Q
: 1
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
: 2
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
: 3
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
: 4
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
: 5
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
: 6
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
: 7
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
: 8
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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Q
: 9
01/07/2007 |
I am 50 years old and we want to have another baby. Is it still posible if my periods are still regular?
Chances for pregnancy with your own eggs is very unlikely at age 50. Even though your periods are regular, the "quality" of the eggs being released are not likely to result in a succesful pregnancy.
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Q
: 10
11/03/2006 |
I am a healthy 49-year-old and am marrying a 35-year-old. I have two healthy children, he has none. My OB/GYN told me no one would even bother talking to me due to my age. Is this true - that there is absolutely NO hope of conceiving for someone my age?
We never say that there is no hope, as there are rare exceptions and people do occasionally conceive. However, pregnancy rates with treatment are extremely low and are little if any better than no treatment. The other thing to consider, is that the risk of genetic abnormalities in the baby would be very high due to your age and miscarriage rates would also be very high. The exception to this would be to use donor eggs. You uterus may respond normally. However, we do not generally offer this after the age of 50 due to the risk of pregnancy and delivery. Some programs do go older with egg donation however. If you want to come in do discuss this possibility you may make an appointment at 410-328-6640.
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Q
: 11
10/17/2006 |
I am looking for IVF treatment using my own eggs, but as I am now 50 no-one will help. I have regular periods and ovulation and have been pregnant three times, the last when I was 45. These miscarried due to malformed sperm, we believe. I do not have any children born and am finding this longing for my own child dominating my life. Can you help? I should add that my biological age seems young in comparison to others of my age.
You pose a difficult dilemma. You may continue to have problems finding someone to help you with this request because it is generally not considered to be good treatment due to the fact that pregnancy rates are extremely low in this age group. I believe that some countries limit treatment to patients at age 40, at least if it is covered by the state. It is thought that at age 50, the risks of treatment and pregnancy may outweigh the chances of success. We actually limit donor egg recipients at age 50 for this reason. I hope you can find an acceptable solution.
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Q
: 12
10/17/2006 |
I found out I have endometriosis. They are starting me on a hormone treatment for 3 months and then I am going to try IVF as that is my only hope. Is your center one that would be able to help me?
Endometriosis is a disease that can range from very mild to very severe. It is difficult to know from this information if IVF is your only hope. However, IVF can often be used successfully in women with endometriosis. We would be more than happy to help you address this problem. You may make an appointment by calling 410-328-6640. It would be very helpful if you bring a copy of your records that document the problems that you are having. Good luck.
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Q
: 13
10/13/2006 |
If I were to do the ICSI (Intra Cytoplasmic Sperm Injection), could I get the sperm from someone whose had a vasectomy?
Yes. The most common approach for a couple where the male partner has had a vasectomy is to retrieve sperm (either by a testicular biopsy or sperm aspiration procedure) and do In-Vitro fertilization with intracytoplasmic sperm injection (ICSI). This is an approach we have used many times with good success.
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Q
: 14
10/12/2006 |
My wife is 40. What is the chance for a succesful IVF?
This is difficult to answer accurately. Each individual has her own chance of success but that chance is difficult to know for a specific individual. We know that if you compare 100 women at age 40 to 100 women at age 25, the younger group will have a significantly higher chance of pregnancy. Other tests such as FSH levels and ultrasounds can also give helpful information, but accurate chances of success cannot really be given for a specific individual. In general, chances are about half at that age compared to younger ages or perhaps lower. However, delivery rates in this age group have been improving over the years. I hope this information is helpful. If you are interested in consultation with us, appoints can be made by calling 410-328-6640. Good luck.
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Q
: 15
10/04/2006 |
My husband has had a vasectomy eight years ago during a previous marriage. He's 35 years old. What options are available other than vasectomy reversal to conceive?
Your other main option is IVF with intracytoplasmic sperm injection. Sperm can be obtained from your husband by a testicular biopsy or aspiration procedure. Your situation is one that we commonly encounter. We have urologist on our staff that specializes in infertility and he can speak to your hubsand about this procedure (short, outpatient procedure) as well as vasectomy reversal. He would be the expert in the area of vasectomy reversal. However, one problem we will often see in a patient who had a vasectomy eight years ago or more, is that even if there is sperm in the ejaculate, the motility may not be normal due to antisperm antibodies that form. I hope this information is helpful. I wish you the best of luck with whatever path you choose.
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