ovarian cyst that can cause a false pregnancy test is one that is hormonally active ... | |
| repeated misscarriages | 10/6/2010 |
| Q: 5 years ago I got pregnant on my first try and carried my pregnancy to term without any problems. I ... A: Well age is certainly not an issue for you, and I don't know why they would even order the AMH since ... | |
| repeated misscarriages | 10/5/2010 |
| Q: 5 years ago I got pregnant on my first try and carried my pregnancy to term without any problems. I ... A: One thing that is very significant that you have not told me your age. Age has a very significant ... | |
| Folicules Not Rupturing | 10/5/2010 |
| Q: What i would like to know is if my boyfriend and i can still conceive a child even though my ... A: S., If your follicles don't rupture, that means you are not giving off an egg and so pregnancy ... | |
| Chromosome 15 abnormality | 10/5/2010 |
| Q: Ramirez, My husband and I have been infertile for two years. The second year, we began IVF. We ... A: S., Unfortunately I am not a geneticist and will usually go by what the geneticists advise me in ... | |
| could one get infected like this? | 10/5/2010 |
| Q: I m 29 years old..i m on my second cycle of clomid..my follicles measured 1.5mm,1.6mm and 1.1mm on ... A: Theorically you could possibly contract HIV or another infectious disease from someone elses ... | |
| vanishing twin | 10/4/2010 |
| Q: Can you tell me a little more about vanishing twin syndrome? I ask because I had an early ultrasound ... A: S., If you want textbook type information, I will leave that to you to research. That information ... | |
| repeated misscarriages | 10/4/2010 |
| Q: 5 years ago I got pregnant on my first try and carried my pregnancy to term without any problems. I ... A: S., If you have had more than three miscarriages, you are in the category of habitual or recurrent ... | |
| chronic Endometritis and ivf transfer | 10/3/2010 |
| Q: I had IVF transfer with donor eggs 3 weeks ago, according to my HPT taken on day 11 post transfer it ... A: With a history of endometritis, I presume your doctor took another biopsy after the course of ... | |
| Endo & Clomid | 10/3/2010 |
| Q: I'm 27 and from Florida. My OBGYN just found endometriosis at the back of my vagina. How likely is ... A: You are right on both counts. It can be from the BCP (breakthrough bleeding) or from the ... | |
| rpoc after miscarriage | 10/1/2010 |
| Q: I had a miscarriage about 6 weeks ago and used cytotec to help it along. I bled for about 9 days ... A: S., My approach would be to do a hysteroscopy and if the tissue is present, then a minimal D&C ... | |
| 44 and IVF | 10/1/2010 |
| Q: I am 44. I have 10 follicles. My estrogen is 1850 and this is Friday -my retrieval is scheduled for ... A: S., As you know, each individual's statistics are not predictable, and are very much also dependent ... | |
| pregnancy after myomectomy | 9/30/2010 |
| Q: Hello. I am writing from Atlanta, GA. I wrote once before (concerning my dermoid - thank you for the ... A: S., Basically at this point you have two choices: you could attempt IVF without the myomectomy or ... | |
| timing of egg retrieval | 9/30/2010 |
| Q: IL. Everything went smoothly, except on the day of the egg retrieval the doctor was stuck in traffic ... A: S., Because of the 1 hr delay, there is certainly the possibility that some follicles may have ... | |
| icsi | 9/29/2010 |
| Q: this is noha. i'm in the 2w waiting after icsi (12 days since ova retrieval). this is my third time, ... A: A brownish discharge is very nonspecific and does not necessarily mean anything. We often will see ... | |
| ranitidine & ovulex | 9/29/2010 |
| Q: I.m taking a ranitidin&ovulex I.m a bit worry pleas helpe me I dont if that is ok A: K. It is safe to take these medications together but if you are having trouble to get pregnant, ... | |
| Infertility? | 9/29/2010 |
| Q: I am a 37 yr old woman who has been trying to get pregnant since i was 16. I have never fallen ... A: Complex hyperplasia with atypia is an endometrial diagnosis and not a cervical diagnosis. It is a ... | |
| Endometrin and vaginal bleeding | 9/24/2010 |
| Q: Ramirez, Thank-you for taking the time to answer my questions. I am currently 8w5d pregnant ... A: I have found it fairly common to have vaginal spotting with vaginal progesterone. It is probably ... | |
| Low E2 levels with mature follicles | 9/23/2010 |
| Q: I have been on Gonal-F this cycle for 14 days now. I started at 75 and I am up too 150. The doc was ... A: S., With IVF the rule of thumb is that each mature follicle will produce 150-200 estradiol. Your ... | |
| Failed IVF cycle...WHY? | 9/23/2010 |
| Q: I am 33 years old, husband 40. Our diagnosis is unexplained infertility. I have slight PCOS. My ... A: Of course I cannot tell you specifically what did not work. That is not possible. However, I think ... | |
| Polycystic Ovarian Disease or Syndrome and/or amenorreah | 9/23/2010 |
| Q: I have read about these things aswell as Oligomenorrhea. I have read these things can be caused by ... A: Sorry for the delay in responding to your question. I have been away and did not have access to the ... | |
| Deviry 10 mg to sustain pregnanacy | 9/22/2010 |
| Q: Ramirez, I am 32 yrs old, have PCOD and have been trying to get pregnant for 6 yrs. My Obgyn put ... A: S., Deviry is a progesterone and is used to induce a period if one does not occur spontaneously. ... | |
| IVF | 9/22/2010 |
| Q: Ramirez, Thank for answer of my previous question. Now I'm on 5th day after 3-day embryo transfer on ... A: I appologize for the delay. I did not have access to the internet on a recent trip. It is too ... | |
| What questions to ask my RE? Or should I move? | 9/22/2010 |
| Q: Someone wrote a comment on my blog suggesting I ask you. Basically, I was asking what questions to ... A: Let me take your questions in sequence and answer them the best that I can. 1. The D#3 frozen ... | |
| Estrace vaginally | 9/21/2010 |
| Q: My doctor put me on Estrace orally, to be used from my period up until ovulation. I read that ... A: S., Estrace is estrogen. Estrogen is required to prime the endometrial lining for implantation, ... | |
| Hi | 9/21/2010 |
| Q: I am a 18 year old african american female. I have been diagnosed recently with Secondary ... A: S., Secondary amenorrhea (not having periods after having them regularly) is NOT a cause for ... | |
| No Periods, No Pregnancy | 9/20/2010 |
| Q: I'm 28 years old and I've been trying to get pregnant for a year now, with no success. I've always ... A: At this point, it is clear that you have an ovulatory dysfunction. There is a reason for this, and ... | |
| Infertility | 9/20/2010 |
| Q: I am 18 days post embryo transfer (this is the second ICSI attempt). embryo transfer done on Aug ... A: I just answered your previous follow-up question. :) You are taking the thyroid hormone because you ... | |
| Infertility | 9/20/2010 |
| Q: I am 18 days post embryo transfer (this is the second ICSI attempt). embryo transfer done on Aug ... A: With the problems that you describe, IVF with ICSI is the treatment of choice. I don't know what ... | |
| PCOS, just too fat, or both? | 9/19/2010 |
| Q: Ramirez! My cousin was recently diagnosed with PCOS, and after hearing about her symptoms I ... A: S., PCOS is a clinical diagnosis and there is not only one criteria to make the diagnosis. ... | |
| Progesterone levels, clomid, ovidrel | 9/19/2010 |
| Q: I just have a question about progesterone levels. We've been TTC for over three years now. I've ... A: I have absolutely no idea what the heck the nurse meant by "best quality ovulation." In fact, I ... | |
| Ovulation Worries | 9/18/2010 |
| Q: I am able to get my period on birth control pills but when off them, I do not get even a spotting. ... A: S., PCO is diagnosed by a myriad of tests and NOT by ultrasound alone. Basically you only need to ... | |
| IVF | 9/17/2010 |
| Q: Ramirez, Good afternoon! I had today two 3-day embryo (7 cell, 5 cell) transfer without any ... A: Studies have shown that getting up immediately after transfer is not detrimental to achieving ... | |
| Due dates | 9/17/2010 |
| Q: I have a question I was hoping you could help me with. On October 8,2009 I had a second daughter. ... A: S., Due dates and dates of conception are approximate only. They are not exact. However, ... | |
| Can Leukocytospermia affect pregnancy | 9/17/2010 |
| Q: my name is Ramya and I'm from California. I asked a question before about fertility and adenomyosis. ... A: S., Leukocytospermia just means that there are a high number of white blood cells present. Often ... | |
| infertility | 9/16/2010 |
| Q: sir, we are trying for last six month ,last month my follicular study show egg size right ovary ... A: First of all, 8 months is not enough time for you to be worried. It takes the average women under ... | |
| Empty follicle | 9/16/2010 |
| Q: doctor, my name is madhavi before my marriage my weight is around 78 .In 2007 i get married ... A: I'm afraid that I had a lot of difficulty understanding your dialogue, but in essence it seems you ... | |
| HSG after early miscarriage. | 9/16/2010 |
| Q: I have written to you before. I am 31 I have an almost 5 year old and a 3 year old, both conceived ... A: Your doctor is doing what most doctors do, which is try to do "something". You are correct that the ... | |
| my daughter can't have children | 9/16/2010 |
| Q: To whom it may concern: I have 4 children 2 girls and 2 boys which i thank GOD for them everyday ... A: S., The first recommendation is for her to see a fertility specialist. Not a general Ob/Gyn but ... | |
| Secondary Amneorrea | 9/15/2010 |
| Q: I have been overexercisng for about 10 years now. I get my period fine on birth control pills but ... A: Adequate levels of thyroid hormone is measured by a blood test. We usually use TSH. If your ... | |
| Estrace and Progesterone prescription | 9/15/2010 |
| Q: I have had 3 rounds of Clomid (100mg) by itself with no success. I have now done round 4 with IUI. ... A: "Natural" progesterone is available in some health food stores. In most cases it is a cream. I ... | |
| WHY ARE THERE NO PREGNANCY SYMPTOMS AFTER POSITVE BETA? | 9/14/2010 |
| Q: Rameriz. I am 35 years old and I have done 4 fresh IVF and 2FET all negative. In august i did ... A: Your numbers are looking good and pregnancy symptoms are very non-specific. I recently had a ... | |
| hypogonadotropic hypogonadism | 9/14/2010 |
| Q: I have hypogonadotropic hypogonadism. I am trying to get pregnant and did IUI twice, but did not ... A: The pregnancy takes over hormone production, so you should not have problems producing breast milk. ... | |
| Estrace and Progesterone prescription | 9/14/2010 |
| Q: I have had 3 rounds of Clomid (100mg) by itself with no success. I have now done round 4 with IUI. ... A: Practically ALL medications state that they are contraindicated in pregnancy. In actuality, if you ... | |
| getting the pill and then going off to treat infertility? | 9/10/2010 |
| Q: My partner and I have been together for 3 years and have not been able to conceive. He has a ... A: S., The answer to your first question is absolutely NO. That is a wives tale propagated by ... | |
| Infertility | 9/10/2010 |
| Q: Is it possible to be fertile enough to Concieve but not enough to"carry" the baby? Every time my ... A: S., I presume that by "not enough to carry the baby" you are referring to recurrent miscarriages. ... | |
| infertility | 9/10/2010 |
| Q: i had an ectopic pregnancy two yrs. back.My left tube was removed. This yr. in feb i conceived ... A: If you are not seeing a fertility specialist, then it is time that you do. I know that there are a ... | |
| fertility | 9/10/2010 |
| Q: If a virgin woman marries at the age of 40, and wants to get pregnant within one year, how can she ... A: There are definitely drawbacks to getting married to a 40 year old virgin. A woman's fertility is ... | |
| Secondary Amneorrea | 9/9/2010 |
| Q: I have been overexercisng for about 10 years now. I get my period fine on birth control pills but ... A: S., If in fact the reason why you are not getting a period is because you have "exercise induced ... | |
| What FET protocol do you use for 'difficult' PCOS patients? | 9/8/2010 |
| Q: Firstly, thank you so much in advance for taking the time to read my question. Brief History: Dx ... A: K., I have never heard of such as thing as OHSS with an FET cycle. I'll have to do some research ... | |
| 8 mature follicles and chance of multiples? | 9/8/2010 |
| Q: I am on my second cycle of Clomid 100mg with Ovidrel trigger. When I went in for my CD 14 ... A: S., I'm afraid that I cannot give you a specific statistic as to your chances of a super-multiple ... | |
| xrays and fertility | 9/8/2010 |
| Q: I'm a 36 year old who had alot of Xrays as a teenager for a chronic back problem. I had 2 CT's and a ... A: You certainly have had a lot of radiation exposure, and certainly high doses of radiation, such as ... | |
| LH during an IVF cycle | 9/8/2010 |
| Q: We've communicated before (I'm Australian but working in Singapore) about IVF questions and I have ... A: I'm probably not going to be able to give you a great answer for your question because whether or ... | |
| medication | 9/8/2010 |
| Q: Ramirez, I am on prometrium 200mg/1morning and 2evening. I forgot evening dose on my 12th dpo. ... A: If your bHCG did not rise, then that is not a good sign. I agree with your doc and would recheck it ... | |
| fertility | 9/6/2010 |
| Q: i have been trying to get pregnant for 2 years 5 failed iui's 2 failed ivfs im 33 with only one tube ... A: S., First let me refer you to my blog, Women's Health and Fertility Blog, where I talk about ... | |
| cervical mucus after ovulation/conception | 9/6/2010 |
| Q: im from australia,27 years old. trying to conceive for 18 months, have PCOS (no insulin issues ... A: I have been ill this week so was unable to answer right away. I appologize. By now, you should ... | |
| infertility | 9/4/2010 |
| Q: Is there is any treatment for infantile uterus or any evidence based information? thank you, I am ... A: By "infantile uterus" I presume you are referring to an underdeveloped uterus. There is not ... | |
| Endo & Clomid | 9/4/2010 |
| Q: I'm 27 and from Florida. My OBGYN just found endometriosis at the back of my vagina. How likely is ... A: Sorry for the delay as I have been ill this past week. I doubt that your doc found "endo" unless he ... | |
| Endo & Clomid | 9/4/2010 |
| Q: I'm 27 and from Florida. My OBGYN just found endometriosis at the back of my vagina. How likely is ... A: S., I presume that when you stated "the back of my vagina" you are referring to the culdesac inside ... | |
| missed dose of prometrium | 9/3/2010 |
| Q: Ramirez, I am on prometrium 200mg/1morning and 2evening. I forgot evening dose on my 12th dpo. ... A: S., It is unlikely that this missed dose would cause you to miscarry. Remember, the progesterone ... | |
| vagina itch | 9/3/2010 |
