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Mark Perloe on Fertility Issues, Page 10{Read more of Dr. Perloe's responses: Page 1 / Page 2 / Page 3 / Page 4 / Page 5 / Page 6 / Page 7 / Page 8 / Page 9}Dr. Mark Perloe is an innovator in the use of Internet communication for educating patients via his groundbreaking site, IVF.com. Perloe is director of reproductive endocrinology, infertility and in vitro fertilization at Atlanta Medical Center and Medical Director at Georgia Reproductive Specialists, and is noted for the individualized and in-depth attention he gives to his patients in their efforts to conceive. Send your question to Subscribe to The Blueprint to be notified of his responses {Please refrain from sending detailed lab results, as specific translation of such results without additional examination is of minimal benefit.}
I have been on clomiphene. I have taken one pill (50mg) for two months. My doctor has moved me up to two pills at 100mg. My Ovulation Predictor Test has shown positive on day 10 and 11 and 14. It seems like since I have been on two pills, it has given my Ovulation Predictor Test a false positive. It also shows that I am not ovulating for the last two months on the 100mg of clomiphene. Why is this? Can the clomiphene cause a false positive?
Clomiphene will frequently cause a false positive result. If you have multiple positive days, it is likely that it is false positive. If you test too early, or have a surge on day 11 or 12, I recommend an ultrasound to determine if it is a false positive indication. In fact, for anovulation I prefer active monitoring when clomiphene is used. Please see www.ivf.com/clom.html and generally prefer use of diet, exercise and metformin to using clomiphene.
I have PCOS and high androgen levels. I want to have children -- do I still have a chance to get pregnant naturally? I had my period only once, at 16, and now I'm 19.
I'm 23 years old and on Depo Provera since six weeks after my child was born. My question is about the dosage given. Does every woman receive the same dosage, or is each injection based on BSA or weight? I'm asking because we desperately want to have another baby asap since our first child died after birth, and I'm worried about the effects of Depo. The dose is one size fits all. And, unfortunately, it does not seem to matter to give a lower dose to women who weigh less. The sad fact is that normal menses may not return for up to one year after the last shot. Monitoring basal body temperatures may give you a clue as to when things are back to normal.
My husband is 34 and I'm 38. I had a miscarriage around four years ago and since then couldn't get pregnant. We went to a fertility clinic and all my tests came back okay. HSG result shows no blockage and FSH is 5.5 on cycle day 3. My husband on the other hand has only one percent normal sperm morphology. He also had hernia surgery when he was a baby and a gynecomastia surgery at around 14 yrs old. We already did one failed IUI. Do we have a reasonable chance for a successful IVF-ICSI given the above circumstances? An SCSA Sperm DNA fragmentation test needs to be done to look at the sperm DNA. IVF does not fix bad DNA. If he has bad DNA and a varicocele, then surgery may help. If the DNA fragmentation is low, then IVF may be your best bet. The day 3 FSH is not the most sensitive test. I would do the full clomiphene challenge test with both day 3 FSH and estradiol as well as a day 10 FSH after 100mg of clomiphene day 5-9. This is the most sensitive way to determine ovarian reserve.
I am 36 years old and was diagnosed with a unicornuate uterus after a c-section over two years ago. I had two miscarriages prior to the birth of my daughter and sought the help of a fertility doctor prior to my third (successful) pregnancy. The doctor found through ultrasound that my blood flow was poor on one side of my uterus and put me on bedrest for the first trimester, but he wasn't aware of the unicornuate uterus. My questions are these: Am I more likely to be successful on a subsequent pregnancy having had a baby already? Also, is it likely that I will have to be on bedrest again or is that unnecessary now that I know that there will be no blood flow on my left side? I didn't know the risk factors of a unicornuate uterus going into my last pregnancy and now I am very frightened of trying again. If you carried to term last pregnancy, the odds would be in your favor. The main risk with unicornuate uterus seems to be premature dilation of the cervix. But each subsequent pregnancy tends to last a bit longer. Unfortunately, each pregnancy and individual is unique and no guarantees can be made.
Is it posible to get pregnant without actually having sex, if a man was to ejaculate just outside the vagina during a woman's ovulation time? Yup, it has been known to happen. I certainly would not recommend external ejaculation as a fertility treatment, but I have had patients who admit that external exposure resulted in pregnancy. {Read more of Dr. Perloe's responses: Page 1 / Page 2 / Page 3 / Page 4 / Page 5 / Page 6 / Page 7 / Page 8 / Page 9}{Disclaimer: Every effort is made to present accurate and reliable information, but this column is intended to provide general information, not direct psychological or medical advice to the person posing the question. Use of such information is voluntary and should only be undertaken after independent review of its accuracy, completeness, efficacy and appropriateness to your specific situation. If medical or psychological advice is needed, seek the services of a competent, licensed professional.} |
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