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.
Hello,
I am early on into pregnancy, were guessing I’m around 4 – 5 weeks. I went into the doctors to confirm the pregnancy and did a blood test. I got my blood work back and it shows my HCG at 217 and my progesterone at 8.8. Are these good levels?
Repeat the hCG test in 2 days. If it doubles, you could be OK!
Good luck!
Geoff Sher
Hey Dr Sher!
Im currently 5 weeks 2 days pregnant.
On Sept 23 (4 weeks 2 days) hcg – 84.
On Sept 27 (4 weeks 6 days) hcg – 640.
Do you think these are rising okay, or too fast as it is >doubling. I am on progesterone suppositories, with some lower back aches / cramping over the last week with no bleeding..
I’ve had 2 miscarriages in the last 10 months so I am pretty terrified. Thanks!!
Hopefully all will be well;!
Good luck!
Geoff Sher
Hello
I am a 41 year old, slim ( BMI 18.5) and normal HbA1c = 5.4 for several years. I got pregnant naturally at age 38 ( miscarriage at week 11). I tried Femara for 4-5 cycles but no luck. HSG normal, no pcos or endometriosis that I am aware of.
I finally tried IVF due to my age. I got 11 eggs, 7 fertilized and I did 2 embryo transfer and no luck. I did an ERA test which showed I needed extra 1 day of progesterone so for the remainder of 2 embryo transfer, I got an extra Day of IM progesterone but no implantation.
At age 40, I did another IVF stimulation cycle and with ICSI only 4 eggs retrieved and none fertilized. I did 2 Doner Embryo transfer, no implantation.
I took a 3 months break and at age 41, my OB put me on Metformin 500 mg daily + Femara starting day # 4 and I naturally got pregnant the same cycle. I miscarried again at week 8, fetus measuring 6.5 weeks and no fetal heartbeat.
My ANA antibody screen is negative. I did a 3 hour Glucose Tolerance test with insulin levels:
Fasting: Glucose 86, Insulin 4.40
1 hour: Glucose 88, Insulin 40.5
2 hour: Glucose 87, Insulin 40.9
3 hour: Glucose 87, Insulin 31.5
My question is: am I showing signs of hyperinsulinemia? My insulin level stayed quite high at 2 hours & 3 hours despite glucose being normal. I would’ve expected my insulin levels to have dropped closer to baseline at 2& 3 hours.
I am waiting for the blood clotting results to come back. My DHEA -S level is 188.
Thank you
I do not think you have hyperinsulinemia!
Perhaps we should talk. Consider calling my assisxtant Patti at 702-533-2691 to set up an online consultation with me.
Geoff Sher
Good luck!
Sher
Thank you for the reply. I tested negative today, day 30. And then I started menstruating, so seemingly the treatment did not work this time.
Just wondering if serum progesterone level does go as high as ~35 ng/mL in case of no pregnancy????
Appreciate the support you extend to everyone.
Thank you and good luck!
Geoff Sher
I am 5 weeks pregnant from an FET cycle and I’m doing a pill patch combination for estrogen, 1mg am & pm and transdermal patch changed every 2 days, as well as IM progesterone. On Tuesday I forgot to take my morning estrogen pill and then on Thursday I was supposed to have changed my patch on Wednesday night and forgot and wore it for a third day. All day Thursday I was having hot flashes I thought it was just pregnancy hormones and then about 11:30 at night it struck me like a bowl of lightning that I had forgotten to change my patch and when it’s in a half an hour of changing my patch The Hot flashes stopped. How severely will this affect pregnancy my hcgs have been good up until this point but I’m very concerned that I didn’t have enough estrogen support.
I don’t think it will affect your pregnancy but you need to be more meticulous about taking your hormonal support!
Good luck!
Geoff Sher