| Q: please is it normal to have vaginal itch just before menses or during menses. thanks A: No it is not normal to have vaginal itching around or at the time of menses. Itching around the ... | |
| sex | 9/3/2010 |
| Q: sir, after sex i notice much volume of semen coming out of my vagina as i stand up. is it normal ... A: Yes this is normal. The vagina is essentially a pouch. The semen has no where to go except out. ... | |
| Infertility & Duoluton L | 9/3/2010 |
| Q: I'm 27yrs & my husband is 33 we have been trying to concieve for last 2.5yrs we are married for 2.5 ... A: You need to go back to an infertility specialist. Your new doc is giving you bad advice. Sure, the ... | |
| Infertility & Duoluton L | 9/2/2010 |
| Q: I'm 27yrs & my husband is 33 we have been trying to concieve for last 2.5yrs we are married for 2.5 ... A: I am always perplexed about how doctors treat their patients in other countries, especially India. ... | |
| gonal-f dosage | 9/1/2010 |
| Q: I am about to start my first IVF protocol (today is CD2). I am concerned about the recombinant FSH ... A: S., First of all, I have to caution you about trying to second guess your doctor. Sometimes that ... | |
| Infertility | 9/1/2010 |
| Q: I am writing from INDIA. I am 31 years old & ttc from past 2 years but not getting success. I had 3 ... A: When I use injectable medications, my goal is always to try to have up to 3 ovulatory follicles. ... | |
| Repeated Implantation Failure | 9/1/2010 |
| Q: Dr Ramirez - i have had 4 full IVF cycles, 4 Frozen cycles and 1 ICSI with polscope, out of these 1 ... A: I will first refer you to my blog where I have an entry regarding implantation failure. It is one ... | |
| Pre-Eclampsia | 8/31/2010 |
| Q: I lost a child at 32 weeks gestation due to Pre-E and IUGR. It's since been discovered that I also ... A: S., I am sorry but I am not a Perinatologist so have limited knowledge of high risk obstetrics. ... | |
| Miscarriage/Clomid/IUI | 8/31/2010 |
| Q: After 9 months of trying to conceive, my husband and I became pregnant. Unfortunately, I had a ... A: S., First, I think it may be time for you to see a real fertilty specialist so that you can get on ... | |
| Positive OPK after thermal shift | 8/30/2010 |
| Q: I am completely confused and can't seem to find any information that matches my situation. I have ... A: S., There is no problem with your temp and OPK findings. They are recording the same change (so it ... | |
| Follistim/HCG/IUI | 8/30/2010 |
| Q: I used 100 IU per day for 7 days followed by an Ovidrel trigger. This was followed by back to back ... A: Hllo Amy from the U.S., Your breasts have glands within them that are very hormonally responsive. ... | |
| Need advice on fertility treatment | 8/30/2010 |
| Q: Ramirez, I am 37 years old and have had one successful pregnancy three years ago. I've had 4 ... A: S., Just based on your age, time is working against you. For that reason alone, I think you need ... | |
| TTC Post Abdominal Myomectomy | 8/30/2010 |
| Q: I am 37 years old and my partner and I have been TTC for a couple of months. I had an abdominal ... A: Light brown discharge is old blood, so there was some bleeding that occurred from the uterus. That ... | |
| Hoping for a donor egg despite being fertile | 8/30/2010 |
| Q: Ramirez, Although I'm fertile I don't want biological children who have my genes. However, my ... A: I can't imagine that you would have difficulty finding a clinic that would allow you to do a donor ... | |
| I can't get pregnant | 8/29/2010 |
| Q: My name is Christina, I am 24yrs old from West Palm Beach, FL. In 2006 I was pregnant from my ... A: S., If you don't feel comfortable having this discussion with your current gynecologist, then find ... | |
| TTC Post Abdominal Myomectomy | 8/29/2010 |
| Q: I am 37 years old and my partner and I have been TTC for a couple of months. I had an abdominal ... A: It is highly unusual for you to all of a sudden skip periods. It is not related to the myomectomy ... | |
| Misscarriages and abnormality found in morphological scan | 8/28/2010 |
| Q: Ramirez, Thank you very much for your reply on 23/8/2010. By chromosomal analysis means do you mean ... A: A.E., Yes, by chromosomal analysis I mean karyotyping. It will check more than sex chromosomes. It ... | |
| Clomid and age | 8/27/2010 |
| Q: Ramirez: I became pregnant with my daughter in 2007 after one round of the lowest dose of Clomid. ... A: S., There is no age limit for the use of Clomid. Because you have recently been successful, it ... | |
| infertility/pcos | 8/27/2010 |
| Q: i am a 27 year old from australia. have been trying to conceive for 15 months now. began seeing a ... A: You are correct that if you are ovulating on the medication, then your PCOS is being treated ... | |
| infertility? | 8/27/2010 |
| Q: I have decidied to do a term paper on the subject of infertility for class. I wanted to get a head ... A: S., Questions: #1 - I'm not sure that I am the best person to ask this question to. It might be ... | |
| miscarriage and thyroid | 8/25/2010 |
| Q: How does thyroid cancer affect the thyroid's function and therefore my ability to conceive and stay ... A: S., Thyroid cancer itself should not affect your fertility, if in fact you are still fertile at 47 ... | |
| Hoping for a donor egg despite being fertile | 8/25/2010 |
| Q: Ramirez, Although I'm fertile I don't want biological children who have my genes. However, my ... A: S., Yes, of course this is possible. Infertility specialists have been doing this for years. Here ... | |
| clomid/side effects/fertility | 8/25/2010 |
| Q: I am on my first cycle of clomid, (50 mg) I am 34 years old and had a 28 day cycle. I was ... A: S., The definition of a "period" is flowing red blood. Brown is considered a discharge and not a ... | |
| Infertility | 8/24/2010 |
| Q: I am writing from INDIA. I am 31 years old & ttc from past 2 years but not getting success. I had 3 ... A: In general, I recommend 4 "good" IUI attempts before moving to IVF. By good I mean that you have ... | |
| Conceive | 8/24/2010 |
| Q: I gave birth naturally, to a healthy daughter in 1995 and I had a miscarriage in 1996. I was 6 weeks ... A: S., If you have not had a hysteroscopy done yet, then you need to have this done before you proceed ... | |
| ivf#3 | 8/24/2010 |
| Q: Dr. Ramirez, As I prepare myself to undergo IVF for a third time I wonder if there are questions ... A: S., Although you haven't had a successful pregnancy yet, it is just around the corner. You have ... | |
| ovulation for women over 30 | 8/23/2010 |
| Q: I'm 34 years old (from Canada)and have been trying to get pregnant for 4 months now - I started ... A: A woman can actually undergo testing at any age. The 1 year requirement is not set in stone (at ... | |
| Misscarriages and abnormality found in morphological scan | 8/23/2010 |
| Q: Ramirez for you reply to my Qn on 16th Aug. I understand what PGS/PGD is. What i want to know is ... A: PGS will screen for any chromosomal abnormality. However, development of the fetus occurs after ... | |
| infertility/pcos | 8/23/2010 |
| Q: i am a 27 year old from australia. have been trying to conceive for 15 months now. began seeing a ... A: Yes, I agree that based on the information you have provided, you definitely have PCOD. I usually ... | |
| fertility | 8/17/2010 |
| Q: my boyfriend and I are trying to concieve and are having problems.weve been trying for a year.my ... A: K., You are not ovulating correctly. The irregularity of your cycles is an indication of an ... | |
| Endometriosis | 8/16/2010 |
| Q: Ok my name is Kelly I'm from USA Indiana. I have lots of questions. First Question is what is ... A: S., 1. Endometriosis is a disease of the pelvis that causes the pelvis to become inflamed. It is ... | |
| Facial Bleach | 8/16/2010 |
| Q: I am 16 weeks pregnant after a few attempts at IVF. So far everything has been going well. I wanted ... A: K., Yes, it is safe. Sincerely, Edward J. Ramirez, M.D., FACOG Executive Medical Director The ... | |
| Misscarriages and abnormality found in morphological scan | 8/16/2010 |
| Q: Ramirez, You had replied to my Qn on feb 24th. One more thing i wanted to ask you is my first and ... A: PGS is the new term used for PGD. PGS stands for preimplantation genetic screening (previously they ... | |
| Multiple Miscarriages | 8/16/2010 |
| Q: Edward, We are desperately trying to have a baby since 2005. I was on clomid, syphene for an year ... A: The chances of pregnancy are certainly very dependent on the clinic that you are going to. You ... | |
| Prometrium/Ovulation | 8/15/2010 |
| Q: My name is Ronda I am 36 years old living in Atlanta GA, My husband is 41 we do not have any kids ... A: Ronda from the U.S., I don't know why you have the diagnosis of PCO if you have very regular ... | |
| follow up question to post ovulation cramping | 8/15/2010 |
| Q: I am following up on a question that I sent to you on Friday regarding cramping after ovulation. I ... A: Sorry for the delay in getting back to you. I just answered your question. A luteal phase defect ... | |
| E2 level and IVF outcome | 8/15/2010 |
| Q: Ramirez, My husband and I have just finished our 1st IVF/ICSI cycle. We are both 29 and have ... A: It looks like your doctor was surprised by your hyperstimulation and it was lucky that you didn't ... | |
| HCG Trigger Shot and Menstrual Cramps | 8/14/2010 |
| Q: Does an HCG shot to trigger ovulation make menstrual cramps more intense? I'm experiencing cramps ... A: S., The HCG shot should not change the quality of the menstrual cramps. It only stays in your ... | |
| Infertility | 8/14/2010 |
| Q: I have high insulin level and have been prescribed Glucophage. I really want to conceive and have ... A: I'm afraid I cannot tell you what your chances of pregnancy are based on the limited amount of ... | |
| IUI | 8/14/2010 |
| Q: I am having IUI in England. My first attempt was cancelled as i ovulated myself before the follicle ... A: First, if your doc does not return your calls, then find a new doc. He is not helping you. For ... | |
| cramping 5 DPO | 8/13/2010 |
| Q: . I just went in to my obgyn for an emergency pelvic and vaginal ultrasound because of lower back ... A: S., The cramping you are having is way too early for a pregnancy. Implantation has not even ... | |
| PCOS Provera and clomid | 8/13/2010 |
| Q: I took provera and got my period and started clomid on day 3 and finished and now I am on day 11 and ... A: Yes. This shows that the Clomid is not working at this dose. You need to see a fertility ... | |
| one day menstrual period | 8/13/2010 |
| Q: I am 29 years old, from the Philippines. my menstrual period didnt come for the month of july..so i ... A: This only means that you did not have much of a uterine/endometrial lining so there was not much to ... | |
| MISGARRIAGE | 8/12/2010 |
| Q: Good day I am writing from South Africa. After 3 ivf I fell pregnant with a frozen embryo but had a ... A: You might also want to look up my blog where I also have detailed questions and answers. The embryo ... | |
| infertility/pcos | 8/12/2010 |
| Q: i am a 27 year old from australia. have been trying to conceive for 15 months now. began seeing a ... A: Based on the information that you gave me, I cannot be sure if you are a PCOD patient or not. Did ... | |
| infertility after ectopic pregnancy | 8/12/2010 |
| Q: I am 28 years old with two children. I conceived both of these after being off birth control for ... A: S., Your problem could actually be due to several factors, the least of which would be stress. The ... | |
| hcg | 8/12/2010 |
| Q: in your experience in a singleton pg. would a beta level of 923 and the next day 1500.. be more of a ... A: Dating cannot be done by bHCG levels. It is only reliable by ultrasound and a first trimester ... | |
| complicated... | 8/11/2010 |
| Q: My gf and I are thinking about having a kid. She had the mirena put in around Oct or Nov of last ... A: S., The effects of Mirena should wear off after 2-3 months, or as soon as one month, after the ... | |
| Fertility and X Rays | 8/11/2010 |
| Q: I am writing from Ontario, Canada. I am 19 years old and am not currently trying to get pregnant but ... A: At this point the amount of radiation you take for a standard X-ray is negligible in terms of future ... | |
| hcg | 8/11/2010 |
| Q: in your experience in a singleton pg. would a beta level of 923 and the next day 1500.. be more of a ... A: S., One cannot predict the outcome of a pregnancy based on bHCG results unless the bHCG is ... | |
| Lupron Trigger | 8/11/2010 |
| Q: I am about to undergo a cycle in which we will use Lupron as a trigger. I recently have read ... A: S., The lupron you are reading about is for the treatment of endometriosis and not the same dose ... | |
| bleeing | 8/10/2010 |
| Q: I writing from Kansas and i 30 years old. Back on March 1st 2010 i had a tubal pg that ended in ... A: S., First, despite my being on the internet and answering lots of questions from around the world, ... | |
| miscarriage and no success with clomid | 8/5/2010 |
| Q: I am 32 and writing from Texas. We are trying to have our 4th child. In Jan. 2010 I had a ... A: S., I think the easiest way to answer your questions is to take them individually one at a time: ... | |
| IVF protocol | 8/5/2010 |
| Q: Ramirez, we are a 45 yo couple from Denmark on our sixth IVF attempt. The first three attmpts ... A: The good news is that your wife's ovarian response is still good and strong. She has done very well ... | |
| Secondary Infertility | 8/5/2010 |
| Q: I am a 41 year old New Zealand woman who has given up on having another child. I have a 5 year old ... A: Yes, previous cesarean sections, like all abdominal or pelvic surgery, can lead to secondary ... | |
| preg info | 8/5/2010 |
| Q: im from louisiana, i just have a few questions! i am first time pregant. married acctually due on my ... A: S., Gestational age dating is based on the first day of the last menstrual period, which is usually ... | |
| luteal phase defect? | 7/23/2010 |
| Q: We have been trying for another baby for about 6 months. So far no luck. I used the ClearBlue Easy ... A: S., There is certainly a possibility that you could have a luteal phase defect considering that ... | |
| IUI removing cysts before performing the procedure | 7/23/2010 |
| Q: Im 24 i hav never been pregnant before,I have polycystic ovarian syndrome i have had a regular ... A: Multivitamins should not have any affect on your menstruation or menstrual flow, but it is possible ... | |
| hypogonadotropic hypogonadism | 7/23/2010 |
| Q: I have hypogonadotropic hypogonadism. I am trying to get pregnant and did IUI twice, but did not ... A: In order to get you pregnant, you need to take supplemental FSH and LH (such a Menopur) and then ... | |
| Adenomyosis? | 7/22/2010 |
| Q: I am a 38 year old woman in California. My husband and I have been TTC for over a year with no ... A: S., Adenomyosis should not affect your ability to get pregnant or carry a pregnancy. In fact, ... | |
| chemical pregnancy | 7/21/2010 |
