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’m a healthy 38 year old with one 3 year old child. He was conceived naturally the first time we tried. I had an easy pregnancy but had to deliver via emergency c-section. A year and a half ago we started trying for another baby. I got pregnant on the first try but miscarried at 7 weeks. We tried again and believe had another early miscarriage two months later but never confirmed as my period wasn’t always regular and didn’t realize at the time I was late. The symptoms, however, seemed closer to a miscarriage than a period. We then started seeing fertility specialists. It turned out my husband developed prostatitis which hurt his sperm count, but all my tests came back normal (and there were a lot of them). While he was getting treated, our doctor suggested IUI as he didn’t think IVF was necessary given our history. The second IUI worked and we got pregnant. My HCG levels were low from the beginning and I miscarried again at 6.5 weeks. I got some additional bloodwork and uterus checked and we started IVF. We got PGS testing on all the embryos and genetic testing on us. Out of 26 eggs, we ended up with 9 5-day embryos and 4 came back normal. First attempt failed. Then we did ERA testing and I needed one more day before transfer. First beta test was positive at a little less than 5 weeks (just over 1,000). Then I had two more tests and HCG is rising but not doubling. Dr. Isn’t saying much but wants to continue to monitor. Is this likely another miscarriage? What are the reasons for miscarriage with PGS tested embryos? And how often does that happen? I don’t even know what tests to request if this turns out to be another miscarriage. This clearly can’t be by chance anymore.
Hi Dr. Sher,
My husband and I have been trying to conceive since June 2017. He is a 41 year old type 1 diabetic (very well controlled) and I am a 30 year old with hypothyroidism (also very well controlled). We had one noted chemical on our own and went to RMANJ in June 2018. We were diagnosed with low morphology and DOR at 1.47. I had 3 unsuccessful IUIs. We did 4 egg retrievals which yielded 4 tested, healthy embryos. We transferred 1 embryo in July 2019; first beta was 16, second beta 0. We increased medication (PIO, medrol, baby aspirin, benadryl, terbutaline, estrace, etc.), but our second transfer in September 2019 gave us a first beta of 49.3, second beta dropped, then 0. I had a hysteroscopy in October; very small polyps were removed but the doctors didn’t deem this the cause of our troubles. I have been doing holistic acupuncture throughout this entire process and maintain a healthy lifestyle. I have been gluten and dairy free since after the second FET failed. I have been tested by an allergist and rheumatologist as well; all tests clear.
I am now at a complete loss. We have the 2 remaining embryos in the freezer still and I am scheduled for an unmedicated/natural ERA this month. I have also scheduled an appointment with a hematologist this month as well.
Any advice would be appreciated.
Thanks!
Stephanie
Hi, in jan 2019, I had my AMH tested twice(results were 13.3 and 15.4 pmol) then in april and 2019 (after two egg freezing rounds) the results were 30.4 and 34 pmol. Which is likely to be correct and is it normal for results to double? I was taking the pill in 2018 but stopped 3 months before the first blood test, thank you, Sara
It is possible (but not very likely that the BCP can lower AMH. The good news seems to be that you have adequate ovarian reserve.
Good luck!
Geoff Sher
Hi Dr.
I am 43, 2 MCs at 6 weeks, one egg collection in 2019 rendered 4 eggs one blastocyst. Pgs on this blast came back with serious genetic abnorms so no transfer carried out. I had an ivf cycle last month and egg collection yesterday..however ZERO eggs! How can this be so? 3 follicles on one ovary (a third of an ovary) and 6 follicles on the other ovary..endo lining excellent, doctor at SIMS Dublin very very happy. Im in shock there were no eggs yesterday!! Thank you
Hello Dr.Sher,
I need your advice consider my condition. I’m 39 years old and till now I have had 3 egg retrieval cycles. I have DOR, with amh 0.61 ng/ml, FSH 10.4mIU/ml, LH 3.6mIU/ml (3th day of cycle), regular menses.
First stimulated cycle was short protocol: estrofem 2×2, 6 days before the menses start. From 2nd to 10th day Puregon 50IE x 6; from 7th to 10th day Cetrotide 0.25 IEx1; 11th day HCG trigger-Pregnyl 5000IU. (LH values: 2.94- 6th day, 2.04- 8 day,3.05- 11 day). Egg aspiration 13 day, result:4 follicles, 3 empty, 1 egg bad shaped.
Second cycle (next month) was with Letrozole 2×2 from 2nd to 6th day of menses, than Menopur75IE 2×2 (8 and 9 day), HCG trigger –Choriomon 10 000IU – 10 day, follicles size: 19,20,20,17. Egg aspiration 12 day, result:4 follicles, 3 good eggs cryopreserved.
Third cycle was again with Letrozole, I have only one follicle who reach 20mm size on 13 day. Recived Choriomon 5000IU. Egg retrival was on 15 day of cycle, the egg was M1, immature.
What is your opinion, and recommended IVF protocol, in which point the first protocol was inadequate for me.
Should I receive 10 000IU instead of 5 000IU, even it is natural IVF cycle with 1 follicle. Are natural IVF cycles good idea for me.
Sorry for the long post, and Thank you.
Hello dr.sher
M satvinder .14weeks pregnant with pinkish discharge….usg shows placenta just covering os
..
A placenta previa,,,detected so early in pregnancy is not really relevant.
Good luck!
Geoff Sher