Hello, everyone, and welcome back to our weekly quality control experts in fertility, the captain of the west coast of conception, Dr. Arthur Wisot. Before you begin, the medical disclaimer: quot; My answers to the questions on this blog does not constitute medical advice, but are merely intended to create an educational forum for consumers. It is always best to discuss these issues with your healthcare provider m�dicaquot;. The good doctor answers are below, in bold: br Question # 1: Dr. Wisot, I have been diagnosed with Annovulation hypothalamus. My lowest weight was about seven years ago when I was about 105 pounds (I am 5 # 39, 9 quot;). But in the last five years I have had around 120 125 pounds. I was on BCP for about nine years since I stopped having a period, and when he left them a year ago my period never started again. The doctor told me weight gain and reversing exercise. So now I have 143 pounds, I've done two rounds of IUI with Repronex and no luck. The doctor thinks maybe it's because we used very high doses (as 250units began during the first five nights) and possibly causing poor egg quality. We were supposed to start again this week, but found a cyst on my remnants of the left fallopian tube. I am the BCP again hoping to get rid of the cyst, but my question is ... now I weigh 143 pounds, I supported completely off on the cardio and exercise more think it's possible I could start my own bike Think its worth a chance to go off the medication and see what I can get a period again Please help, this has been the worst experience and very depressing. Thank you. br Answer: I see this kind of problem in my patients who exercise professional athlete at a competitive level and boost your body fat so low that they stop menstruating. And even if you stop training, it takes a long time to get their reproductive function back. Therefore, you are not alone. I do not know her age, but if you are young you may want to quit drugs and your doctor monitor your ovaries to see if spontaneous ovulation, now that you are getting your body back to normal. Two rounds of fertility drugs on someone who is not ovulating is not enough evidence to say that this strategy will not work for you. I do not know how it could be presumed poor quality of eggs as the reason for the lack of success if they do IVF and see the eggs in action. In general, lower doses of fertility drugs that can achieve the desired result is better, so lower doses may be better for you. br Question # 2: Dr. Wisot, I am 29, diagnosed with unexplained infertility. After three IUIS not, I just started the first round of IVF. I felt very strong during the IUI follistim and produced 3.4 follicles with a dose of 75 Follistim. My doctor is to continue the antagonist protocol and I'm on BCP now. I read online antagonist protocol is normally used for a slow response which I'm not. Just wondering why doctors prescribe antagonist protocol. Thank you for your assistance.Answer: I think you are referring to a protocol for poor responders antagonist. The antagonist of fact can be used for anyone and I know that some very good health and that the use of the antagonist in almost all patients. It is the dose of injectable fertility drugs that determine the strength of the protocol. br Question # 3: I had an HSG done last week, after the results we now have an S / U on Friday. They said that my tubes were clear, and not spill it, etc. But I was told I have a fibroid. The HSG was painful, I was prepared to accept the fact that something was wrong, probably, but I did not expect a fibroid. Fibroids Many times have you seen to affect fertility, and has no percentage of fibroids that require surgery to restore fertility I remember having a U / S last five years of my gallbladder, but checked my uterus at the time, and said it was okay. Of course at that time I was on birth control. Answer: Fibroids are very common and their effect on fertility depends on their size and especially its location. Those who excel in the cavity (submucosal) have the largest adverse effect the closure of the muscle to the cavity (intramural) are in second place as violators of fertility. So your doctor will use a range of modalities to evaluate their potential effect on fertility fibroids and miscarriage opportunities and then recommend a treatment or no treatment. br Question # 4: When I was 38, I had two, day 3 transfers to fresh cycles two times 4 embryos were transferred. The first time a low beta (14) no baby. The second to my son. Never had a definite reason for our infertility. A few months ago we transferred our 4 blastocysts frozen (3 of 1st cycle and 1 second), which resulted in a low beta (7) and not the baby. I'm almost 42. I am having regular periods at 28 days and have a day 3 FSH, 8. I read that the best number to look up to know whether a woman can get pregnant is the number of your drivers license. That even if you have a FSH are good chances of success are slim, if of a certain age. What is your opinion br Answer: Age is the most powerful determinant of reproductive success. As women age, we see the lower pregnancy rates, higher rates of miscarriage and chromosomal abnormality in prenatal testing, all of which lead to low birth rates. Having a low FSH is definitely an advantage as previous successful pregnancy. National rates of live births in their age group is low, but someone is successful and that it could be you. Slim Chance does not beat chance.Question # 5: Hi. I hope to do an IVF cycle in March and my husband may be away for part of it. I've read that frozen sperm is as good as fresh for IVF. You agree Answer: It is very close to fresh in power. All donated sperm is frozen today and we found very successful fertilization using ICSI to fertilize when using frozen sperm. Tell your husband everything you need it is the DNA of sperm and the diaper changes at night, and have some fun on your trip. br br
