Locations
Office
San Antonio, TX
My office hours
Thursday: 8:00am - 5:00pm
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Insurances accepted
Aetna Life Insurance Company
Blue Cross Blue Shield of Texas
CIGNA Health Care
Great-West Healthcare
Humana Insurance Company
Pacificare Life & Health Insurance Company
United HealthCare Insurance Company
About
Bio
I am a specialist in reproductive endocrinology and infertility, and I really enjoy helping people with fertility problems through HealthTap! I am a HealthTap Founding Expert and Scholar and have provided online patient care since 2012. If you have questions about female or male infertility, assisted reproduction, or anything else in reproductive medicine or surgery I'd be thrilled to help you online. I've answered literally thousands of questions on HealthTap that are immediately available to you, and I'm really exited about online consultation either through video chat or inbox messages! I welcome your questions any time.
A bit about my background: I wrote the popular book Overcoming Infertility: A Woman’s Guide to Getting Pregnant, published by Addicus Books in 2010. I've contributed chapters to several other books on reproductive medicine and gynecology, and I've authored over 30 scientific publications. I earned my M.D. degree in 1992 and residency in 1996 at Wake Forest University in North Carolina. I finished my fellowship in Reproductive Endocrinology at the UT Health Science Center at San Antonio in 1998, and was an Assistant Professor from 1998 to 2000. I also have a Ph.D. degree from Duke University (1986) and am board certified by the American Board of Obstetrics and Gynecology, and by the American Board of Physicians and Surgeons.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Fertility Medicine
Gynecology
Obstetrics and Gynecology
Licenses
United States: North Carolina, Texas
Languages spoken
English
Doctor Q&A
5.0K Answers
2.2K Agrees
The number of answers this doctor has agreed with.
A 39-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
It's normal: But at 2 days p.O. You are not pregnant yet. Your embryo won't implant until 6-7 days after ovulation. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Preference: No absolutely clear evidence exists for p4 supplementation. Since res are human too, our choices are based on preference. Preference may be from our t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No: 'implantation bleeding' is subtle and unpredictable, if it can be interpreted at all. Internet gossip vastly over-emphasizes the idea of 'implantatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
If you get lucky: Once is plenty. Most people try abit more to cover their bets. I recommend every other day around ovulation but every day is okay too. More than once ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
In most cases: Vitamins do not work. Yes i know they say on the internet they do, but mostly it is not true. Do you know for sure his counts are low, has he been tes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
OPK beats mucus: Every time. The OPK are not perfect but they are highly reliable, 'fertile mucus' is very ambiguous. I'd trust the OPK everytime.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No reason not: Sure you can. If you are bleeding heavily enough, you might call the office to see if they want you to reschedule the pap - but bleeding that heavy is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No!: It means you tested way too early. Your doctor probably told you when to test - you should wait until instructed (unless you just enjoy seeing negativ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Appendectomy: Watch for pain, redness around the incision, temperature over 100.4 f, and increased drainage. If any of these occur you must be seen locally. If not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
I don't understand?: What is "hyper-ovulation?" Clomid (clomiphene) is used for ovulation induction, sometimes in conjunction with gonadotropins then sometimes called cont... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Low: If used 100% of the time, and 100% correctly, failure rates are between 2-5%.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Both: Honestly one isn't "more" important than the other, they are both needed and they work together.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
What antibiotic?: It depends which one. Good wishes.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Doubt it, but: Depends what the cyst is. You need a personal visit or consultation to answer further.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Side effects: Are uncommon but not impossible. It absolutely 100% does not cause pcos, they're unrelated.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Don't be terrified: Because that's not really quite correct. It's not that Plan B 'doesn't work, ' the controversy is that it likely does not prevent ovulation once it's ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No: There is no reason and no real way for Prometrium (micronized progesterone) to cause any kind of ovarian cyst to grow. Cysts may grow larger, but it i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No it's okay: Theoretically it can disrupt ovulation, but in fact it rarely does. Don't change your plans.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
1 day to several: Months. There is no rule, breast tenderness is a subjective symptom that doesn't reliably tie to ovulation.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Stay healthy: Healthy diet, limit caffeine and alcohol, avoid tobacco, moderate exercise, and staying healthy all support natural fertility. Herbs, otc drugs, diets... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Probably: Can't promise it is normal, but it is very common. If you are worried talk with your ivf doc.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Very unlikely: Though not impossible. If you got 3 follicles on Clomid (clomiphene) your chance of triplets is roughly 1/1000; if on hmg (shots) the chance may be as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Endometrial ablation: Does not affect ovulation at all.