| Q: Me and my husband have been trying for a baby for 2 years. I am 30 years old. I have had many ... A: Artificial insemination is a technique used to get patients pregnant. Getting pregnant does not ... | |
| Cancelled ivf/wrong dose of trigger. | 7/21/2010 |
| Q: Selly here from Sydney Australia. I've been going through the IVF cycle really well, everything to ... A: Certainly if you had lots of follicles, they are correct that there could be a significantly ... | |
| Lots of Spotting and Cramping | 7/21/2010 |
| Q: I'm hoping to get your opinion with what could be wrong. I have an appointment next month with a ... A: S., I'm afraid that I cannot make a diagnosis without further examination and information. I would ... | |
| pcos and feeling movement | 7/21/2010 |
| Q: i live in the north west of britian, my question is, is it normal to feel movement in the stomach ... A: I can't figure what it might be other than intestines. If you were pregnant enough to feel and see ... | |
| Cancelled ivf/wrong dose of trigger. | 7/20/2010 |
| Q: Selly here from Sydney Australia. I've been going through the IVF cycle really well, everything to ... A: First of all, I don't know why your doc cancelled the cycle. There would still be the possibility ... | |
| congential hypothyroidism/PCOS | 7/20/2010 |
| Q: I am a 29 yo F, 62" and 216 lbs (lost 14 lbs in last 2 weeks w/o trying.) I normally don't each ... A: None of the information that you have given me leads to a diagnosis of PCOS. The dosage you were ... | |
| how and when did i get pregnant | 7/20/2010 |
| Q: I'm 33 weeks pregnant my lasy period was november 24, 2009 but the day i had unpertected sex was ... A: S., More than likely the period you had on 24 November was not an actual period, and ovulatory ... | |
| Low estrogen levels after miscarriage. | 7/19/2010 |
| Q: I wrote to you about 2 months ago, about ttc after an early miscarriage. I already have 2 children ... A: S., Your blood tests are within normal limits. A cycle day #3 FSH or estradiol will show these two ... | |
| pcos and feeling movement | 7/19/2010 |
| Q: i live in the north west of britian, my question is, is it normal to feel movement in the stomach ... A: No it is not normal to feel any abdominal "movement" with PCOS. In fact, PCOS patients don't feel ... | |
| Please Help ! | 7/18/2010 |
| Q: I had four miscarriges & I don't know why. I am 22 years old. I have been trying since I was 19 & I ... A: S., You have a diagnosis/classification of recurrent abortion/miscarriage. You need to go see a ... | |
| unable to conceive | 7/17/2010 |
| Q: My hubby and I have been trying to conceive for 7 yrs. One specialist told us only IVF would work,a ... A: S., If you are under the age of 35 years old, then I think that IUI would be an option for you. ... | |
| Ovarian Reserve | 7/16/2010 |
| Q: I'm sorry, I sent in a question a few hours ago. I am the one with the five pregnancy losses. I ... A: Good Luck, Edward J. Ramirez, M.D., FACOG Executive Medical Director The Fertility and Gynecology ... | |
| Ovarian Reserve | 7/16/2010 |
| Q: Background: I am 32 as is my husband. We had an ectopic pregnancy 10/2005, 8.5 week miscarriage ... A: S., Since your pregnancies were know to be genetically normal, this is not an indication that you ... | |
| Pcos | 7/15/2010 |
| Q: Its starting to bother me im 25 have an arcuate uterus nd have never been pregnant before. Please ... A: PCOS does not cause any abdominal symptoms. It is an ovarian dysfunction where ovulation does not ... | |
| High LH in IVF Cycle | 7/15/2010 |
| Q: I am in the middle of an IVF cycle and my LH has risen. The highest it has been is 18.8. It is now ... A: S., Let me answer your last question first. The E2 rises because the follicle is growing. It does ... | |
| Infertility/no ovulation | 7/15/2010 |
| Q: my name is Marie Wienholz. I am a type two diabetic who is being treated with 1000 mg of Metformin ... A: S., I do not recommend the laparoscopy at this time for any reason, and I would recommend that you ... | |
| Am I infertile? | 7/15/2010 |
| Q: I found out that I had Chlamydia when I was 18. I believe it was the result of a sexual assault that ... A: S., Infertility is defined as a reproductive age woman who fails to become pregnant after 1 year of ... | |
| Thin Lining of Uterus | 7/14/2010 |
| Q: Ramirez, I will try to keep this as concise as possible. I am very healthy, slim and 29 years old, ... A: K., A thin lining could certainly be due to an over-vigorous D%26C leading to scarring in the ... | |
| Early ovulation and IVF outcome | 7/14/2010 |
| Q: I am currently going through fertility treatments. We initially went to an RE because I had bleeding ... A: It seems that your ovaries are sensitive to the stimulation, but that should not prevent you from ... | |
| surrograte | 7/14/2010 |
| Q: My daughter needs a surrogate. I would like to help her. I am postmenopausal. Is it possible and ... A: S., As long as you have a healthy uterus and uterine cavity, your age, or the age of the woman is ... | |
| ovulating | 7/14/2010 |
| Q: I have a question regarding ovulation after miscarriage/d and c. I had a d and c and got my period ... A: S., After a miscarriage, it can take a little while for the ovaries to re-set and function ... | |
| im cant have children anymore | 7/13/2010 |
| Q: my name is amy.im 32 years old.i had a partial histormany because i was bleeding to death.and i am ... A: S., This is not the forum for finding a surrogate for you. I'm afraid you will have to contact a ... | |
| Complex Atypical Hyperplasia | 7/13/2010 |
| Q: I am 32 yrs old and suffer from PCOS with insulin resistance. I recently began treatment again after ... A: S., Endometrial hyperplasia with atypia is considered a pre-cancerous state because if left ... | |
| sergancy | 7/13/2010 |
| Q: i wanna to have a child and my uturas has been removed and i still have my overies .is there any low ... A: S., If you have ovaries, then you can achieve pregnancy using a surrogate. You would need to ... | |
| Regarding Concieving | 7/13/2010 |
| Q: I am 25 years old.. and happily married...we are trying to conceive...my first day of last menstrual ... A: I use the following calendar method: CD#1 - the first day of your menses (first day of flow). ... | |
| Mensuration Issue | 7/12/2010 |
| Q: Myself Durgesh Nandini Pattnaik.I am a s/w enginner working in teh UK.I belive i am having some ... A: Normally, if the cycle is a regular cycle, as in your February, March and April cycles, it is an ... | |
| infertility after nuva ring | 7/12/2010 |
| Q: I have a 6 y/o daughter and a 4 y/o son both pregnancy occured the same month I got off my birth ... A: I answered most of your questions with the last letter, but in terms of feeling cysts at the time of ... | |
| Allergy to semen | 7/12/2010 |
| Q: Ever since my partner and i have been having unprotected sex i have been having a sever reaction ... A: It is not very common but women can develop an allergy to semen, since it is a protein. It is a ... | |
| infertility after nuva ring | 7/10/2010 |
| Q: I have a 6 y/o daughter and a 4 y/o son both pregnancy occured the same month I got off my birth ... A: S., Let me start with your last question. Wait 14 days from July 4th to check for pregnancy. It ... | |
| implantation | 7/10/2010 |
| Q: This. Is. Second. Ivf. First. One. Failed. I'm. 43. And. Had. A. Blast. Transfer on 7/5/10 1 a blast ... A: S., I am not surprised that the hpt was negative. It is too soon. 7/8 was only 3 days after ... | |
| we need you | 7/10/2010 |
| Q: doctor in miami we need a doctor like you , with so much love on hes carrier like you, i need areal ... A: U.S., Thank you for the complements and the invitation. I am afraid I like California too much to ... | |
| IUI removing cysts before performing the procedure | 7/9/2010 |
| Q: Im 24 i hav never been pregnant before,I have polycystic ovarian syndrome i have had a regular ... A: I am not sure what you are referring to when you say "removal of my cysts in the particular egg that ... | |
| Possible miscarriage? | 7/9/2010 |
| Q: I did an IVF transfer June 24th, was told it was a beautiful transfer of 3 beautiful embryos. This ... A: S., First, let me answer your last question. Based on your symptoms and bHCG levels, you CANNOT ... | |
| luteal support for IVF | 7/8/2010 |
| Q: Ramirez, I've written to you before about luteal phase bleeding. We've tried 3 IUI's, but my ... A: The dosage of prometrium that your doctor has prescribed is certainly adequate for luteal phase ... | |
| D&C? | 7/8/2010 |
| Q: I'm writing from Ontario, Canada. I want to know if/when a D&C is necessary. My history is: 5 ... A: The problem is that you might have some retained products from the pregnancy, in which case the ... | |
| Poly Cystic Ovaries | 7/8/2010 |
| Q: I am 27yrs old .I was suffering from Poly Cystic Ovaries 4years back .My doctor has precribed ... A: Your doctor should be doing some additional tests besides just prescribing the birth control pill. ... | |
| NT measurement | 7/8/2010 |
| Q: can you please tell me if i should be concerned with my results as i cant help but feel worried but ... A: Your NT level of 2.8 is within normal limits at the 13 week gestational age and your risk ... | |
| Prometrium dose | 7/7/2010 |
| Q: I am writing from northwestern Wisconsin. I am currently 35 years old. I had a miscarriage in 2003, ... A: S., Unfortunately, neither of the specialists you saw were specialists in infertility or recurrent ... | |
| Low Estradiol/High Cortisol | 7/7/2010 |
| Q: I am a 25 year old female who is having issues with extreme fatigue, weight gain, pain during and ... A: S., At this point, I would recommend that you go see an endocrinologist. Neither of the tests you ... | |
| Not ovulating often, multiple miscarriages, wondering about tests | 7/7/2010 |
| Q: Ramirez, I read your blog and I love it! I learned a lot reading all your archives, so I wanted to ... A: I hope the information was useful. It certainly sounds like you have an ovulation problem, and ... | |
| In Vitro Fertilization | 7/6/2010 |
| Q: I would like to know what is the difference between in vitro fertilization and artificial ... A: Let me answer your last question first since it is the simplest to answer. After ANY pregnancy, ... | |
| Pelvic Tubercolosis | 7/6/2010 |
| Q: I have always had irregular painful periods i was diagnosed for PCOS and the Dr prescribed Yasmin ... A: First, there is no vaccine for tuberculosis, unfortunately. Pelvic tuberculosis is caused by ... | |
| pcos/clomid/provera | 6/21/2010 |
| Q: i suffer from pcos. i am on 1000mg metformin for insulin resistance. i have not ovulated since ... A: My first recommendation to you would be to change doctors and find a fertility specialist. I am ... | |
| pcos? | 6/21/2010 |
| Q: i m from india,28 yrs old.63 kgs 162cms....we hve been married for 3 yrs.i conceived once, a year ... A: The fact that you have PCO appearing ovaries and a history of irregular menses makes the diagnosis ... | |
| INFERTILITY/FERTILITY | 6/21/2010 |
| Q: I WANT TO KNOW IF THERE IS ANY HOPE AFTER LAPAROSCOPY HAS BEEN DONE.I WANT TO ALSO FIND OUT IF I CAN ... A: YES, one can get pregnant with only one tube but the statistical chances are lower. The reason is ... | |
| INFERTILITY/FERTILITY | 6/18/2010 |
| Q: I WANT TO KNOW IF THERE IS ANY HOPE AFTER LAPAROSCOPY HAS BEEN DONE.I WANT TO ALSO FIND OUT IF I CAN ... A: Laparoscopy can often be an adequate treatment for some causes of infertility such as mild scar ... | |
| Endo & Lupron | 6/18/2010 |
| Q: I was diagnosed with stage 4 endometriosis in February. I have had 2 lupron injections (1-3.75mg in ... A: S., It will take anywhere from 2-4 months for the ovary to reset and your cycles to resume. The ... | |
| fsh level in childern & effect on their growth | 6/18/2010 |
| Q: MY DAUGHTER IS 9 YEARS OLD. IN MAY 2010, HER SERUM FSH LEVEL IS 14.10 . SHE IS SHORT IN HIGHT ... A: You need to stop seeing the doctor that you are seeing. They are completely and utterly wrong. ... | |
| MFI | 6/17/2010 |
| Q: Dr. Ramirez, My husband and I are a 29yo healthy couple with male factor infertility. Motility is ... A: S., I agree with your statement that technically the FET was successful. In fact, the FET cycle ... | |
| period after laparoscopy | 6/17/2010 |
| Q: i have already asked a question to one of the others, and the answer he gave me was to do a home ... A: K., Whenever a woman is late for or missed a period, we do a pregnancy test. Stranger things have ... | |
| hcg levels | 6/16/2010 |
| Q: I just had my hcg levels taken at 7 am 12 days past retrieval from ivf. my levels were 185.4 is that ... A: That is a good level at 12 days post retreival. We can't interpret how many are there based on the ... | |
| What if? | 6/16/2010 |
| Q: I want to be a sergeant mother. I would love to help people that arent able. i have a daughter ... A: In order to serve as a Surrogate, you would need to contact a Surrogate agency. They are usually ... | |
| Progesterone level - early pregnancy | 6/16/2010 |
| Q: I have recently become pregnant after my 7th IVF, and am currently 6 weeks. I had 2 very good ... A: I'm glad that things are going well and hope that the 8 week scan will be reassuring and put your ... | |
| Superfact on the 5 th day of embryo transfer | 6/15/2010 |
| Q: Ramirez Thank you so much for letting us ask you questions,I also enjoyed your website and whatever ... A: Suprefact (Buserellin) is a GnRH agonist (gonadotropin releasing hormone agonist). In low doses, it ... | |
| Integram | 6/15/2010 |
| Q: Good day Dr Ramirez I wrote to you a while ago. We just completed our 3 ivf and 2 , 5 day frozen ... A: Because the use of Immunoglobulin in IVF is controversial, there is no set protocols or dosages. ... | |
| stage 4 endo;cyst;clomid | 6/15/2010 |
| Q: I am 28 years old TTC for a while. Diagnosed with stage 4 endo in Dec. 09. I was told to do 6 ... A: Boy that was a quick response. The cyst that you have is called an Endometrioma. It is an ... | |
| 1298c | 6/15/2010 |
| Q: i am also positive for heterozygous MTHFR 1298c, yet negative for c677t.ive had 2 miscarriages and ... A: S., I would certainly recommend a 81 mg aspirin per day. It can't hurt. Good Luck, Edward J. ... | |
| Bioidentical progesterone cream Progonol with Susten | 6/14/2010 |
| Q: Ramirez, I am a 31 yrs old female with PCOD.Iam TTC for past 6 yrs. My Obgyn recently put me on ... A: Yes. Extra progesterone will not be detrimental and could potentially help with implantation. Good ... | |
| what to avoid when just did embryo transfer | 6/14/2010 |
| Q: I just had 2 embryos transferrred this past week through ICSI IVF. My husband is freaking out and ... A: S., There are no specific activity restrictions because essentially it is as if you just had ... | |
| possible pregnancy? | 6/14/2010 |
| Q: okay heres the deal and i need serious, real answers please. i used to e on birth control and now ... A: If I understand you correctly, last month you took a complete pack of birth control pills. 4 days ... | |
