UMM logo

A Member of the University of Maryland Medical System   |   In Partnership with the University of Maryland School of Medicine

Share

Email PageEmail Print PagePrint
Find a Doctor Become a Patient www.umm.edu University of Maryland Medical Center Ask an Expert Getting Here Contact Us Site Map 1-800-492-5538

Ask The Expert Archive

For an Appointment Call: 410-328-0767
Search

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 16 to 30 of 46.

1 2 3 4


Q : 16

04/26/2010
I am 33 years old and my husband is 34. We have been trying to conceive for six months. This month my OB/Gyn prescribed 50 mg of Clomid on cycle days 5-9 after running a series of blood tests (LH levels, FSH, thyroid). All of these tests came back normal. Today I received the day 21 serum progesterone level test results, and I was shocked. It was 0.03. The nurse said she had never seen a level this low, especially on Clomid. Any ideas about what might cause this? Would you seek out a RE at this point?

This just means that you did not ovulate, or at least not at the expected time. Other than that, the low progesterone level is of no real concern. It is possible that you will ovulate later. One option is to try a higher dose of Clomid. Another is to seek out a RE.


Q : 17

04/22/2010
If I have pregnant in my tubes twice, would I still be able to have IVF treatment?

Yes, tubes are not necessary to have IVF.


Q : 18

04/13/2010
Can a patient with Hepatitis B conceive, and bear children without Hepatitis B?

Yes, there is a chance of transmission, but it is not 100%


Q : 19

03/17/2010
How do you know if you are fertile or not?

This is a rather difficult question to answer without any information about you. If you are female and having regular periods you may want to assume you are fertile. Even without regular periods, you may be fertile. Otherwise, both the female and the male need testing.


Q : 20

02/20/2010
I have just been tested positive for chlamydia.I amm now very concerned as I know this can lead to PID and infertility. I have had no symptoms.Is there a very high chance I could have PID and therefore be unable to conceive?

There is some increased chance that you could have trouble conceiving, but many people have no problem.


Q : 21

01/31/2010
What kind of hormones do you need to take to get pregnant??

There is not a simple answer to this question. It depends upon the reason that you are not getting pregnant. Sometimes no hormones are required. Other times, hormones to help with egg production can be helpful. It is important to be evaluated by a physician.


Q : 22

01/20/2010
Does gaining weight effect fertility? I got married a year and a half ago, and since then, I have gained a lot of weight. I have also not gotten pregnant. My husband did get surgery on his spinal chord which now gives him a lot of pain. Could that surgery also be a factor?

Either condition can have some effect. Enough weight gain can cause problems with ovulation (making an egg) and lower pregnancy rates. Spinal problems may also effect erection and intercourse. You may want to consider being evaluated by a physician.


Q : 23

12/16/2009
I am 30 years old and had a tubal ligation done in August 2001. I do not have any health problems and I have 2 healthy children whom I carried full-term before the procedure. Is it possible for me to get a reversal and be able to have children? If so, how much would it cost?

It is possible depending on what type of procedure you had and how much of your tubes are remaining. It sometimes requires a diagnostic surgery plus a larger procedure to reverse the tubal ligation. It is done infrequently now because In-Vitro fertilization can be done as an outpatient and without any surgical incisions. IVF also may work better in many circumstances and at your age, the success of IVF should be quite good. Also, the cost of the reversal can often be more than the cost of an IVF cycle. If you would like to discuss you options more, you may make an appointment by calling 410-328-2304. Howard McClamrock, M.D.


Q : 24

12/12/2009
How long after stopping birth control does it usually take to get pregnant? I have been trying for 3 months with intercourse every day, and my cycle has been exactly 36 days since stopping birth control.

There is no set length. 36 days is a little longer than average, so there could be a problem with ovulation. This is not definite, however. In couples who have never had a pregnancy, the average time to pregnancy is about 6 months. It is more like 3-4 months in couples who previously had a pregnancy.It is often about 1 month longer on average in women who have just stopped the pill.


Q : 25

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.


Q : 26

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.


Q : 27

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.


Q : 28

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.


Q : 29

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.


Q : 30

05/08/2009
Can a Woman with the Human Papilloma Virus get pregnant?

Yes. In general, pregnancy rates are not affected.


1 2 3 4

For patient inquiries, call 1-866-408-6885 or click here to make an appointment.