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. Today I’m 11+1 weeks pregnant after successful FET. I will start tapering my hormone supplements tomorrow, but I’m curious how my ER can be so sure that the placenta has already taken over? My levels today were, E2: 1.4 mg/mL & P4: 47 ng/mL. Are these considered normal whilst still supplementing? Also, how often should I be getting my hormone levels checked from now on? Kind regards.
By the 10th week, the placenta will have taken over completely. No need (in my opinion) to keep testing hormone levels.
Geoff Sher
In your opinion is NGS better than CCS for genetic testing? Also what’s your opinion of the NGS mitoscore? Most of the studies look like they were done on day three cleavage stage embryos and they try to correlate how that would transition into a blastocyst rating. Is a mitoscore of 40 good?
Yes! In my opinion NGS is far superior!
I place no relevance on the Mitoscore!
Geoff Sher
I have taken femara and menagon . My periods were due on 15th oct. I took strip test yesterday it was positive . 1 dark line and 1 light line. I have stomach pains since few days like gas. Is it normal? Please advice
I would not be alarmed. Symptoms are subjective. But discuss this with your treating MD.
Geoff Sher
Hello,
When doing your FET and using Lupron as your down reg on day 21……
Do people normally have a period?
What day do you do baseline ultrasound?
What should the uterine lining be at baseline as far as thickness?
I did the lupron and they brought me in for baseline at day 28. I have not bled yet and baseline today was 7.5mm and triple lined. No measuring follicles. I feel I’m still in my cycle and need to bleed before doing another baseline and starting meds. They seem to think it’s ok.
The other question I have is once the uterine lining is exposed to progesterone as mine was because I ovulated then took the lupron…..and you don’t bleed so that lining is the same lining… can you reexpose it to progesterone and have a good outcome?
thank you
Yes, in most cases you will have a period. The lining should then be <5mm. You need a period to launch the stim. cycle on, in my opinion.
Geoff Sher
Dr. Sher, my endometrial biopsy just came back showing Chronic endometritis. All other fertility test have been “normal” I am starting 2 weeks on doxycycline and then they want to take a new biopsy after my next cycle. All other fertility tests have been normal (within desired ranges). In your opinion could this have caused my 2 miscarriages in 2017 (both around 8 weeks after hearing heartbeat at 6 weeks)? Do you find the antibiotic typically clears it up and successful pregnancies can follow? We know my most recent miscarriage was non-chromosomal. Thank you.
In the absence of the very rare occurrence of endometrial tuberculosis (not hardly seen in this country), I do not believe there is such an entity as chronic endometritis.
We should talk.
Geoff Sher
702-533-2691