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 . I’m 13 weeks pregnant with twins after ivf treatment. Although I haven’t had any specific blood tests done I was prescribed Tanziparin Sodium injections ( low molecular heparin ) starting on the first day of my tratment . For around 11 weeks of my pregnany I was taking also progesteron injections and estradiol tablets but I’m not taking them anymore. How long do you think I should keep having heparin injections ? Is there any blood test I could do to check if I still need to take it ? What is your opinion ? Thank you .
If the indication is an hereditary clotting defect (thrombophilia) then it should continue throughout pregnancy. If it is for the detection of IgM or IgG-related antiphospholipid antibodies (APA), the heparinoid can be discontinued at around 10 weeks of pregnancy, in my opinion.
Geoff Sher
Dear Dr Sher
What are your thoughts on progesterone after FET? I’ve read that progesterone uterine versus blood do not correlate. I am week 7 and my weekly levels have been 10.8, 15.4 and today 13.5. I am now on 200mg suppositories QID. What should the levels be? I am worried and wanted your opinion for peace of mind. Do you suggest I increase to x5/day?
thank you for your advice!!!
The level is probably OK f`or now, but at 20 weeks, it should be around 20ng/ml.
Geoff Sher
Hi Dr. Sher. I’m 7 days into my stimulation cycle now, and curious about OHSS risks after egg collection. I’m on 225 IU fostimon and 225 IU merional (is this considered high?) and will trigger with 10,000 HCG. No embryo transfer this time, we are freezing any to transfer later. Thoughts on OHSS and what I can do to avoid it? Or is it pretty low risk? Thanks!
I cannot answer without knowing the # of follicles and the estradiol level.
Geoff Sher
Hi dr.sher
Do you recommend bed rest after embryo transfer?
Foer only 6 hrs, then just be a “couch potato”.
Geoff Sher
Goodmorning doctor, please my husband finds it difficult to ejaculate. He ejaculates like once out of four trys and it’s frustrating cos we’ve been trying to have a baby for more than a year now. We’ve gone for a semen analysis and the result cane out fine. What could cause this and any solution for it?
I suggest he undergoes a medical examination and if negative,,,then sex therapy!
Geoff Sher