| Integram | 6/14/2010 |
| Q: Good day Dr Ramirez I wrote to you a while ago. We just completed our 3 ivf and 2 , 5 day frozen ... A: I believe the immunoglobulin is sufficient from a fertility point of view, but I don't know in ... | |
| Fertility treatment in Saudi | 6/13/2010 |
| Q: I don't really know where to start but google gave me your name so apologies if this isn't a ... A: K., I am sorry but I am not familiar with any clinics or sources in Saudi Arabia (I'm also not very ... | |
| Pills advise | 6/13/2010 |
| Q: I had an Abdominal Myomectomy on 18th June last year. I have had the fiboroids for years but they ... A: A.E., First of all, the patch is NOT the only birth control pill available. There are lots and ... | |
| stage 4 endo;cyst;clomid | 6/13/2010 |
| Q: I am 28 years old TTC for a while. Diagnosed with stage 4 endo in Dec. 09. I was told to do 6 ... A: S., In general, if a patient has stage 3 or 4 endometriosis, then the treatment of choice is IVF. ... | |
| periods | 6/12/2010 |
| Q: I am a 24 yo G3 P2 (1 SAB), periods started at age 12 regular every 28 days lasting 5-8 days. For ... A: S., It is not unusual to have spotting prior to the onset of a period. This occurs because of the ... | |
| Progesterone level - early pregnancy | 6/11/2010 |
| Q: I have recently become pregnant after my 7th IVF, and am currently 6 weeks. I had 2 very good ... A: Congratulations. At 6 weeks with the findings of a fetus of appropriate size and a good heartbeat, ... | |
| cyst | 6/10/2010 |
| Q: I have I guess what is a cyst. I notice in probably 2yrs ago. It comes before my period. Its ... A: S., How is it that you know there is a cyst? Usually these can only be diagnosed by pelvic exam or ... | |
| High FSH level | 6/10/2010 |
| Q: I am 41, with a 22-day cycle. I got married 8 months ago and had a miscariage at very early months ... A: I am surprised that you are able to search the web. I thought the government had tighter controls. ... | |
| pcos? | 6/10/2010 |
| Q: i m from india,28 yrs old.63 kgs 162cms....we hve been married for 3 yrs.i conceived once, a year ... A: You have PCO appearing ovaries but that does not make the diagnosis of PCO. You don't need to take ... | |
| Injectables without IUI | 6/9/2010 |
| Q: I have PCOS and have been trying to conceive using 100mg Clomid CD5-9. I got pregant in December ... A: S., If you were successful with Clomid 100 mg, then why change to injectables? That is a fairly ... | |
| progesterone | 6/9/2010 |
| Q: I have been trying for a baby now for nearly 3 years. This is the first cycle taking metformin and ... A: I'm afraid that I can't interpret it for you because you did not provide the units attached to the ... | |
| Menstrual Cycle since Miscarriage. | 6/9/2010 |
| Q: I had a miscarriage about 4 months ago. I already have 2 children and quickly become pregnant every ... A: S., I don't think you need to worry about your menstrual bleeding pattern. It can be completely ... | |
| pregnancy | 6/8/2010 |
| Q: I have been monitoring my period and ovulation days I am ttc, The first day of my last period was ... A: S., Your chances of pregnancy this month, as specifically as I can tell, would be approximately ... | |
| Progesterone level - early pregnancy | 6/8/2010 |
| Q: I have recently become pregnant after my 7th IVF, and am currently 6 weeks. I had 2 very good ... A: K., Congratulations. I'm glad you persevered because most patients would not try IVF 7 times. All ... | |
| Early Period, misleading internet info | 6/8/2010 |
| Q: Do my mestral cylc came a week early. I was looking on the net and i read that this could be a sign ... A: 40 day menstrual cycles are not normal. That is a sign of an ovarian dysfunction. If you had a ... | |
| my chances of pregnancy? | 6/8/2010 |
| Q: i'm 33-year-old female from NJ. My left fallopian tube(shown opened on HSG) has scar tissues due to ... A: S., From your description, it sounds like you have stage IV endometriosis, which significantly ... | |
| ovarian cyst | 6/3/2010 |
| Q: I started having cramps about a month ago. I went to get a check up and the doctor informed me that ... A: If in fact the cyst was bleeding, the surgery needs to be done now/today. So, based on that fact, I ... | |
| PCOS Blocked Tube | 6/3/2010 |
| Q: I'm really searching for some advice. I was diagnosed with PCOS (not insulin resistant) this month ... A: S., I guess I can be your second opinion. As you have described, you have two problems thus far: ... | |
| becoming a surrogate for my sister | 6/2/2010 |
| Q: My sister has been diagnosed with ovarian Cancer and is going to have a hysterectomy. We have ... A: I am sorry to hear about your sister, but the good news is that we do have the technology to help ... | |
| Artificial insemination is it a good option when u hav polycystic ovaries? | 6/2/2010 |
| Q: i have an arcuate uterus and polycystic ovaries my hormonal results were fine aswel as my test for ... A: IUI (intrauterine insemination) is certainly an option for you, especially if you have been found to ... | |
| UNABLE TO CONCEIVE AFTER RIGHT TUBE REMOVAL | 6/2/2010 |
| Q: IN 2008 I WAS STARTING TO HAVE A LOT OF PAIN DURING INTERCOURSE FOR ABOUT A MONTH, AFTER THAT THE ... A: S., You have what we call "tubal factor infertility." What this means is that the tubes are ... | |
| infertility | 5/27/2010 |
| Q: i am writing from India. I am trying to conceive from the past two years but unable to do so.i got ... A: I doubt that all those "chocolate cysts" are hemorrhagic cysts from previous ovulatory follicles. ... | |
| lh surge confusion | 5/27/2010 |
| Q: I have been trying to get pregnant for 7 months. I am using OVP but am confused by the results. I ... A: S., You know, I can't answer your question. There is no physiological reason for this. That is a ... | |
| holistic medicine | 5/26/2010 |
| Q: I have had fertility issues for almost 2 years now. I want to explore a natural approach to my ... A: S., I'm afraid I cannot answer this question for you as I am a traditional medicine Physician. I ... | |
| abmnormal+mense | 5/26/2010 |
| Q: Was+on+provera+for+excessive+bleeding,+stopped+in+March2010+no+bleeding+at+all+since,+went+in+hospit ... A: S., I don't think I got all the information. Why were you on Coumadin? What is your question? ... | |
| how many cycles after a miscarriage | 5/26/2010 |
| Q: Ramirez, I am 39, I am blessed with 3 heatlhy children, but we are trying for 1 more. I had a ... A: S., Waiting does not have any purpose or problems. Your body will reset on its own and things will ... | |
| irregular periods-provera | 5/25/2010 |
| Q: i have noticed that most experts dont recommend provera but i sometimes see my period only 2 times a ... A: The problem you have is that your ovaries are not functioning correctly (despite the normal hormone ... | |
| Arcuate uterus and ovarian syndrome what are the chances of success in pregnancy | 5/25/2010 |
| Q: My husband and i have been trying to conceive for years. I also bleed after sexual intercourse but ... A: The arcuate uterus should not interfere with your getting pregnant. The PCOS is a problem, however. ... | |
| endo too thin | 5/25/2010 |
| Q: how are you doing? I hope you remember my case, I sent you inquiry regarding my endo thickness that ... A: In order to have maximum effect on the uterine lining, the estrogen should be taken vaginally NOT ... | |
| Long periods/spotting between periods | 5/24/2010 |
| Q: My quesion - I am on menstural cycle day 11 and am still having spotting. I also have light spotting ... A: S., Usually, after the menses (endometrial shedding), as the ovary is stimulated to produce an ... | |
| Implantation failure | 5/24/2010 |
| Q: I am 28 yrs old and underwent my 1st IVF cycle this month. My infertility diagnosis was endometrioma ... A: Because the last two steps of the IVF process are natural steps (hatching of the embryo and ... | |
| Fertility and X Rays | 5/24/2010 |
| Q: I was born with Perthes Disease (a disease of the hip). From the ages 5 - 15 I would have had well ... A: I can't imagine that you have done 12 (a dozen) IVF cycles without success. That doesn't sound ... | |
| periods after tubal reversal surgery | 5/22/2010 |
| Q: I am 41 years old in very good physical health. in 1999 i had an ectopic pregnancy that resulted in ... A: S., The length of the period does not have any relationship to ovulation, but can be a sign that an ... | |
| recurrent miscarriages | 5/22/2010 |
| Q: I have had 3 healthy pregnancies before the age of 34. Now I'm 39 and have had 2 miscarriages in 2 ... A: I would concur with your doctor and add the progesterone, since they are natural formulations and ... | |
| missed period | 5/21/2010 |
| Q: I am on my first cycle of clomid 50mg.... my cycles usually are 25-28 days... my dr. took a day 23 ... A: S., Your progesterone indicated that you ovulated, but there is no way to know exactly which day ... | |
| Implantation failure | 5/21/2010 |
| Q: I am 28 yrs old and underwent my 1st IVF cycle this month. My infertility diagnosis was endometrioma ... A: IVF is not a perfect technology and does not yield a 100% pregnancy rate. This is because the last ... | |
| estradiol, clomid, prochieve | 5/20/2010 |
| Q: I am 31 and TTC for the first time. I have tried 2 rounds of Clomid 50mg, which I am fairly certain ... A: S., I don't think that you are in the right hands. I would recommend that you seek out an RE or ... | |
| Fertility and X Rays | 5/20/2010 |
| Q: I was born with Perthes Disease (a disease of the hip). From the ages 5 - 15 I would have had well ... A: I have to agree that there could have been egg damage from the proximity of the X-rays that is now ... | |
| for pregnency | 5/15/2010 |
| Q: my misses right fallopian tube fimbrial blockege.is this possible my misses left fallopian tube is ... A: rokade from India, It is difficult to say if pregnancy is still possible or not. The Fallopian ... | |
| Several failed IVFs-follow up | 5/15/2010 |
| Q: I have read several of your previous answers on the website and I am looking forward to hear your ... A: I am happy, yet surprised to hear that your doctor was receptive to my suggestions. I do not ... | |
| endo too thin | 5/13/2010 |
| Q: how are you doing? I hope you remember my case, I sent you inquiry regarding my endo thickness that ... A: I do remember you. It seems the estradiol valerate 2mg was not sufficient to thicken your ... | |
| cerclage info. | 5/13/2010 |
| Q: I had 2 d&c(s) almost 3 years ago. I also had a LEEP procedure about 10 years ago. I also had a ... A: S., Cerclage is a procedure used to suture the cervix closed in cases of incompetent cervix. ... | |
| Not Able to Conceive 2 years | 5/13/2010 |
| Q: I am Neetu writing from India aged 29 years , I have been trying to conceive for last 2 years but ... A: If you have irregular menstrual cycles, that is an indication that your ovaries are not functioning ... | |
| metformin | 5/13/2010 |
| Q: I've went through a cycle of T.I. with repronex to force ovulation which didn't work, I do not have ... A: S., If you don't have PCOS then Metformin would do nothing for your fertility. In fact, your FP ... | |
| Pregnancy | 5/12/2010 |
| Q: I am 30 yrs old and my husband and I are trying to conceive. No luck. Actually i had a miscarriage ... A: S., You could just buy an OTC prenatal vitamin that has 1 mg of Folic acid in it. Since you are ... | |
| Odd symptoms after a miscarriage | 5/12/2010 |
| Q: I am 27 years old and just lost my first pregnancy at 5 1/2 weeks along. I conceived in the first ... A: S., I cannot think of anything serious that the symptoms could indicate that would occur ... | |
| Successful Sex | 5/12/2010 |
| Q: myself Tim, aged 29 years. Me and my wife, having married for about 2 years, are planning to have ... A: First you should know that having regimented sex is counter-productive. That means, it makes the ... | |
| Hysteroscopy | 5/12/2010 |
| Q: My RE recently discovered a polyp in my uterus and so I am scheduled for Hysterscopy next week to ... A: S., Normally, you don't have to wait long to do an IVF cycle after a hysteroscopy. One or two ... | |
| trying to concieve | 5/12/2010 |
| Q: I'm 30 years old,have regular periods, 26-28 day cycles, have been trying to conceive for four ... A: S., It is probable that you did not ovulate and therefore your cycle is late or you formed an ... | |
| pco | 5/11/2010 |
| Q: i want to ask you that i m a pco and i am getting my treatment done to concieve.last cycle my ... A: If you ovulated on CD#12, your period would come on CD#26 if you did not get pregnant. Edward J. ... | |
| Clomid and delayed period | 5/11/2010 |
| Q: i am in my late 30s, and have been on clomid for 2 cycles, the first use i had my period on the 28 ... A: Clomid does not usually delay periods. It is most likely that the Clomid was not effective in the ... | |
| TTC | 5/11/2010 |
| Q: I only have 2 periods a year and I do not know if that could be the problem. When i was on the pill ... A: S., The pill makes you have regular cycles because it takes over ovarian function and artificially ... | |
| Getting pregnant with short luteal phase | 5/11/2010 |
| Q: Ramirez, I am turning 34 later this month and have been trying to get pregnant for the past 4 ... A: It is okay to continue those vitamins for now, but discontinue them should you become pregnant and ... | |
| Can I get pregnant at 40 with a history of endometriosis? | 5/11/2010 |
| Q: I have just turned 40 years old and am trying to fall pregnant naturally for the past 5 years. I ... A: As you know, age plays an important role in your ability to become pregnant. A woman is born with ... | |
| What supplements can i take to imptove my chances of implantation | 5/10/2010 |
| Q: Good day Dr Ramirez I was wondering what supplements and vitamins can I take to increase my chances ... A: There are no natural supplements that I know of that can help with implantation. I do add aspirin ... | |
| Fertility with Behcet's Disease | 5/9/2010 |
| Q: Ramirez, I'm only 19 and do not plan on having children in the near future, but do plan on having ... A: S., There are medications that can be used to boost fertility, but there are no natural remedies ... | |
| Getting pregnant with short luteal phase | 5/8/2010 |
| Q: Ramirez, I am turning 34 later this month and have been trying to get pregnant for the past 4 ... A: I have had many letters from Canadians lamenting the fact that their Physicians are uncooperative ... | |
| Infertility | 5/7/2010 |
| Q: I am 28 years old and with my husband we've been TTC since July 2009.from November on I've missed 3 ... A: S., The FSH and Estradiol levels only reflect ovarian function and do not detect egg quality. ... | |
| Menstural cycle | 5/7/2010 |
| Q: I feel really silly asking this. But i'm 24 and i was wondering how can you calculate your menstrual ... A: The birth control pill leaves your system immediately. Once stopped, your cycles should return to ... | |
| pco | 5/7/2010 |
