Q
: 1
12/02/2009 |
I had a serum progesterone test done on day 20 of my cycle. The result came back lower-than-normal level. My doctor said I did not ovulate. According to my basal temp chart, I believe I ovulated on day 17 of my cycle. Could the blood test have been done too early in my cycle to give an accurate result?
If normal, the progesterone level should stay elevated for almost 2 weeks.
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Q
: 2
10/07/2009 |
I had chlamydia for 6 months, will this effect my chances of becoming pregnant?
The risk is fallopian tube damage. Some people have it others do not. An x-ray called HSG may help you know if your tubes are damaged. Even if they are, you may be able to get pregnant with help. The most common way is In Vitro fertilization. For this you do not need normal tubes.
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Q
: 3
10/04/2009 |
Is it possible to have a tubal reversal and it be successful? Or Would it be easier to have In Vitro instead and still conceive?
It is possible to have a successful tubal reversal, but many experts now feel that In Vitro fertilization is the procedure of choice. It somewhat depends on what sterilization procedure that you had. I prefer In Vitro fertilization because major surgery and recuperation time are not required. It also generally works faster.
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Q
: 4
07/11/2009 |
Is it normal to have a low estrogen count after an egg transfer?
It depends upon how low. Normal levels can be quite variable, but if they are very low (ie. <75 pg/ml) it is concerning.
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Q
: 5
06/26/2009 |
I had a miscarriage at 18.5 weeks that my doctor said was due to a weak cervix. I have heard of sowing of the cervix to help hold a pregnancy and I think I could be a candidate for that procedure. At how many weeks is something like this done? What factors determine whether or not it is needed?
The procedure (called cerclage) is done for an incompetent cervix. There are usually risk factors for this, such as a history of multiple D&Cs. If you have that condition, cerclage may be helpful. It is most commonly done after 12 weeks. It is usually not done by infertility doctors, but rather by general OB/GYNs or Maternal Fetal medicine specialists. They would have to decide whether or not it is indicated.
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Q
: 6
05/08/2009 |
Can a Woman with the Human Papilloma Virus get pregnant?
Yes. In general, pregnancy rates are not affected.
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Q
: 7
04/06/2009 |
What causes irregular periods or inconsistency in the menstrual cycle? My hormonal profile is fine and I do not have polycystic ovarian syndrome.
There are many things other than PCO that can cause this. More common problems are weight (too much or not enough), thyroid problems, elevated prolactin and other problems with stimulation of ovulation. If you have access to a textbook called Novak's Gynecology edited by J. Berek, you could read my chapter on this.
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Q
: 8
03/19/2009 |
What is your success rate in donor egg IVF cycles? What is the life birth rate?
The following are all live births:
2007: 1 out of two fresh embryos; 1 out of 1 frozen embryos.
2006: no fresh cycles done; 1 out of 2 frozen embryos.
2005: 0 out of 3 fresh embryos; 0 out of 1 frozen embryos.
2004: 1 out of 1 fresh embryos; no frozen cycles done.
2003: 0 out of 1 fresh embryos; 1 out of 1 frozen embryos.
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Q
: 9
12/19/2008 |
I just recently found out that my fiance and I are pregnant. Also, I just found out that he has a problem with addiction. In the making of our baby could it be possible for the sperm to have traces of the drug that he had been using?
There should be no risk of addiction just from the sperm of your fiance. If you were to use drugs during the pregnancy, there could be a risk.
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Q
: 10
04/28/2008 |
I have had PCOS and for the last five years I have been trying to conceive. Would Glucophage help in the stimulation to help me conceive?
It may be helpful in some cases, especially if there is insulin resistance. However, it is not always the first line therapy. If you would like to be evaluated, you may make an appointment at 410-328-6640.
Howard D. McClamrock, M.D.
