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Mark Perloe on Fertility Issues, Page 7{Read more of Dr. Perloe's responses: Page 1 / Page 2 / Page 3 / Page 4 / Page 5 / Page 6 / 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 had my last Depo shot a year ago, and have been trying to conceive since a few months after that. My cycle is extremely irregular. It always has been. I would like to get pregnant but after doing a lot
of research, I'm afraid that after being on depo, my chances are slim
without going on Clomid. (I was on that once and had a miscarriage.) Before
I go to the doctor I want to know what to ask/say to them. I don't want them
to tell me it's nothing when it could really be something serious. Is Clomid
the only solution? I'd like to get pregnant within the next few months. Is
that possible? How long will this Depo stay in my system? What else can I
do?
I'm not sure any treatment is necessary until one year after the last injection. Depo Provera can last up to 18 months. There is not much to do but wait. If an ultrasound shows that you are making follicles and have a normal midcycle uterine lining, then perhaps you have an unrelated ovulation problem and ovulation treatment may be helpful.
If I participate in fertility treatments, will this make my time of
menopause arrive sooner? This would make sense if every woman is born with
a certain number of eggs, and the release of those eggs is speeded up.
However, I cant find any scientific information that this is so.
What does it mean when they tell you that your tubes have bilateral spillage? Is this a bad finding? No, it means that the tubes are open. This is the normal finding.
I've been married for two years, and we have no child yet. My questions are about frequency of intercourse.
I have sex with my wife two to three days a week or some time more than that. When my wife is not ready to have sex, I also masturbate. I used to masturbate twice a day or three days in a row on a regular basis.
I would do the first semen analysis after ejaculation the day before. This will determine if what you have been doing has adversely effected your fertility. Most labs will tell you to abstain, but if you abstain for two or three days, you will never know if that was the cause of your problem.
I am concerned that when the time comes for my boyfriend and I to get pregnant that there will be a problem due to the fact that he knocked his genitals hard when he was young. I know this may sound strange to you, but I know that if something like this happens, it can decrease the chances of conception. We are both healthy adults apart from this, but it is worrying me. The likelihood of a problem is small. It is easy to get a semen analysis to determine if there is a problem. Your physician can order this test for you.
I am 20 years old and have been having sex with past boyfriends for a long time without using any contraceptive at all. I am wondering why I don't get pregnant? In addition to that, my menstrual cycle is very irregular and recently, I was treated for chlamydia. The doctor said it can cause infertility if not treated. I am very alarmed that I might not be fertile at all. I am not planning though to get pregnant soon, but I want to know what my chances are of being infertile? Is it advisable at my age to be checked for infertility, or should I wait until I am ready to have a baby? I would only recommend testing for infertility once you and your partner are committed to achieving a pregnancy. It is important to determine why you are having irregular cycles. Please read about this in www.ivf.com/tocmb.html to learn about testing and various causes for abnormal cycles. You could have thyroid problems, polycystic ovary syndrome or ovarian androgen excess. Each of these conditions can be a factor in difficulty conceiving. If your tubes are blocked [as a result of chlamydia], that could necessitate the use of IVF when you attempt pregnancy.
My husband and I are considering having a baby, but this is the second marriage for both of us and he had a vasectomy after his first marriage. What would be the best way for us to conceive a child? I had two previous pregnancies and had no trouble getting pregnant at all. I am 36 years old now and my husband is 41. If the vasectomy has been longer than five years ago, I believe that testicular biopsy and sperm collection would offer better success than surgery. Sperm obtained on biopsy can be used for IVF and ICSI, sperm injection. The odds for success can be about 33% delivered pregnancy per attempt. {Read more of Dr. Perloe's responses: Page 1 / Page 2 / Page 3 / Page 4 / Page 5 / Page 6 / 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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