| Q: i want to ask you that i m a pco and i am getting my treatment done to concieve.last cycle my ... A: In general menses will begin 14 days after ovulation. In terms of if you should become pregnant, ... | |
| Low AMH | 5/6/2010 |
| Q: I am 39 years old, and have a son of 5 years old whom I conceived naturally. I was born with one ... A: Evaluating the tubes for hydrosalpinx should have been part of the basic pre-IVF evaluation, because ... | |
| Former Question | 5/6/2010 |
| Q: Feeling a little uneasy about the question I just sent being public. Want to be sure no personal ... A: Don't worry. I don't even get that information. All I can see is that your name is "Leigh" and you ... | |
| Clomid - IUI process | 5/6/2010 |
| Q: I've been trying to get pregnant on and off for a couple of years. I have been pregnant before and ... A: S., You have two potential follicles to ovulate. That is fine because our goal is to have 2-3 with ... | |
| LPD?? | 5/5/2010 |
| Q: My husband and I have been TTC for two years. I'm 36 and he's 40. I took Clomid for 3 cycles in ... A: S., No. Clomid would have been cleared from your system a long time ago. It is possible that you ... | |
| Getting Pregnant After D&C | 5/5/2010 |
| Q: Good Day ! My wife is 25, We have been trying to conceive from last three years. She got pregnant as ... A: The good news is that she got pregnant! That tells you that your body can do all the steps ... | |
| my period | 5/4/2010 |
| Q: i am 26 and weigh around 130.. i had very irregular period since it started.. i knew about my PCOS ... A: S., I don't agree with the method your doctor is using to induce ovulation. Please see my Blog ... | |
| Clomid | 5/4/2010 |
| Q: Muchas gracias por la respuesta anterior... Usted pregunto... " su menstruaciones fue regular ... A: Hola Katerina Gracias por su repuesta. Yo pienso que usted no es visitando el doctor que es una ... | |
| IVF failure | 5/4/2010 |
| Q: I had 9 IUI and 3 ICSI with donor. In each ICSI 2good quality embryos were transferred on day 3 ... A: Cao Monica, With a blastocyst transfer, progesterone should be started five days prior to the ... | |
| antidepressents and male infertility | 5/4/2010 |
| Q: Ramirez, I am a 31 year old woman with PCOS. My husband and I have been trying to concieve for 5 ... A: In general antidepressants don't affect sperm. They work through chemicals located in the brain so ... | |
| miscarriage | 5/4/2010 |
| Q: I Ramirez im 27 and have had 2 miscarriages both at 8 weeks in the same year. My OB had me take ... A: S., In general, we don't consider a patient to have a "habitual abortion/recurrent miscarriage" ... | |
| What to expect after Lupron... | 5/3/2010 |
| Q: My name is Bonnie. I am 26 and I live in Mississippi. I was diagnosed with Stage 2 Endo in June of ... A: S., Let me answer your questions in sequence: 1. In general, the normal cycle will resume within ... | |
| spotting after ovulation | 5/3/2010 |
| Q: I've been seeing an RE for unexplained infertility. 2 unsuccessful IUI's. I was on clomid for 5 ... A: I am sorry but I cannot explain the cause of the bleeding. It could be from many sources and/or ... | |
| non ovulation | 5/3/2010 |
| Q: Doctor, am writing from Cameroon. for some time now i have been experincing irregular menstral cycle ... A: You misunderstood my answer. I did not state that intercourse helps to stimulate ovulation. It ... | |
| follicle size increasing but not rupturing | 5/3/2010 |
| Q: i have come on this site for the first time.but i have high hopes from you after reading your ... A: I think that if your doctor is going to go through the trouble of monitoring follicular development, ... | |
| FET - WHAT CAN I DO TP BETTER MY CHANGES | 5/3/2010 |
| Q: Good day dr. I hope you are well. I wrote to you a while ago. My doctor wants to do a FET. I have 5 ... A: I am not sure that the immunoglobulin will help, because studies have not confirmed this, but it ... | |
| Low AMH | 5/2/2010 |
| Q: I am 39 years old, and have a son of 5 years old whom I conceived naturally. I was born with one ... A: K. The biggest factor you have working against you in terms of IVF is your age. Part of what makes ... | |
| Failed IUIs | 5/2/2010 |
| Q: Ramirez, I am a 30y.o who is TTC with donor sperm. I have not been diagnosed with any infertility ... A: S., I don't think that "genetic incompatibility" is an issue. It does not exist. I am very very ... | |
| IVF failure | 5/1/2010 |
| Q: I had 9 IUI and 3 ICSI with donor. In each ICSI 2good quality embryos were transferred on day 3 ... A: I think that the first cycle went well, but am not sure about the second one. I don't like that ... | |
| ttc in indiana | 5/1/2010 |
| Q: My husband and i have been married almost 2 years and have been ttc for 2 1/2 years. Recently i ... A: S., I do not recommend going "backwards" and doing the tests again. How old are you? I am not ... | |
| My fertility? | 4/30/2010 |
| Q: I am a 37 year old woman writing in from New Delhi. Since the last year and half, my periods ... A: You currently have two factors affecting your infertility: (1) age and (2) elevated fSH. I do not ... | |
| BBT | 4/30/2010 |
| Q: I came down with a mild case of shingles (no pain, just itching) last week. I have had a high BBT (I ... A: Ovulation would have occurred at the time when the temperature rose. Sincerely, Edward J. Ramirez, ... | |
| fertility | 4/30/2010 |
| Q: I m 40yrs old,my husband 46yrs old, married feo 9yrs tried to get pregnant,my gynocologist was Dr ... A: S., Yes you can get pregnant. The only issue will be what needs to be done in order to get ... | |
| Clomid | 4/29/2010 |
| Q: Saludos; Ante todo muchos saludos vi que otras personas escribían en español y esto no fue ... A: Hola Katrine de U.A.E., Tuvo un disfuncion de las hormonas. Es posible que la usando la medicina ... | |
| OVULATED BUT NO PERIODS NEGATIVE HPT | 4/29/2010 |
| Q: i m 28 years old,married 3 years back..my periods were like clockwork 3 years back(was jus 45 kgs ... A: You do have a hormonal dysfunction going on as evidenced by the very irregular cycle lengths. The ... | |
| getting pregnant after affected by a craniopharyngioma | 4/29/2010 |
| Q: I am a 35 year old female that had a brain tumor that was removed in 1998. It was a ... A: S., Yes, you would need to take FSH and LH in order to stimulate your ovaries to ovulate. This is ... | |
| Femara as a fertility drug | 4/29/2010 |
| Q: i took femara about 2 weeks ago as a fertility. im 31 and have no children. im thinking maybe im ... A: S., It should already be out of your system, but its effects, enhancing ovulation, would still be ... | |
| BBT | 4/28/2010 |
| Q: I came down with a mild case of shingles (no pain, just itching) last week. I have had a high BBT (I ... A: S., Any inflammation or disease can cause a reaction in your body and elevate your temperature. A ... | |
| Irregular cycles and NPC | 4/28/2010 |
| Q: I have long cycles and was recently diagnosed with PCOS. Prior to my diagnosis I have tried ... A: S., Natural progesterone cream (NPC) will NOT get you to ovulate, but will help to keep you ... | |
| OVULATED BUT NO PERIODS NEGATIVE HPT | 4/28/2010 |
| Q: i m 28 years old,married 3 years back..my periods were like clockwork 3 years back(was jus 45 kgs ... A: I don't think that you have full PCOD but you may have a variant of it based on PCO-type ovaries on ... | |
| Infertility? PCOS? | 4/28/2010 |
| Q: When I was younger I had thyroid cancer. I had my thyroid removed as well as 2 further operations to ... A: You don't have too much LH, which stands for luteinizing hormone. Testosterone is a different ... | |
| My Endo is thin | 4/27/2010 |
| Q: Ramirez, I feel am really blessed to find someone very expert and caring like you :) This Nino ... A: I received your email in regards to consultancy and just need to figure out how we are going to do ... | |
| getting pregnant | 4/27/2010 |
| Q: I've been off of depo for about 6 months now , my period came on 4/21/2010 and I'm wondering can i ... A: S., If your cycles have returned, that is confirmation that you are ovulating so getting pregnant ... | |
| Infertility? PCOS? | 4/27/2010 |
| Q: When I was younger I had thyroid cancer. I had my thyroid removed as well as 2 further operations to ... A: I hate it when doctor's make predictions. They tend to be wrong most of the time, so I would not ... | |
| My Endo is thin | 4/23/2010 |
| Q: Ramirez, I feel am really blessed to find someone very expert and caring like you :) This Nino ... A: The Duphaston can be used vaginally. Progesterone is important to help with implantation. I would ... | |
| Day 3 Hormone test | 4/23/2010 |
| Q: I am 34 years old and have been TTC for past 1 year. Did 2 injectables IUIs in end Dec 2009 & early ... A: No, the information regarding poor ovarian stimulation is not true unless the LH levels are well ... | |
| Proper diagnosis of infertility | 4/23/2010 |
| Q: I am 33 and my husband is 35. We have been trying to conceive naturally for over one year. I was ... A: S., I am not reassured by your doctor's approach to your problem. I don't think she is qualified ... | |
| menopause symptoms | 4/23/2010 |
| Q: I am 28 and am in menopause. My FSH is 70.5. I have not had a period in almost 8 months. In the ... A: You have a condition called Premature Ovarian Failure. It is where young women start menopause ... | |
| 2 Miscarriages & Now a 3rd loss | 4/22/2010 |
| Q: Ramirez, I am a 32 years old and my husband is 34. We have been trying for a baby since July 2008. ... A: Despite the fact that you had three losses, I am not sure that you can bunch them together. For one ... | |
| questions about clomid | 4/22/2010 |
| Q: I hope you can help me I'm 36 and hubby is 43. We are trying for #2. We currently have an 11 yr old ... A: S., How is your doctor checking for the response to this dose or ovulation? I refer you to my blog ... | |
| Depo Injections and no periods | 4/22/2010 |
| Q: I'm writing from London, England. I discontinued my depo injections in Feb 2009, after around 4 ... A: K., I agree that something is not right, and am appalled that you have to wait 3 moths for the test ... | |
| Unexplained Infertility | 4/22/2010 |
| Q: Ramirez, I'm 35 y.o. and we started TTC when I was 33. We sought the help of an RE about a year ... A: S., Well, you have a diagnosis of endometriosis so are not in the "unexplained infertility" ... | |
| Dermoids, hormone levels, and fertility | 4/21/2010 |
| Q: I am a 35 year old female (will be 36 in 3 months) writing from Atlanta, Georgia. I recently had a ... A: S., 1. Dermoids do not affect hormone levels. 2. Your blood work was normal, so I don't think it ... | |
| ICSI pregnancy | 4/21/2010 |
| Q: I am writing to you from Riyadh, Saudi Arabia. I am 7.5 weeks into an ICSI twin pregnancy. I am ... A: Yes, you need a high risk Ob/Gyn doctor because you are an IVF pregnancy and have twins. You don't ... | |
| Clomid & Early Period | 4/20/2010 |
| Q: I am 25 years old and have been working with an endocrinologist to try and figure out a menstrual ... A: I'm sorry that my answer was not clear. I didn't realize that your premenstrual spotting was for so ... | |
| IVF Failure | 4/20/2010 |
| Q: My husband and I have been trying for 6 years to have a baby we have done two Ivf cycles the first ... A: S., There are several possibilities. It could be an inherent egg problem that is causing the ... | |
| In Vitro pregnancy after menopause | 4/19/2010 |
| Q: Ramirez, I am a 51 year old female who has never had a child. I am approximately 2 1/2 years past ... A: S., Menopause is the state where the ovaries stop functioning. By functioning, it means that the ... | |
| Clomid & Early Period | 4/19/2010 |
| Q: I am 25 years old and have been working with an endocrinologist to try and figure out a menstrual ... A: S., Having spotting prior to the onset of a period is actually quite common. I am not sure what ... | |
| high responder, poor egg quality? | 4/18/2010 |
| Q: I am 28 years old and my husband and I have a naturally conceived 3 year old son. We are dealing ... A: S., From the number of eggs retrieved, I presume you also had a high number of follicles (>20). ... | |
| No menstruation post MC and D&C | 4/18/2010 |
| Q: I had a missed miscarriage and a D&C in mid January. I had an ultrasound and blood tests about 7 ... A: K., If a woman ovulates, and does not become pregnant, then she should have a period 14 days after ... | |
| Pregnancy/Missing Periods | 4/18/2010 |
| Q: I am 24 and my girlfriend is 23. We had sex on 4th of march and we used Durex, before intercourse. ... A: It sounds like she has irregular menstrual cycles so certainly the late period could be normal for ... | |
| bleeding after embryo transfer from ivf treatment | 4/17/2010 |
| Q: I had 2 embryo transfers on 5th april 2010. On 9th and 10th of april I had vaginal secretions clear ... A: It sounds like you could be headed for a miscarriage, since the bHCG levels were low, but I agree ... | |
| what do these results mean? | 4/17/2010 |
| Q: Ramirez, WOW!!!! I am so glad I found this site. You have given lots of great information that is ... A: S., You have a dilemma that is shared by many these days. I keep seeing the average age of my ... | |
| About emergency contraceptive pills & fertility | 4/16/2010 |
| Q: , If I have had sex without condom ane my partner had ejaculate in me so How can I know if I am ... A: There is no way to know if you are pregnant within 72 hours because implantation does not occur ... | |
| Would you do anything differently? | 4/16/2010 |
| Q: Ramirez, I am 49 and have been TTC unsuccessfully with donor eggs since 2007. In 2006 I had ... A: If you use heparin or lovenox, I would stop on the trigger day (HCG) until the day after the ... | |
| Gonal F and bleeding | 4/15/2010 |
| Q: Our infertility treatment plan was Injectables and IUI this month. I took Gonal F Pen 75U for 5 ... A: S., The bleeding was more than likely your period due to the estrogen drop. I would not be ... | |
| infertility | 4/15/2010 |
| Q: Good day doc I am 36 years old and my husband and I have been TTC with no result for the past 5 ... A: The good news is that you achieved a pregnancy, although it ended as a chemical pregnancy. That ... | |
| endo thickness is not enhancing | 4/15/2010 |
| Q: Am 34 yrs old woman and my husband is 40 yrs. We are TTC since Jan 2010. In Jan, My husband took ... A: "Estrace" and estradiol valerate are the same. The endometrial lining needs to be primed by CD#14, ... | |
| Would you do anything differently? | 4/15/2010 |
| Q: Ramirez, I am 49 and have been TTC unsuccessfully with donor eggs since 2007. In 2006 I had ... A: Wow, you have done lots. First, I would probably forget the embryo glue. It does nothing to help ... | |
| When to take Progesterone | 4/14/2010 |
| Q: I am 28 years old and currently experiencing infertility issues due to anovulation. I have had 2 ... A: S., No. If you start the progesterone prematurely, it could impede implantation. There is only a ... | |
| endo thickness is not enhancing | 4/14/2010 |
