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
1 is transvaginal ultrasound safe for the first trimester,2nd and 3rd trimester? Or abdominal ultrasound preferable? Does it have correlation with miscarriage?
2. What is the expected beta hcg after 2 week wait embryo transfer? ( specific number)
Thank you
1 is transvaginal ultrasound safe for the first trimester,2nd and 3rd trimester? Or abdominal ultrasound preferable? Does it have correlation with miscarriage?
A. Completely safe
2. What is the expected beta hcg after 2 week wait embryo transfer? ( specific number)
A: The 1st beta hCG about 8 days post-blastocyst transfer needs to be >10U. Then it should at least double every 2 days for about 10-14 days or so.
Good luck!
Geoff Sher
Dr. Sher,
Thank you for your willingness to accept questions I’ve been going through IUI (4 rounds) then 1 round of IVF with low dose HCG, low dose lupin, and Gonal 450mg. By day 10 0f Gonal I induced ovulation with Ovidril and I had 8 eggs 5 fertilized and 2 survived to day 5 and were transferred back. I was then taking endometrin suppositories three times a day, and by day 6 post transfer I started bleeding with a positive HCG on day 10 post transfer and my HCG doubled on day 14 post transfer. By day 16 post transfer my HCG had dropped back down. This was my second chemical pregnancy (1 with IUI and 1 with IVF). It seems that I always get my period regardless of what is going on like clockwork by day 10. Is it possible that my body’s drive to have a period is so strong that I can’t maintain a pregnancy? I’m scarred that I will never be able to get pregnant.
Thank you for any insight that you can provide.
I’m specifically trying to learn why the sperm, even in cases of severe MFI, isn’t responsible for chromosomal outcome.
It is responsible in some cases…especially with MF where in up to 40% of cases of severe MF the sperm rather than the egg is at the root of the problem. However usually it is primarily the egg.
Geoff Sher
Hi Dr sher. Hope you are doing well. Sir i hd an ectopic pregnancy 5 months ago. The tube is un ruptured. They squeezed the baby out. Now im expecting again and its my 5th week 5th day. They did an early Transvaginal ultrasound at 4 weeks 3 days and saw g.s inside the uterus (i was so happy) but they couldnt see any yolk sac or fetal pole so i was asked to come again at 6 weeks. Now the main concern im writing you fir is that im experiencing diarrhoea from last week. Its on and off. Is it something to worry about? Also i am experiencing leg cramps at night. Just want to make sure if diarrhoea or loose mushy stool is a threat to my pregnancy? Also my hcg levels at 4 weeks were 2463
A provisional congeratulations is in order. This looks promising and I wish you the best.
The diarrhea is unrelated to the pregnancy and should be addressed separately….although I doubt it will jeopardise the pregnancy.
Good luck!
Geoff Sher
Hi Dr. Sher,
I just completed my first IVF cycle (w/ ICSI), which I had because I have anti-sperm antibodies. I tested positive on my first HcG test, but the second one showed lower levels than the first, and it was determined that I had a chemical pregnancy and that the embryo likely stopped developing.
I know that IVF with ICSI is typically the only workaround for anti-sperm antibodies, but (a) I hate IVF, particularly because of its high failure rate, but also because of how the time and energy it demands completely stalls my professional performance, and (b) our insurance doesn’t cover it and our IVF $ is now gone.
Do you know of any reproductive immunologists who have expertise in this antibody issue, and whether any treatments exist to rid the system of these so that IVF is not my only hope?
I appreciate your suggestions,
Katherine
I am afraid…IVF is your only viable option. No immunologist can reverse the problem if it is real and significant!
so sorry.
Geoff Sher