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Q
: 11
03/09/2008 |
My husband and I have two biologically healthy children ages 3 and 5. We have been trying to conceive our third child for the past 18 months. In that time period we have had one early miscarriage at 6 weeks and three chemical pregnancies at 4 weeks. My husband's sperm analysis was normal, and my HSG was normal and all blood tests so far have been normal. My day 3 tests resulted with an FSH of 4.9 an LH or 4.5 and Estradiol of 65.7.
I am 34 years old and my husband is 39. My fertility charts show ovulation every month around days 12-14 and I have a Luteal phase length of 13 days. My 7 DPO progesterone was 12. My periods seem lighter than normal for me and I have brown spotting from days 5 through 8.
I'm desperately looking for help. My doctor is suggesting Clomid but I am confused. Why I would need it since I ovulate on my own? Our problem is not conceiving, our problem is early miscarriages.
There are a lot of tests and they may not have all been done. Have you had an HSG, the x-ray to look inside your uterus? This would be important as you could have a polyp or a fibroid that could interfere with implantation or progression of the pregnancy. With that said, I would not discount the recommendation of your RE. You still may have imperfect follicle (egg) formation despite adequate progesterone levels and normal luteal phase lengths. The spotting and lighter periods could be a tip-off. It is hard to say what you need, but at your age it could still be appropriate to give Clomid a short try.
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Q
: 12
03/04/2008 |
I am 31 years old and I want to know if it is possible for me to do a reversal of tubal ligation? How much does this cost?
It may be possible or it may not be depending on exactly what you had done. However, it usually is not the best choice because In-Vitro fertilization is much easier and pregnancy rates are very good these days. If you want to give me a call, I will discuss these issues with you over the phone. 410-328-2304. Howard McClamrock, M.D.
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Q
: 13
01/02/2008 |
I'm a 32-year-old women with polycystic ovarian syndrome and irregular periods. Is there any chance I could get pregnant naturally? I have try everything medically. Are there any herbs or something else that can help me?
Patients with PCOS usually have a very good prognosis of getting pregnancy (about 80% or higher), though many times infertility treatment is required. We would be happy to see you to discuss your options. An appointment may be made by calling 410-328-2304. If we are too far away from where you live, you should look for a reproductive endocrinologist. One website that might help is socrei.org.
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Q
: 14
01/17/2007 |
My husband and I have been trying to conceive for about two years. We have tried tracking ovulation and doing the basil body temperature but nothing has worked. I am an EMT and work shiftwork, don't sleep a whole lot and things of that sort so the temperature checking doesn't work. I was wondering if there was anything over the counter that I could buy to help fertility? I have tried every suggestion that anyone has ever passed my way. I would appreciate any suggestions you may have on this issue.
I'm sorry for your frustration. You can use urine LH kits, available over the counter to predict ovulation. They are not so affected by sleep routines. Other than that, you should try to find out if there is a problem. Two years is long enough to wait, since the definition of infertility is only one year of unprotected intercourse. I would suggest that you see a physician for a work up. If you would like to come here, we would be happy to see you. You may make an appointment by calling 410-328-6640. Good Luck! Howard McClamrock, M.D.
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Q
: 15
01/09/2007 |
I am a 25-year-old female in relatively good health, except that my menstrual cycles are REALLY irregular, they always have been ever since they started its never bothered me except my husband & I have now decided to try to conceive. Everyone tells me to get on birth control pills for a year to get my menstrual cycles on a regular monthly cycle, however I'd hate to lose that year of trying to conceive. Is there any other medications besides birth control that I could ask my doctor about? Also I'm assuming the months that there are no periods I don't ovulate right? So should I be looking for medications that create a regular ovulation which would then cause regular periods? Please tell me if I'm way off track in my thinking. Thanks in advance for your time and help.
Your thinking is on track. Yes, birth control pills make you have regular bleeds, however they are not cycles, but rather withdrawal bleeds. It is unlikely that you ovulate when there is no following period and it is possible that you do not ovulate even when you have a bleed. You should see your physician. There are medications to induce ovulation and some times there can be other problems that when corrected, may allow you to ovulate on your own. Good luck.
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