| Q: Am 34 yrs old woman and my husband is 40 yrs. We are TTC since Jan 2010. In Jan, My husband took ... A: Certainly IUI is an appropriate first line treatment with your husband's abnormal semen analysis. ... | |
| Fertility and Luteal Phase | 4/13/2010 |
| Q: I am writing to you from Toronto, Canada. I just turned 34 this month and my husband and I have ... A: Your doctor is correct that spotting prior to the onset of a period is "normal", however, this could ... | |
| tubal ligation sydome | 4/9/2010 |
| Q: I had my tubes tied since 2002. I been having problems with my body every since i can't take it no ... A: S., Medicaid probably will pay to have you evaluated and treat whatever problems you are having ... | |
| infertility/ IUI | 4/9/2010 |
| Q: iam 35 and writing to you from India.. i have been trying to conceive for last 2 years..i have ... A: If you have had painful periods then it is very likely that you have endometriosis and that is the ... | |
| treatments for PCOD | 4/8/2010 |
| Q: We are under the treatment for PCOD Past two years. FSH=5.9 m IU/ML LH= 8.61 mIU/ML ... A: If and when you and your wife decide to pursue pregnancy, then the treatment plan has to change. ... | |
| PCOS & Ortho-tri-cyclen | 4/8/2010 |
| Q: I was recently diagnosed with PCOS, (after many years of suffering with endo also) and we've been ... A: S., First, you are taking an inadequate dose of Metformin, if you have been found to have insulin ... | |
| infertility/ IUI | 4/8/2010 |
| Q: iam 35 and writing to you from India.. i have been trying to conceive for last 2 years..i have ... A: I cannot explain the discharge for you without examining it, and of course, I can't do that via the ... | |
| Random Question | 4/6/2010 |
| Q: So this does not pertain to my life AT ALL but i was just curious, if a girl has sex with two guys ... A: No. Only ONE sperm can fertilize an egg (basic biology). Edward J. Ramirez, M.D., FACOG Executive ... | |
| Super Ovulation for unexplained infertility | 4/5/2010 |
| Q: I am from calgary. I am a 30 yr female diagnosed with unexplained infertility. All tests including ... A: Super-ovulation is defined as inducing the ovulation of more than one egg per cycle. So, ... | |
| IVF- low response and poor quality eggs | 4/5/2010 |
| Q: I am asking this question from the UK. I am 42 years old, and have recently had a failed IVF ... A: I cannot give any information regarding the clinic in Spain, as I have no information. Sorry. In ... | |
| Continue to hope or Move on to DE? | 4/5/2010 |
| Q: I am a 38 yo female in the Northeast US. I started menstruating when I was 10 yo and due to ... A: S., 1. In reviewing your history, out of three IVF cycles, you were successful with one (the first ... | |
| IVF- low response and poor quality eggs | 4/4/2010 |
| Q: I am asking this question from the UK. I am 42 years old, and have recently had a failed IVF ... A: Despite what anyone may tell you, tubal damage is NOT repairable or reversible except for two ... | |
| My Wife Pregnancy problem | 4/4/2010 |
| Q: My name is Mohammad from IRAn My wifes Uterus is small and she didnt period until now. She is 25 ... A: I can see that your wife has a "small" uterus. That could mean that it is underdeveloped and ... | |
| multiple failed cycles | 4/3/2010 |
| Q: I am 31 yo and I have undergone 4 fresh and 1 frozen cycle.. The first time around we got pregnant ... A: S., I cannot tell you what the problem is with the information you have given me, but based on the ... | |
| Number of straws required for fertility treatment | 4/3/2010 |
| Q: My husband has prostate cancer and was referred for sperm banking. He's ready to start hormone ... A: Only one "straw" of sperm is required per IVF cycle, and I would doubt that you would need to do IVF ... | |
| Heavy bleeding,infertility | 4/3/2010 |
| Q: Does heavy bleeding and late periods mean you can be infertile?My husband and i have been "trying" ... A: S., The simple answer to your question is no. However, considering that you have not gotten ... | |
| Follicular phase spotting | 4/2/2010 |
| Q: I find your responses incredibly helpful. I wrote to you a month ago about follicular phase ... A: Estrogen would probably help reduce the spotting, as it has effects directly on the uterine lining ... | |
| transvaginal scan | 4/2/2010 |
| Q: i have been asked to get a transvaginal scan done.i have been irregular in my periods from the past ... A: The transvaginal scan is the ideal way to evaluate the uterus and ovaries. A cystic lesion in the ... | |
| IVF- low response and poor quality eggs | 4/2/2010 |
| Q: I am asking this question from the UK. I am 42 years old, and have recently had a failed IVF ... A: K. In answer to your questions: 1. Low ovarian reserve (the stimulation response) and low egg ... | |
| About fertelity | 4/2/2010 |
| Q: Sir, I'm 25yrs old hosewife. I'm leading 2 yrs married life. I've pollycistic overy. But this month ... A: Yes it is possible for you to conceive this month. Edward J. Ramirez, M.D., FACOG Executive ... | |
| ovarian adhesions and infertility | 4/1/2010 |
| Q: I am a 28 year old lady who has been trying to conceive for 18 months. I had an ectopic pregnancy ... A: K., Yes, adhesions can return and usually return within 24 hours. Also, any surgery, including ... | |
| Unable to fall pregnant | 4/1/2010 |
| Q: I 33yrs and i am afraid i will reach menopause without having had a child of my own. I had a ... A: I am afraid I do not know what the capacity is in the Government hospitals or clinics in South ... | |
| I'm probably just being paranoid | 4/1/2010 |
| Q: A few days ago I woke up with what felt like gas in my upper digestive system, which caused a ... A: I don't think that you are pregnant. I am more worried that you have some type of gastric disease ... | |
| sub fertility | 4/1/2010 |
| Q: I am Padmini from Sri Lanka. I got married when i was 32 years old.Now my age is 39 years old.In ... A: I think you are being led astray. Your biggest problem at this point is your age (39). Even with ... | |
| My Wife Pregnancy problem | 3/31/2010 |
| Q: My name is Mohammad from IRAn My wifes Uterus is small and she didnt period until now. She is 25 ... A: I'm sorry but your email address was removed by the program, but I don't respond directly to email's ... | |
| Very Abnormal Period | 3/31/2010 |
| Q: I have been off birth control for a year and 2 months. I was on NuvaRing for about 2 weeks, I ... A: S., The health department is a government agency and their purpose is not to provide personalized ... | |
| adenomyosis | 3/30/2010 |
| Q: i have adenomyosis is cant fall pregnant.and im so scared. i cant put on wait. please help me A: I'm sorry that I can't give you an answer because there is no question. If you are having trouble ... | |
| White Discharge | 3/30/2010 |
| Q: Ihave this white discharge problem from my child hood (from age 16). Is this an infection?? I have ... A: If it is a yeast infection, it will NOT affect your fertility. Edward J. Ramirez, M.D., FACOG ... | |
| menstrual cycle | 3/29/2010 |
| Q: I recently turned 31 and still never received my menstrual cycle.What is my problem? Will i ever be ... A: S., I cannot tell you what the problem is but there is something very abnormal. It indicates that ... | |
| IVF and ovarian resistance | 3/29/2010 |
| Q: Ramirez, I am a 36 year old woman who has just attempted my first IVF cycle after 5 unsuccessful ... A: First of all, having BOTH PCOS and Ovarian resistance does not compute. Ovarian resistance is when ... | |
| progesterone | 3/29/2010 |
| Q: I had a frozen embryo transfer 6 days ago and have since been using Cyclogest 400mg progesterone ... A: K. You needn't worry. The extra progesterone will not impact implantation, and besides, if the ... | |
| Strange Heavy Bleeding.... | 3/29/2010 |
| Q: I had my period starting on March 8th.... High ovulation was about 20th-21st.... I started bleeding ... A: s., With heavy bleeding and cramping it is unlikely that you would remain pregnant if you were to ... | |
| Clomid? | 3/25/2010 |
| Q: My OB/GYN put me on Clomid after noticing that I was bleeding 17/20 days a month. I would generally ... A: I am a little worried about what is going on. Did your doctor do any testing? Why are you bleeding ... | |
| infertility | 3/25/2010 |
| Q: i had my a laproscopic surgery done for endometriosis on 20 oct 2009 on the same day my doctor gave ... A: Lupron effects can linger but if you don't have a period by the end of this month, I would go see ... | |
| Cystectomy cause of low ovarian reserve? | 3/25/2010 |
| Q: I have a number of queries. I am a 36 year old female from Dublin, Ireland who has been TTC for 2.5 ... A: Whenever surgery is performed abdominally, especially an open surgery and one around the ... | |
| Subsequent Period after abortion | 3/25/2010 |
| Q: I had a non-surgical abortion last month. I have taken the main pill on 28th Feb and the subsequent ... A: As I answered previously, you will need to see your Gynecologist to evaluate for retained products. ... | |
| Subsequent Period after abortion | 3/24/2010 |
| Q: I had a non-surgical abortion last month. I have taken the main pill on 28th Feb and the subsequent ... A: I am afraid that this problem is difficult to evaluate by the internet. The best thing is for you ... | |
| Prolactin Levels | 3/24/2010 |
| Q: Afternoon Dr Ramirez, I have been trying to get pregnant for almost a year, I am just about to turn ... A: S., The prolactin level needs to be repeated as a fasting prolactin, if your doctor has not already ... | |
| link between late ovulation and miscarriage? | 3/24/2010 |
| Q: I recently read (in Making Babies, by Dr. Sami David) that a follicular phase that lasts more than ... A: S., I do not agree with Dr. David, and do not know where he would get that information. There is ... | |
| infertility | 3/24/2010 |
| Q: I have had a big problem getting pregnant. I had my first miscarriage at 17 had a baby boy at 22 and ... A: S., If you wanted to try for pregnancy, you would have to stop the birth control pill all together, ... | |
| minimum size of the mature follice for the conception | 3/24/2010 |
| Q: i have got married for 1 year and 4 months, but i could not conceive for a baby, then i visited to ... A: Most likely the follicle that was seen on day # 12 ovulated on day # 13 as you suspected. The usual ... | |
| IVF implantation failure; luteal phase brown spotting, even with high progesterone levels | 3/23/2010 |
| Q: Ramirez, I have found your responses to others extremely helpful! I am 35 years old and am ... A: I have not used Avandamet, however, it is not that different from Metformin/Glucophage. If it ... | |
| Cystectomy cause of low ovarian reserve? | 3/23/2010 |
| Q: I have a number of queries. I am a 36 year old female from Dublin, Ireland who has been TTC for 2.5 ... A: The previous surgery would not have had an effect on your ovarian reserve. However, the type of ... | |
| ljust started clomid | 3/19/2010 |
| Q: Dr. I'm 36 my hubby is 43.We have been trying for baby #2 for over a year now with no luck. We went ... A: S., The risk of twins with Clomid is 12% per cycle. In addition, since you had spontaneous twins ... | |
| Provera and Clomid | 3/19/2010 |
| Q: i have had irregular periods since 15, but on the more brighter side, i get my period like once a ... A: S., The fact that you have few periods per year is a sign that your ovaries are not functioning ... | |
| Effects of progesterone on menstrual cycle | 3/19/2010 |
| Q: Dr. Ramirez, I've been seeing an infertility specialist and was told to schedule an HSG. My period ... A: S., If you have irregular menstrual cycles, then certainly there is something abnormal happening. ... | |
| Heterozygous MTHFR A1298C | 3/19/2010 |
| Q: I'm currently 29 years old. i have a three year old son, with no complications at all. Pregnancy, ... A: S., Yes, I think it would be a good idea to have a consult with a fertility specialist. Low dose ... | |
| Estrogen Patches vs Injections | 3/18/2010 |
| Q: I have four frozen embryos which I would like to have transferred. My question is what has a better ... A: S., There is no difference in pregnancy rates between these two forms of estrogen. Any estrogen ... | |
| spotting between periods | 3/18/2010 |
| Q: I have been charting my cycle (just mucus) for 9 months. I also use a fertility monitor. My last ... A: , This is an unusual cycle, but I cannot tell you what the bleeding is from. There are many ... | |
| Femara spotting | 3/18/2010 |
| Q: Ramirez, I've written to you before regarding my LPD. After 5 cycles of Clomid (4 failed, 1 m/c, 3 ... A: The treatment for LPD is Progesterone. This can be taken as a pill (prometrium), vaginal form ... | |
| infertility | 3/17/2010 |
| Q: can endometrial ablation be a treatment of infertility.if yes what r the chances to become pregnant. A: NO. NO. NO. ABSOLUTELY NOT!!! Endometrial ablation is a treatment used for abnormal bleeding. With ... | |
| transabdominal cerglage and future fertility | 3/17/2010 |
| Q: a little back history..I have had 2 second trimester losses. One at 19 wks and the most recent a ... A: S., First of all, I don't have enough information to know if the cerclage is indicated or not. I ... | |
| Varicocele | 3/16/2010 |
| Q: My husband has a severe varicocele on the left and the sperm count is 0.8 million in total and has ... A: S., The severely decreased sperm count is probably not from the varicocele but other factors. ... | |
| about icsi- fet | 3/16/2010 |
| Q: sir i'm 29yr old.husband 33.we have been ttc for 4 yrs.in between i had one biochemical pregnancy in ... A: I'm afraid I cannot tell you why you failed. The last step of the IVF process is implantation and ... | |
| PCOS LNG Ec and anovuation? | 3/16/2010 |
| Q: I dare ask you a question that I really hope you would answer. I have a question in my mind that ... A: The bleeding you had was not the result of a period or ovulation. It was the result of the hormones ... | |
| bleeding while on the pill for surgery prep | 3/16/2010 |
| Q: : HI- I am having a laproscopic surgery next Friday to remove a fibroid. My husband and I are ... A: S., You are having what is called "breakthrough bleeding." Usually if you continue the pills ... | |
| implantation | 3/15/2010 |
| Q: I have some questions regarding embryo implantation. I have had two failed ivf cycles and I'm about ... A: Yes, as I mentioned in my previous response, I use low dose Aspirin and low dose Heparin in ... | |
| Recurrent miscarriage | 3/15/2010 |
| Q: I´m 31 years old and writing from Germany. I have no children and have suffered four miscarriages. ... A: S., Recurrent miscarriages are a difficult problem. The most common reason is because of a ... | |
| Several failed IVFs-follow up | 3/15/2010 |
| Q: I have read several of your previous answers on the website and I am looking forward to hear your ... A: There are many variations of PCO. Not all fit the classic descriptions. In your case, what makes ... | |
| Will fluid colection & IVF | 3/15/2010 |
