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, is it safe to do vaginal ultrasound scans if you could be pregnant? Are the IVF ultrasound scans the same scans that are done during pregnancy?
Hi Dr Sher … to clarify the above … I mean at very early stages of pregnancy (first few days or week). We are trying to conceive naturally and I ovulated about 5 days ago but I have a scan tomorrow to check my endometrium lining (as it was very thin at the last month’s IVF cycle). I just wanted to make sure it’s ok to do a scan if I happen to be pregnant.
Perfectly OK in my opinion.
Geoff Sher
Dear Dr Sher, I am aged 43 and am about to go into my final IVF round after several failed attempts. I am from Australia and have interest in your articles about the A/ACP protocol etc. I was wondering if you could advise me your thoughts on this protocol prescribed from my IVF dr here?:
– Commence 7 days before period Synarel morning and night
– Day 2 onwards take FSH 450mg concurrently with 250mg Orgulatran also day 2 until egg collection.
– take progynova (estrogen) daily one week before period due also
– melatonin 5mg daily from 1 week before period.
Could you advise your thoughts on the above and whether it sounds reasonable??
Kind regards,
Lucinda
This is not the way I personally do it but by starting off in the mid luteal phase with an antagonist (albeit a nasally administered product) and ching to an antagonist with the onset of stimulation is an acceptable variation. I start with a BCP, then overlap with Lupron (an injectable medication), supplanted with half the dosage of antagonist (125mcg) + FSH with the onset of bleeding.You are priming with oral estradiol valerate (Progynova) starting 1 week before stimulation. I usually do not prime with estrogen unless there is very severe DOR and I use injectable estradiol valerate (Delestrogen) every 3 days. IO also do not prescribe Melatonin but I do not see it having a harmful effect. I t7hen trigger with 10,000U hCGu (Novarel/Pregnyl/Profasi).
I must hasten to say that I have no concrete evidence that my approach is better than the variation that you will be on. There are probably several acceptable variations on the agonist/antagonist protocol approach.
Good luck!
Geoff Sher
Hi Dr Sher, I notice you previously mentioned you prefer medicated over natural ETs. What is the reason for this? I was told they both have the same success rates. Is this true? Many thanks in advance.
In my nopinion, natural cycle FET’s yield significantly lower success because it is more difficult to pinpoint the optimal implantation time in natural cycles than with hormone regulated cycles.
Geoff Sher
My daughter had a 5 day frozen genetically tested embryo transfer 7 weeks 5 day ago, her ultra sound showed a strong heart beat but the fetal pole measured 1 week behind, is there a chance for a healthy pregnancy?
It can catch up and recover!
Good luck!
Geoff Sher
Hi Dr Sher, have you had much experience with ERA tests? What kind of success rates have you seen doing the ERA tests? Does the ERA biopsy cause damage to the lining?
I personally have no confidence in the value of ERA testing and unless patients insist on having it done, I do not use it at all!
Geoff Sher