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Ask The Expert Archive

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Fertility and Infertility Archive Questions

Below are Dr. McClamrock’s answers to Fertility and Infertility questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.

Now displaying records 1 to 15 of 46.

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Q : 1

I am 22 years old. What is the normal FSH value at this age?

It should be measured when you are having your menstrual bleed. There are variations in the normal ranges for different assays. I would not know what ranges are used in Pakistan. In the U.S., it should generally be less than 10-12.

Q : 2

What is Asherman's syndrome and what is the cause?

It is scarring inside the uterine cavity which can be minimal or very severe. The exact cause is somewhat unclear, but usually happens after a D&C in pregnancy. It can also happen with just a D&C or just a pregnancy.

Q : 3

My partner and I are having our third child and third C-section. Can I have my tubes tied at time as the C-section?

It certainly is possible and very commonly done in the United States. It adds very little time or risk to the C-section.

Q : 4

Can the depo shot cause irreversible infertility?

No, neither depo provera nor depot lupron should cause irreversible infertility.

Q : 5

How can lack of sperm motility as a cause of infertility be treated?

It is often difficult to make the problem go away, but it can usually be treated successfully with In Vitro Fertilization and intra-cytoplasmic sperm injection if at least a few sperm are moving.

Q : 6

What do low LH, FSH, and estradiol levels typically indicate?

Typically, it is dysfunction of the hypothalmus in the brain which helps with menstrual cycle regulation. If FSH and LH are very low, it could be a rare indication of a mass in that part of the brain.

Q : 7

I am unable to carry my own baby, however, my spouse and I would like for her to carry my egg. Does your clinic work with same-sex couples? If you clinic is willing to work with us, how could we get more information?

We do work with same sex couples and we can use others for carriers if everyone is willing to do the required testing. You may make an appointment by calling our new patient appointments number at 1-888-761-1967. You may also call 410-328-2304.

Q : 8

At what age does fertility decrease? Are there any behaviors that can impact fertility?

Fertility actually starts to decrease at a very early age (even in the 20s, but usually it does not become significant until the late 30s or 40s). Smoking is one behavior that has a negative impact on fertility. Another is sexual activity that leads to infections and another is obesity.

Q : 9

I've taken four Plan B's the past 2 months. Will this have any connection to future infertility?

The use of the Plan B pill should have any affect on your future fertility.

Q : 10

Are test tube babies prone to cancer?

We currently do not have any data that would suggest babies conceived outside of the womb are prone to cancer.

Q : 11

I have a very high FSH level. Is there any treatment?

If your FSH is above 20 or 25 in our units, it is usually best to use eggs from a donor.

Q : 12

I am almost 42 want a second child. I had a very early pregnancy miscarriage in August 2010,. My doctor says everything is perfect with both my husband and I, so my questions are: is there any way to make my remaining eggs healthier and is there a way to check my remaining eggs to see if they are healthy?

The ways to test the health of your eggs are limited. The standard is baseline FSH and estradiol levels. Some people are starting to measure anti mullerian hormone. At age 42, you may want to consider In-Vitro fertilization, which may improve your chances.

Q : 13

My wife and I have unsuccessfully been trying to conceive for two years. Sometimes she misses her period for a month or two and she has light menstruation that sometime only lasts for one day. What could be the problem?

Most likely she is not producing an egg on a regular basis. You would need to see a doctor who treats fertility problems who could likely help.

Q : 14

If you are diagnosd with polycystic ovary is there chance to conceive?

Yes, most people with PCOS can conceive, but many need help from a physician.

Q : 15

Can taking antibiotics or having an abortion cause infertility? Also, how often can someone take bromocriptine?

Antibiotics should not cause infertility. Abortion rarely causes infertility but can contribute if it is associated with an infection that damages the fallopian tubes or if there is scarring in the uterus from a D & C procedure. Bromocriptine may taken up to twice daily if necessary.

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