| Q: I am going to undergo IVF I had one tube removed due to hectopic pregnancy, other tube ... A: The presence of a hydrosalpinx has been shown to decrease pregnancy rates by 50% in numerous ... | |
| HCG shot | 3/10/2010 |
| Q: My husband and I have been trying to get pregnant since 10/08. We finally conceived in July 2009 but ... A: S., Ovulation occurs around 24-52 hrs after HCG. It cannot be known exactly when that occurs, ... | |
| question | 3/10/2010 |
| Q: I had two tests of my semen. the result of the first is as followed: March 4th, 2010 Volume: 2.4 ... A: In both your semen analyses, the count and morphology are normal. The abnormality is in the number ... | |
| Tryroid scan and delayed menstruation. | 3/9/2010 |
| Q: I am from Toronto. I would like to know if there is any effect of the uptake scan on periods. I ... A: No this nuclear thyroid scan should not affect your cycles. Sincerely, Edward J. Ramirez, M.D., ... | |
| Several failed IVFs | 3/9/2010 |
| Q: I have read several of your previous answers on the website and I am looking forward to hear your ... A: Based on the history you have given me, it sounds like you may be a PCO-type ovarian stimulator. ... | |
| clomid | 3/8/2010 |
| Q: I am a 36 year old woman from Toronto, Canada and I have a three year old daughter that was ... A: It is disturbing to see that your doctor did not discuss these things with you. They are basic to a ... | |
| implantation | 3/8/2010 |
| Q: I have some questions regarding embryo implantation. I have had two failed ivf cycles and I'm about ... A: S., Implantation failure is one of those very difficult problems because it is a natural process. ... | |
| Regular but very weak periods | 3/8/2010 |
| Q: I am a 26 yeaf old female and for the past few months I have been having very weak periods that ... A: K., The amount of bleeding a woman has with her periods is dependent on the amount of tissue there ... | |
| 4days late, period lighter then usual | 3/8/2010 |
| Q: My last real period was jan. 30. I had sex on the 12 of feb. I was suppose to get my next period on ... A: Based on the dates you gave, you had intercourse right at the fertile period/ovulatory period, so ... | |
| 2nd Miscarriage in 7 months | 3/5/2010 |
| Q: Here's my story would like to get some insight on this. After almost a year of trying I conceived in ... A: S., You should have a chromosomal test done on yourself and your husband to make sure that you are ... | |
| High Oestradiol Levels | 3/5/2010 |
| Q: I'm 38 and I recently had some blood work on Day 21 of my cycle. My Oestradiol levels came back as ... A: I'm afraid that I can't answer your question because the units (pmol/L) is not the standard used in ... | |
| Took Progesterone suppositories too early | 3/4/2010 |
| Q: I am one day before fresh embryo transfer and I'm really worried. I'm currently on my first IVF. Two ... A: S., Keep in mind that miracles do happen. I'm afraid that I agree with your doctor's response. ... | |
| Femara spotting | 3/4/2010 |
| Q: Ramirez, I've written to you before regarding my LPD. After 5 cycles of Clomid (4 failed, 1 m/c, 3 ... A: It is unusual to have spotting in the follicular phase because the estrogen level should be ... | |
| Fertility After Miscarriage | 3/4/2010 |
| Q: I became pregnant after a year and a half of trying to conceive. Unfortunately, I had a miscarriage ... A: S., You will have to wait at least until your ovaries start functioning again, and that will take ... | |
| Egg quality? | 3/3/2010 |
| Q: I have undergone 3 IVF cycles without succcess in Canada. First IVF using long protocol, failed to ... A: Based on the information you gave me, you certainly did stimulate well in your second and third ... | |
| thin uterus lining. | 3/3/2010 |
| Q: i am just back from my routine check up with with a gynecologist. After taking clomid from day 2 to ... A: Estrogen is needed to increase the endometrial thickness, not progesterone. Progesterone is needed ... | |
| IVF with ICSI questions | 3/2/2010 |
| Q: Samantha from the US. This is a follow up to my earlier email. Thanks for answer my questions. I ... A: S., With ICSI, all mature eggs are injected since not all with fertilize. If they only took a few ... | |
| FET- Beta level is 4 | 3/2/2010 |
| Q: Ramirez, You've answered my questions before and it has been very helpful. Thank you! A little ... A: S., Yes. In our lab this would be considered a chemical pregnancy since we can detect down to ... | |
| Trying to conceive! | 3/2/2010 |
| Q: I'm 35, and trying to conceive for the last 3 months naturally. But failed and was on clomid 50 last ... A: If you have only been trying for pregnancy for 3 months, why are you on Clomid? Do you not ovulate ... | |
| Infertility with thin uterine lining | 3/1/2010 |
| Q: I am writing from Canada. I am 27 years old. My husband and I have been trying to conceive for ... A: My primary concern, as I read your letter, was your uterine lining. One of the risks of a D&C is ... | |
| can a uti cause delayed period? | 3/1/2010 |
| Q: my last period was on dec. 19th 09 on january 12th i went to the doctors to get a pap done and i ... A: S., The UTI cannot affect or delay your menses. It is possible that you have an ovarian ... | |
| ivf and injectibles | 3/1/2010 |
| Q: I am from the US and I am 33 years old. My husband is 34. We have been trying for almost a year and ... A: S., Let me answer your questions sequentially to make it easier: 1. Lots of different medications ... | |
| follicle size & IUI | 2/27/2010 |
| Q: I am a 30 year old female with unexplained infertility. We have been TTC for almost 2 years. All ... A: Yes. Multiple mature follicles (>16mms) means that you may ovulate for each of these. We generally ... | |
| am i pregnant | 2/26/2010 |
| Q: hi i had my tubes cut and tied nearly 3 years ago would you get a negative i am 12 days late with ... A: K., There is a known failure rate of tubal ligations, for many different reasons, of about 1%. For ... | |
| Infertility, follicle grows too fast | 2/26/2010 |
| Q: Greetings. Im married for 5 years, conceived just once last year but ended up in missed abortion at ... A: You can certainly try naturally but I would not advise IUI with this follicle. It would not have a ... | |
| 3rd ivf failure | 2/26/2010 |
| Q: i am a 31yr old female who just had an IVF failure for the 3rd time.in this third attempt i had 17 ... A: I am very sorry to hear about your failure. I am afraid that I cannot answer your question because ... | |
| Infertility, follicle grows too fast | 2/26/2010 |
| Q: Greetings. Im married for 5 years, conceived just once last year but ended up in missed abortion at ... A: I do not think that either a hysteroscopy or laparoscopy are required at this point. The overgrown ... | |
| Multicystic ovaries & get pregnant after 1 year of marriage | 2/26/2010 |
| Q: Respected Sir/ Mam, My marriage past 1 year but not get pregnant so i investigate my semen analysis ... A: Your semen analysis was completely normal. That is not an issue. In terms of your wife's ... | |
| Infertility, follicle grows too fast | 2/25/2010 |
| Q: Greetings. Im married for 5 years, conceived just once last year but ended up in missed abortion at ... A: Your doctor needs to adjust his timing since you stimulate so fast. The early stimulation is not as ... | |
| Ovidrel vs Pregnyl ? Buserelin vs Nafarelin | 2/25/2010 |
| Q: I am Australian, but writing from Singapore where I work on contract for an American company. You ... A: I do recall your previous letters since you were my first, and have been my only letter from ... | |
| TTC Vaginal infection | 2/25/2010 |
| Q: I'm from India and am sorry if I'm a bit lengthy & graphic. Our first baby is now 7 years old. We've ... A: Polycystic ovaries is the long version of PCOS (or PCOS is the short version of the other). In ... | |
| Early Period after Chlomid | 2/25/2010 |
| Q: I took a 5 day regimen of Chlomid from February 8-12th. My first period (induced with Provera) began ... A: S., First, I think you have to do a pregnancy test. This should preferably be a blood pregnancy ... | |
| Amenorrhea - hypothyroidism | 2/25/2010 |
| Q: I am 31 year old and married, We live in Utah since Jan 2009, I have not had menses since April ... A: S., In looking at the tests that you did, your TSH level (and therefore thyroid function) are now ... | |
| Ovidrel usage in pregnancy | 2/24/2010 |
| Q: Good afternoon Dr Edward, I'm 36yrs. I did IVF for the first time and it resulted in preg. Upon a ... A: Indeed the primary indication for Ovidrel is to induce ovulation when a woman is undergoing ... | |
| Misscarriages and abnormality found in morphological scan | 2/24/2010 |
| Q: This is sasi from dubai. I am 36 years old. Married since 4.5 years. My husband is 39 years and so ... A: I was very saddened to read what you have gone through. I can imagine the emotional toll these ... | |
| testicualr trauma and fertility | 2/24/2010 |
| Q: The question is what are the chances of us not conceiving a child together. I myself have two ... A: It is possible that the accident caused some internal injury to that particular testicle, which ... | |
| ivf pregnancy | 2/24/2010 |
| Q: I am 8 weeks pregnant with twins doing ivf. What will happen if I stop my medications (progesterone ... A: S., No. You could probably stop them at this point. The placenta has taken over hormone ... | |
| Incompetant Cervix | 2/23/2010 |
| Q: I'm a 33 year old woman from New Zealand. I recently had a missed miscarriage and D&C (22nd Nov ... A: Many women have multiple miscarriages requiring D%26C, or have multiple abortions. They are not ... | |
| Two successive miscarriages | 2/23/2010 |
| Q: I got pregnant after 3 months of my marriage. I never used pills..Im 30 and discovered hypothyroid ... A: The medications that you took will probably not influence or impact your chances of having a ... | |
| First Trimester Screening | 2/23/2010 |
| Q: Ramirez, I am writing from New Mexico! I am the patient that asked about heparin a few weeks ago. ... A: S., The blood testing that you did is called a triple screen, and by itself is not sensitive enough ... | |
| Regarding Recurrent Micarriages | 2/19/2010 |
| Q: Doctor, I have already asked you a certain questions regarding my misscarriages, but now it is ... A: The two tests that I mentioned were Chromosomal testing in you and your husband (a blood test), ... | |
| Yes or no? | 2/19/2010 |
| Q: I have some confusion, regarding my pregnancy. I had my last period on 15 December. On 17 January, ... A: Based on your last menstrual period, and if you have regular predictable periods, you were 4+ weeks ... | |
| 8 cell embryo | 2/19/2010 |
| Q: Ramirez, I use to be your patient about 7-8 yrs ago when I lived in Salinas we moved to Las Vegas, ... A: S., Thank you for the complement. I am sorry that you did not come to me for IVF. In case you ... | |
| infertility | 2/19/2010 |
| Q: I wanted to know if you thought it was safe to take antidepressants/anti anxiety medication such as ... A: S., There is no medical contraindication to taking Zoloft but I will usually advise my patients not ... | |
| fertlity with endometriosis | 2/18/2010 |
| Q: I'm 30yrs old recently had laparascopic surgery and diagnosed with stage iv endometriosis,most of it ... A: K. Stage IV endometriosis is the worst stage that you can have. This has definitely been shown to ... | |
| Ovidrel | 2/18/2010 |
| Q: I am 37yrs old soon to be 38. I have PCOS and Insulin Resistance Syndrome. I did three cycles of IUI ... A: S., I am greatly dismayed by the treatment regimen you have received. Is the doctor you are seeing ... | |
| secondary infertility | 2/17/2010 |
| Q: My husband and I have a 10 year old daughter. We suffered 2 miscarriages prior to her conception(a ... A: Age has a significant influence on a Woman's fertility rate, and could be the reason for the ... | |
| hcg trigger | 2/17/2010 |
| Q: This is my second round and the first was a 26 day cycle (I am usually 28 days consistently,) had ... A: S., With a lead follicle of 20 mms, you could take the HCG today or tomorrow. I would not go past ... | |
| ovulation | 2/12/2010 |
| Q: Dr. Ramirez I am 38 yr old Grava1Para0(still birth). My ? is re: ovulation. My cyles are pretty ... A: S., Since you already know about the "age factor" affecting your chances of pregnancy, I won't ... | |
| Bad sperm quality | 2/12/2010 |
| Q: I am a 37 year old woman who has been married for 2,5 years and my husband is 36 years old. We have ... A: I think that you have three problems affecting your fertility and the more problems you have, the ... | |
| urethocoele | 2/12/2010 |
| Q: Good day. My spouse has recently been having blood discharge and discomfort after intercourse. After ... A: I understand the problem that your wife's gynecologist identified, called a cystourethrocele. It is ... | |
| heparin in pregnancy | 2/12/2010 |
| Q: Ramirez, My husband and I have been trying to conceive for 6 years now. We are both 36 years old. ... A: S., I am glad to hear of your success. I do use heparin (microdose) in my patients that fail their ... | |
| Anti sperm antibodies | 2/12/2010 |
| Q: my husband and I suffer from idiopathic infertility. Except that my husband was diagnosed positive ... A: Since your husband's sperm shows antisperm antibodies, you should just proceed from there. I think ... | |
| second generation clomid infertility | 2/11/2010 |
| Q: I conceived my second pregnancy via clomid in 1986 after a 'normal'conception and birth of a ... A: S., No. There have been many studies looking at the children conceived by infertility treatments. ... | |
| missed abortion | 2/11/2010 |
| Q: Me 26yrs old female pt had tow times missed abortion within8months. the two times before at fetal ... A: If you are on Progesterone 10 mg, then you are probably on medroxyprogesterone, which is a synthetic ... | |
| failed ivf | 2/10/2010 |
| Q: I am a 33 yo female with PCOS. Prior to my first pregnancy I had failed clomid x 6 cycles (doses up ... A: S., You have a very difficult problem, which I too must face often. You have unexplained IVF ... | |
| Delayed menses with clomid? | 2/10/2010 |
| Q: I have restarted a course of 100mg clomid following a hysteroscopy on 15 December 09 (I had a ... A: K., First, I would recommend that you have a blood pregnancy test done. It is a lot more sensitive ... | |
| High FSH/High Estradiol | 2/10/2010 |
| Q: Ramirez, I am forty-one year old professional woman living in Youngstown, OH, and I desperately ... A: S., FSH stands for Follicle Stimulating Hormone. It is the hormone that the pituitary (brain) ... | |
| older women trying to conceive | 2/10/2010 |
| Q: I know what the stats say but I am a 44yr who went into an ivf specialist who did an iui and advised ... A: S., Thank you for your letter, although it is not a question for me to answer. I am sorry that ... | |
| menstrual cycle/infertility | 2/9/2010 |
| Q: ramirez, I am a 29 yr old healthy female with two daughters, ages 13 & 12. me and my husband ... A: S., It is highly unusual for you not to have at least one period per year in your age group. I ... | |
