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,
I went through a IVF session with 3 embryos transferred with Blastocyst procedure. After a week I was tested for Beta Hcg and progesterone.
The reading were Beta HCG 80.
The doctors asked me to continue on the Progestrone and sustain injections for another week.
But my major concern is ” Am I pregnant” since my Beta HCG is at <2 . kindly help me with this clarification
Not sure I understand fully what you are saying.
If your beta hCG is <2, you cannot be pregnant. If it was 80, that is another matter altogether and it needs to be repeated, followed by an US in about 2 weeks.
Geoff Sher
I’m so sorry, but I cannot find the page that I had asked this question on, so I hope you do not mind answering again…Do you think using just injectable progesterone for a frozen transfer is sufficient, or is it better to add crinoin to it as well? Also, are there any areas besides the upper buttox that you can inject it in because I’m guessing that will become pretty sore!
Thanks!!
I personally prefer injectable progesterone. It can be combined with vaginal hormone therapy as well.
Geoff Sher
At the age of 40, I had 44 oocytes retrieved; where 27 survived and were frozen. Earlier this year, I had 20 of the 27 oocytes fertilized, resulting in 8 frozen 5-day blastocysts, but no pgs. Using the frozen blasts, I have gone through 2 failed cycles where 2 quality blasts were transferred. Cyle#1 BFN and cycle #2 resulted in a chemical pregnancy. I also have extreme problems with uterine fibroids, and one doctor recommended I use a surrogate. I still have 4 frozen embryos, all lower grading and I have 7 oocytes. Do you think I should do another egg retrieval (near the age of 43) or just fertilize the remaining 7, or both? This time, I am planning to proceed with pgs and plan to thaw and refreeze the existing 4 blasts for pgs.
I think you should haave your uterus and uterine cavity reassessed to see whether it is capable of implantation and carrying a viable pregnancy. You should also undergo an immunologic assessment to rule out an immune factor. Then if the findings suggest a receptive uterus you should go ahead ant transgfer the remaining embryos. If you do not conceive then an egg donor should be used.
Good luck!
Geoff Sher
Hello Dr. Sher,
I have very irregular cycles that are 6+ months apart which make ttc difficult. I had labs taken on CD 175 and the results were fsh 101, estradiol <15 , progesterone 0.6, LH 38.6. Based on these numbers I was diagnosed with POF. Is this an accurate diagnosis or would labs from CD 3 be more accurate? Labs drawn a month later revealed an fsh of 73 and amh of 0.015. I'm 30 years old so wondering if there's anything an RE would even be able to help me with. I was put on HRT from my obgyn and sent on my way. Am I out of luck?
Thank you for your response.
Unfortunately Michele
, it looks like you aare imminently menopausal.
Sorry!
Geoff Sher
Hi,
I’m currently on my 3rd round of Femara and my RE upped my dose to 7.5mg from 5mg to get more than 1 follicle. I only had one follicle the last 2 cycles. We’ll be doing iui this cycle. At my cd12 scan I had 4 follicles all at around 11mm…cd16 only 1 at 14mm. Is it a problem that a follicle is taking so long to develop? Why would more Femara cause a less desirable result? Thank you!
Not necessarily worse but respectfully, in my opinion, a higher dosage won’t improve things.
Geoff Sher