Ask Our Doctors – Archive
Our Medical Directors are outstanding physicians that you will find to be very personable and compassionate, who take care to ensure that you have the most cutting-edge fertility treatments at your disposal. This is your outlet to ask your questions to the doctors.
Hi Dr. Sher,
I recently had a day 5 blast FET and I am in the TWW. About 76 hours after the transfer, I woke up to an orgasm (not normal, perhaps progesterone?).
My clinic restricted intercourse, but did not specify orgasms. I’m terribly concerned that the uterine contractions from the orgasm compromised implantation. Are these uterine contractions significant enough to affect implantation at 76 hours post transfer?
Thanks for this forum!
It would not do harm! Do not worry!
Geoff Sher
Dr. Sher,
Would a Clomid (3-7 cycle days)+Menopur (7, 9 11) cause a false positive urine LH surge? My clinic will see me on days 3, 7 and 12. Would it be possible to detect a reliable ( and not premature) surge before day 12 in order to not miss my ovulation window, if I have not been given the trigger shot thus far?
In other words, does the fact that Menopur has LH result in a false positive OPK (urine test) if I am not ovulating?
I doubt the LH will go high enough to produce a “false surge”.
Geoff Sher
Hi Dr,
First thank you for dedicating time answering our questions graciously.
I had a tranfer on Jan 12th of 1 5-day blastocyst, grade A, PGD positive
Hcg numbers were Ok at the beginning but the last ones are scaring me :
10dp5dt 15dpo 81
12dp5dt 17dpo 200
14dp5dt 19dpo 395
18dp5dt 23dpo 929
I must say that I have been on the lower side of normal ranges in previous pregnancies, with the sae pattern of rise, but never out of bounds like here.
My RE scheduled an U/S in 2 weeks (at 7w 1/2), but I am very scared that this pregnancy is going wrong. The initial numbers were OK but from 19 t4 to 18dp5dt, they rose very slowly, less than doubling in 3 days, and the level for 23dpo is lower than the lower bound, and the levels were multiplied only by 10 in a week, all indicating that this pregnancy is going to end badly…
What are your odds here ? Can ectopic be ruled out ? Will this end in miscarriage ? Should I ask for an U/S earlier, for example next week ?
Or am I just to stressed here an the situation is not so bad as it looks ?
Many thanks in advance for your insight.
Juliet
I am optimistic that all is well, based upon the information you provided. Please keep me in the loop!
Geoff Sher
Hi Dr. Sher,
I am currently on my first FET protocal and I just completed 39 days of low estrogen birth control pills due to having mild pcos and to have a better chance of timing ovulation for upcoming FET. I was advised to stop taking the birth control pills on day 6 of my lupron shots and was told to notify my Nursing team when I stated cycle day 1 of my menstral. The concern that I have is the fact that exactly one week after starting the birth control pills i started having whats called breakthrough bleeding that was more than spotting but not quite a full flow which was continuous through my last birth control pill on Tuesday Jan. 30th. And on Thursday Feb. 1st I started to have cramping and a few medium sized blood clots through Friday Feb. 2nd. How do i differentiate the start of my actual menstral from the breakthrough bleeding and determine my cycle day 1?
Hi Janee,
PCOS is commonly associated with dysfunctional ovulation. Respectfully, I would do a hormone replacement FET and not do this in a natural cycle.
Geoff Sher
Hey Dr. Sher, we have another roadblock in our FET transfer. My RE found a small polyp in today’s saline sonogram and even though it’s likely nothing to worry about, is recommending surgery to remove. I think I’m on board since I know I’d be agonizing over “what if” had we transferred again and not been successful, but I’m curious to hear your procedure for handling polyps. Do you recommend removing anything that can be seen (regardless of size?)– or do you have a size cut off?
Thanks in advance.
The polyp needs to be removed before the FEDT cycle. It can be doner with dilatation and evacuation or laparoscopically.
Good luck!
Geoff Sher