| husband's sperm analysis | 2/9/2010 |
| Q: We were trying for a baby for 6 months and since nothing happened we decided to have check up. I am ... A: When the morphology is abnormal, that means that something at the sperm production level is not ... | |
| making my period come | 2/9/2010 |
| Q: What can I do to make my period come? It's 7 days late, I'm not pregnant. I need it to come so I can ... A: I'm a little worried that your doctor has not done this, especially if you are going on a potent ... | |
| Additional comment to my previous quesiton | 2/5/2010 |
| Q: Ramirez, Monica here again. Sorry, but I forgot to mention in my previous post that I have no ... A: Most patients do not have pregnancy symptoms until 8 weeks gestational age. Some don't have any at ... | |
| Newly pregnant after canceled IVF cycle | 2/5/2010 |
| Q: Dr. Ramirez, I've written to you before and really appreciate your expertise. I'm 37.5 y/o and ... A: First of all, congratulations on getting pregnant. Technically, you underwent an ovulation ... | |
| 2 Molar Pregnancies | 2/5/2010 |
| Q: Dr. Ramirez, I had a molar pregnancy in July 2007 and another in August 2009. I had a D&C after ... A: S., Thanks for your question. A molar pregnancy is a genetically abnormal pregnancy. It usually ... | |
| hope u can help me | 2/5/2010 |
| Q: i just want to no how to become a sergeant mother i would like to become one ? A: S., I believe you are referring to "Surrogate"? There are various organizations throughout the ... | |
| Tubal Ligation | 2/5/2010 |
| Q: I am writing from NJ. My mother had tubal ligation (cautery) and since then she has been rapidly ... A: S., I don't think that this is a reaction to the surgery. Tubal ligations usually do not have any ... | |
| Can i get pregnant with only one fallopian tube | 2/4/2010 |
| Q: I hope you would be able to help me.I had an ectopic pregnancy 3 months back wherein i had to ... A: I am sorry that my previous answer was not clear enough. You have a 30-50% chance of ectopic ... | |
| luteal phase defect | 2/4/2010 |
| Q: I have recently been seeing a private doctor who noticed I have a luteal phase defect, usually 8 or ... A: I have to say that I am not an advocate of patient's self treating themselves, but that being said, ... | |
| secondary infertility | 2/3/2010 |
| Q: My husband and I have a 10 year old daughter. We suffered 2 miscarriages prior to her conception(a ... A: S., I am presuming the ailment your husband had was "prostatitis", which is an inflammation of the ... | |
| Irregular periods | 2/3/2010 |
| Q: . my hubby n i were on planning for twoyears... now we seriously plan for a childfor 2 months... i ... A: The above tests are normal except for the prolactin and should be pursued as mentioned previously. ... | |
| embryos transfer | 2/3/2010 |
| Q: I have been embryo tranfer for 10days , i am waiting to do a blood test next 4days. Today I have a ... A: First I would recommend that you have a blood pregnancy test done today. There is not need to wait ... | |
| Irregular periods | 2/2/2010 |
| Q: . my hubby n i were on planning for twoyears... now we seriously plan for a childfor 2 months... i ... A: If all your hormone tests, and fasting blood sugar were normal, why are you taking Metformin? The ... | |
| Couple Diagnosis - Help and Advice | 2/2/2010 |
| Q: Ramirez, We found your blog via Allexperts and decided to write you, to have an expert opinion ... A: First, it sounds like your periods may be irregular, which is a symptom of polycystic ovarian ... | |
| Miscarriage | 1/29/2010 |
| Q: I have a healthy daughter who is now 2.5 years old. I had a miscarriage the month before I got ... A: At this point, I don't think that you need to worry. Every pregnancy has an up to 40% chance of ... | |
| Can i get pregnant with only one fallopian tube | 1/29/2010 |
| Q: I hope you would be able to help me.I had an ectopic pregnancy 3 months back wherein i had to ... A: In answer to your questions, yes, it is possible for an egg that is ovulated from the right side to ... | |
| primary amenorrhrea | 1/29/2010 |
| Q: I am 32 years old and never had a period. My mom took me to the doctor when I was 20 yrs old and ... A: S., There is absolutely something wrong, and it should have been taken care of a long time ago. ... | |
| Two successive miscarriages | 1/27/2010 |
| Q: I got pregnant after 3 months of my marriage. I never used pills..Im 30 and discovered hypothyroid ... A: S., 1. The time period does not make any difference unless you are trying for pregnancy at this ... | |
| infert | 1/26/2010 |
| Q: fallopian tube. Doctors did Leave left ovary and partial left fallopian tube. She had a lot of cyst ... A: First, I wouldn't write off the IVF just yet. Your doctor needs to evaluate and see if changing the ... | |
| Cycles after Miscarriage | 1/26/2010 |
| Q: I am writing from Florida. In November 2009, I found out I was pregnant but I had a chemical ... A: There is no logic to waiting two cycles after a miscarriage. That is something you doctor has made ... | |
| Follicle size and dermoid cyst | 1/22/2010 |
| Q: I am 38 and have been trying to get pregnant with my third child for almost a year. This last cycle ... A: S., Let me answer your questions in order: 1. Yes, the follicle is too big. Usually ovulation ... | |
| Feared infertility | 1/21/2010 |
| Q: I am a 21 years old female and for the last little while have been experiencing a few different ... A: First, don't worry about the ovarian cysts. Most ovarian cysts are benign and are physiologic ... | |
| trying to conceive | 1/21/2010 |
| Q: I am a 36 year old woman and mother of a three year old. I am trying to get pregnatn for the past ... A: In general, if a woman after the age of 35 does not get pregnant within 6 months, we recommend that ... | |
| prolactin level and safety of the MRI of brain | 1/21/2010 |
| Q: Dr. This is Joy. Last July, my prolactin was 24.9 my prolactin level on 01/07/2010(post ovulation) ... A: S., It is unlikely that a tumor will be found with a level less than 100, but it is not ... | |
| "Threatened Miscarriage" | 1/20/2010 |
| Q: Dr and thank you for taking the time to read and answer my question. Back in November, I felt ... A: S., A urine pregnancy test cannot detect a real early pregnancy, so you could not have gotten ... | |
| My treatment options | 1/20/2010 |
| Q: I am a 26 year old female with one child. My husband and I have been trying for a second baby for ... A: S., My first question to you is, did you have a laparoscopy? There is a high possibility that the ... | |
| fetal demise | 1/20/2010 |
| Q: I'm 33 years old my husband is 39. We are a healthy couple. Twice this year we got pregant. First ... A: First of all, in regards to your blood type differences, if you have a negative Rh factor (B-) and ... | |
| Laparoscopy/Hysteroscopy | 1/20/2010 |
| Q: I had a Laparoscopy/Hysteroscopy last Thursday (14th January) and was wondering roughly how long ... A: Good on the pregnancy issue. However, not to be argumentative, a pregnancy test at cycle day # 21 ... | |
| Infertility | 1/20/2010 |
| Q: First I wanted to say thank you for taking the time to read my question and helping me. I will start ... A: S., I see where you are coming from, and presume you want reassurance that the laparoscopy is the ... | |
| hard mass MRI identified as ovarian fibroid | 1/19/2010 |
| Q: I am 51 years old and was found to have a hard mass attached to my ovary. My mother had her last ... A: S., Certainly the mass could be removed on its own without removal of the ovary. You should ... | |
| Laparoscopy/Hysteroscopy | 1/19/2010 |
| Q: I had a Laparoscopy/Hysteroscopy last Thursday (14th January) and was wondering roughly how long ... A: There should be no change in your cycle from the surgery. It should occur at the time that it is ... | |
| infertlity | 1/19/2010 |
| Q: i have had a lap and dnc in november and to date have not yet got my periods, please tell me what ... A: If you had normal and regular periods prior to the Laparoscopy/D%26C, then this is not normal. If ... | |
| TTC w/ ENDO + PCOS | 1/19/2010 |
| Q: I was diagnosed with PCOS and put on Metformin in 2007. I took it for over a year lost about a 100 ... A: S., First of all, thanks for your question, and I just want to reassure you that I am a Physician ... | |
| Progesterone level before Egg Retrieval | 1/19/2010 |
| Q: I am scheduled to have a oocyte retrieval soon. And my doc had mentioned to me that my progesterone ... A: S., Yes, the progesterone level is important because the progesterone causes the reconfiguration of ... | |
| am i pregnant? | 1/15/2010 |
| Q: My breast had been hurting a lot and I was worried if I was pregnant, I had my first period 19 days ... A: If you had a period that was a normal period, then it is unlikely that you are pregnant. The breast ... | |
| i need some advice | 1/15/2010 |
| Q: i was recently raped in may..i have a three docters tell me that he damaged me to the point where i ... A: S., I don't think that size matters. The penis is not rigid nor strong enough to cause injury to ... | |
| missed abortion | 1/15/2010 |
| Q: Me 26yrs old female pt had tow times missed abortion within8months. the two times before at fetal ... A: Of course, I can only suggest a treatment, but ultimately it will be up to your doctor to decide how ... | |
| Conception | 1/15/2010 |
| Q: I've asked questions about this in other forums but I'm hoping that asking a fertility expert will ... A: S., If you have defined your cycle of 27 days by the fact that you had a bleed (period), then it is ... | |
| Laparoscopy made no difference | 1/14/2010 |
| Q: I had a periods problems earlier since beginning of my teenage like absence of periods for years ... A: There is a good chance that the Clomid might stimulate your ovaries to ovulate. The ovarian ... | |
| Hypothalamic Amenorrhea and injectibles. | 1/14/2010 |
| Q: I am writing from Maine and have been TTC for 12 months now. When i went off the pill, i didn't not ... A: The increasing estradiol level shows that either 1 follicle is growing or several smaller follicles ... | |
| endometrial thickness | 1/14/2010 |
| Q: My question involves endometrial thickness. I am on cycle day 8 and currently taking menapur for ... A: S., Lots can change in the next few days so don't despair yet. Cycle day #8 is still quite early. ... | |
| ovulation before ovidrel | 1/14/2010 |
| Q: I took 25 mg Clomid days 4-8 had a blood test and sono today, I have one follicle 25mm on left side, ... A: S., A 25 mm follicle is usually the size at ovulation, so there is a high chance that you would ... | |
| recent IVF done | 1/13/2010 |
| Q: My husband and I recently underwent IVF treatment, my LMP was 11th Dec 09, produced 6 follicles and ... A: K., It would be too early for a vaginal scan. The embryo/pregnancy has to develop a certain amount ... | |
| Laparoscopy made no difference | 1/13/2010 |
| Q: I had a periods problems earlier since beginning of my teenage like absence of periods for years ... A: A.E., It sounds like you have PCOD (polycystic ovarian disease). Ovarian drilling is a very very ... | |
| prolactine | 1/12/2010 |
| Q: edward. i did a blood test on 27 days of my cycle which is between 30 and 32 days. and we were ... A: Indeed a prolactin level of 41 is elevated. Prolactin is a hormone produced by the pituitary. When ... | |
| endo, reduced mens flow, ovulation | 1/12/2010 |
| Q: Last month my period started on 12/12/09. Then I had the LH surge detected on 12/23/09 on OPK Since ... A: S., Ovulation can occur 24-52 hours after LH surge. Based on the period of 1/11/10, your day of ... | |
| Cycles after Miscarriage | 1/12/2010 |
| Q: I am writing from Florida. In November 2009, I found out I was pregnant but I had a chemical ... A: S., I think the last explanation you gave is probably the correct one. I do not suspect this to be ... | |
| Health issues effect chances of getting pregnant? | 1/12/2010 |
| Q: if a person: Is 14 Has dystautonomia (tachycardia. plummitting blood pressure) Major Depression ... A: S., There is no reason to think that the chances of pregnancy would be any less than a normal ... | |
| ivf at your clinic | 1/8/2010 |
| Q: I am from Anaheim and would like to know how much time I would need to take off to do an IVF cycle ... A: For further information, please contact me via the following email address: ... | |
| Secondary Amenorrhea & Unprotected sex | 1/8/2010 |
| Q: I am nearly 35 years old. I was on depoprovera for about 6 years. No periods during that time. Then ... A: Yes. You need to see an endocrinologist to rule out pituitary tumor. I cannot answer the question ... | |
| nightsweats and right IVF protocol | 1/8/2010 |
| Q: Dr. I am from New Jersey , USA. I have 2 questions for you. I was diagnosed with stage 4 ... A: #1 and #2. The date of trigger is based on the largest follicles. Your largest follicles were 20 ... | |
| Lab Results | 1/8/2010 |
| Q: I am having some issues getting pregnant and I had some labwork completed and I am hoping you can ... A: Apology accepted, but I just wanted you to know where my expertise was to validate my answer. ... | |
| Infertility treated with Femara | 1/7/2010 |
| Q: My husband (35) and I (30) tried to get pregnant for about 13 months with no luck. After initial ... A: Each of the tests is to test a specific step in the process your body goes through in order to get ... | |
| Can I get pregnant with opposite ovary and tube? | 1/7/2010 |
| Q: I am a 27 year old female with a history of endometriosis. I had my left ovary removed two years ago ... A: S., If you search through my column here, you will find another letter with the same question so ... | |
| nightsweats and right IVF protocol | 1/6/2010 |
| Q: Dr. I am from New Jersey , USA. I have 2 questions for you. I was diagnosed with stage 4 ... A: S., Night sweats can be from multiple causes such as Decreased Estrogen (menopause or ovarian ... | |
| Secondary Amenorrhea & Unprotected sex | 1/6/2010 |
| Q: I am nearly 35 years old. I was on depoprovera for about 6 years. No periods during that time. Then ... A: With the information that you have given me, I doubt that you are ovulating but I cannot say for ... | |
| Infertility treated with Femara | 1/6/2010 |
| Q: My husband (35) and I (30) tried to get pregnant for about 13 months with no luck. After initial ... A: S., Your story is one that I don't like to hear because I think you have been mismanaged. You ... | |
| advice re options | 1/6/2010 |
| Q: My husband and I have been TTC for about 15 mos. We have been told we have "unexplained infertility" ... A: There is certainly something going on that is preventing you from getting pregnant. It is unknown ... | |
| cramping | 12/24/2009 |
| Q: since day 5 after my embryo transfer, i've been having period-like cramps in my lower belly. is ... A: This symptom is non-specific. It can indicate either pregnancy or pre-menstruation. You cannot ... | |
| my problem to get preggy | 12/24/2009 |