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.
Dear Dr Sher,
My LMP is 17/6 with 33 days cycle length and irregular periods. I ovulated on 5/6 July. My HCG results as follows:
22/7 – 87
24/7 – 125
27/7 – 265
30/7 – 571
3/08 – 1317
US yesterday showed sack with size for 4w5days. I had a miscarriage last year so quite worried with slow rising hcg. Do you think it is a viable pregnancy?
Appreciate your response in advance
It could still be a viable pregnancy, but that is by no means a given. Repeat the US in 10-14 days for a definitive answer.
Good luck!
Geoff Sher
Hi
Any suggestions for a regular cycle and regular periods but periods are very light. I am on a programmed cycle where i am given estrogen tables when my periods starts and progesterone pessaries. Previously had a miscarriage conceived aurally and a ectopic – no damaged the tubes and 2 failed ivf and one chemical pregnancy recently. In two going in frozen embryo transfer
Hi Dr. Sher,
It’s a sad day for me because my 6.3 week pgs normal embryo lost his heartbeat. My hcg today was 44,000. My biggest question is do you think if there is an autoimmune issue the embryo would implant, make normal hcg, be measuring normally, and have a normal heartbeat at 6.1 weeks. All was well until 2 days ago when I started bleeding. I was on baby Aspirin, Lovenox , prednisone, PIO. If this was an autoimmune issue why didn’t my body reject the embryo right away? I don’t understand what happened,? Do patients with autoimmune issues usually get to this point and then their body suddenly rejects the pregnancy?
It could be a number if causes of implantation dysfunction…including an immunologic cause. We should talk.
I recommend that you call my assistant, Patti (702-533-2691) and set up an online consultation with me to discuss!
Geoff Sher
Hi doctor Sher
my wife had been prescribed 30mg of corticosteroids and intralipids for immune issues before the covid 19 pandemic for transfer. This was cancelled. However, she has had bad side effects from the steroids in the past the last time. I’ve heard dexamethasone is a better option but the clinic will not prescribe it at the moment because of Covid. I can source it elsewhere. My question is- how many mg of the dexa should she take as an equivalent to 30mg prednisone? And is the protocol the same as corticosteroids generally that you stay on them up to 12 weeks and taper off?
I appreciate your advice and have recommended you to a number of people.
Regards
D
Hi Damien,
While I agree with you that dexamethasone might be the way to go, given your treating Physician’s opposition to using it, I cannot provide you with dosage-related information. You need to to have your RE do so, I am afraid.
Sorry
Geoff Sher
Hello Dr Sher
My last LMP was 06/26 and I usually have a 34 day cycle. When I went for a regular check, the beta hcg value came back to be 186 on 07/28. I have had a miscarriage last year and I am aware that one beta hcg result is not enough to determine viability of the pregnancy. But I wasn’t asked by my doctor for follow up beta hcg tests, instead the first US is scheduled for 08/13. I am worried everyday about my hcg values doubling. Is 186 low to begin with? Should I request for more blood work? Getting tensed!
The single result is encouraging but I must agree with you that another test about 2 days later would have been advisable to see if the level is increasing appropriately. Thereupon, an US done in 10-14 days will probably provide a definitive indication as to the viability of the pregnancy.
Geoff Sher