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,
I have hashimotos disease and my husband has 0 sperm so we did Ivf with donor sperm. our first child was a son and was induced and had him full term. Our second child was also a son and healthy, but I had him unexpectedly at 36 weeks when my water broke without any indication I was going to go into labor. For both of these pregnancies, I was on prednisone, intralipids, lovenox.
My question is, can autoimmune diseases cause preterm labor? We are thinking of having another but I’m worried about preterm labor.
Also, do you believe in the HY restricting allele? I’ve read that can cause preterm labor (since I’ve had 2 full term males)? Should I use a different sperm donor? Would that bipass the problem of my body attacking the embryo since I’ve already had 2 males?
Thank you!
No! I do not believe there is a correlation either with autoimmune disease of the sperm donor here.
Geoff Sher
Hi, Dr. Sher. Does a tubal ligation at all affect IVF outcome? What about scar tissue? I’m currently pregnant with twins but we had all embryos frozen for later just in case we wanted more babies. I just don’t know what to do. Thanks for the time.
Tubal ligation should in my opinion have no effect on IVF outcome.
Geoff Sher
Dr. Sher,
I transferred yesterday and now I’m reading all kinds of crazy things about eating pineapple core for 5 days, only drinking warm foods and liquids, laying flat for 36 hours, no ice cream, no soft drinks etc…. is all this really necessary and can really affect implantation?
All…totally unnecessary in my opinion.
Geoff Sher
Dr. Sher,
I have endometriosis and I have frozen embryos to transfer. I’m afraid I cannot afford the immunology testing and treatments. Can you help me? Do you ever hold studies or trials that reduce or eliminate cost of testing and treatment?
Thank you,
Erin
Time will tell. Do another US in a week from now.And ask your RE to make certain it is not a tubal (ectopic) pregnancy.
If you get any sudden severe pain, go directly to the emergency room!
Good luck!
Geoff Sher
Hi Dr. Sher,
Is Myoinositol good for diminished ovarian reserve and improving egg quality? Or is it better for PCOS? Thank you.
Perhaps more appropriate in PCOS.Polycystic ovary syndrome (PCOS) is a common disorder characterized by anovulation, hyperandrogenaemia and insulin resistance. Its prevalence is 5 to 10% in women of reproductive age.
Insulin resistance has a key role in the pathophysiology of polycystic ovary syndrome PCOS. Jnsulin resistance and hyperinsulinemia, possibly because of a deficiency of a D-chiro-inositol-containing phosphoglycan that mediates the action of insulin may play a key role in the pathogenesis of PCOS. Administration of D-chiro-inositol might replenish stores of the mediator and improve insulin sensitivity in patients with the polycystic ovary syndrome (PCOS), thereby improving ovulatory function and decreasing serum male hormone (androgen) concentrations, blood pressure, plasma triglyceride concentrations and thereby help ameliorate some of the metabolic and physical manifestations of this condition.
More than 18 trials have specifically examined the effects of these drugs on ovulation, and other features of altered metabolism in PCOS. Most of these studies reported have not been randomized but the results appear to be quite promising. It would seem that D-chiro-inositol may improve the potential for ovulatory cycles in patients with PCOS.
Geoff Sher