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
It's almost never: Implantation bleeding, that is largely an internet myth. If - a big if - you actually get implantation bleed it woudl be about 6-7 days after ovulatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Be patient: First you have to finish the pills, then it can be anywhere up to even 2 weeks for bleeding to start (though its usually earlier.) Just be patient, yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Just one: One course of Provera (medroxyprogesterone) will cause 1 withdrawal bleed. If you take it monthly on a calendar it will cause monthly cycling. if you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Always ovulating: You - and all women for that matter - can only ever get pregnant around ovulation. The day after your period would be unusually early, but not impossi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Together? Hmmm..: First I recommend if a doctor prescribes medicines you ask him/her "why" rather than going online. The prescribing doctor is the only one who knows wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
See a doctor: Preferably a ObGyn or fertility doctor if you haven't conceived in 1 year. Good wishes.
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Don't wait, get help: 85-90% of normal couples conceive with unprotected sex in 1 year, whether they are trying or not, so "infertility" is defined by failing to conceive i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Not bad or good: A progesterone level of 7.7 - anything over about 1.5 - means only one thing, which is that ovulation has occurred. There really aren't "good" and "b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
DMPA: Failure on DMPA is 1 in 200, or about 0.5%. DMPA will never affect pregnancy test in any way. Good wishes.
Created for people with ongoing healthcare needs but benefits everyone.
2.5k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Mostly yes: but it depends how regular your periods usually are. If you skip 4 months between periods (for example,) a pregnancy test could still be wrong.
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Doubt it: Congratulations, I hope that's good news. "Implantation bleeding" is mostly internet nonsense and really happens rarely if at all. Knowing how regular... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Normal: These results are all in normal limits, so they are "good." Usually an FSH level is done, too - was this done?
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Ultrasound: is the absolute best way to check endometrial thickness. There is no "should" about how thick, it depends why you skip periods: if hypogonadotropic th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Might be: the virus but I'm skeptical. If you are sexually active I strongly recommend a home pregnancy test (today?), if not it's most likely late or skipped o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
I'm worried partly: because I'm not clear what you are asking. You know (I hope) that misoprostol is very likely to cause miscarriage and is given for that reason for me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Sounds unlikely: with that timing, but unprotected sex is unprotected sex. That's the rhythm method which fails about 30% of the time.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
1-2 days before: generally the earliest you should test is 1-2 days before the expected period. If you have a certain ovulation date you can count about 11 days from t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Not too soon: 3 days late on period is definitely not too soon, although sometimes if ovulation was delayed the period may come later than expected. Test again in a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Could be: Could be anovulatory cycle or irregular ovulation, these are the most common reasons (besides pregnancy) for a missed or late period.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
No: This is not a symptom or sign of early pregnancy; suggest you do a pregnancy test around the time of a missed period.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Ovulation: Ovulation takes place at one moment on one day, not over several days. You can sometimes see a +opk for days or weeks, but they are always false posit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Common: Bleeding around ovulation isn't either good or bad, it is experienced by some women. Prenatal definitely will not help you conceive but are very impor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Nope : Just see if your period comes. If it's 2-3 days late, test again.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
How worried are you?: Unprotected sex is unprotected sex; which means you could perfectly well get pregnant, though the chances are less with this timing. If you really don... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Yes, if...: Conception really only happens on the day of ovulation, but since sperm live 3-5 days in a woman's uterus/cervix, pregnancy can result from sex a few... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Not in 400 words: We are limited to short answers. You can ask as many questions as you like free of charge: pick any short question and ask, repeat whenever you like
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Gerard Honoreanswered
Fertility Medicine 31 years experience
Yes it is: Even assuming you knew exactly when ovulation or fertilization happened, a human embryo cannot start implanting until between 6-7 days after fertiliza... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
27
Recommendations
4.4K
Thank you notes
Aug 8, 2013
Highly recommend Dr. Honore. His answers are extremely thoughtful and he provides an extensive amount of education in his answers. Would definitely seek his advice for obstetrics, gynecology, infert...Read More
Oct 31, 2013
Accurate common-sense responses to some difficult questions makes this physician a valuable source of information on Healthtap. He appears not only to have an extensive knowledge base but indicates e...Read More
Apr 13, 2013
Dr. Honore provides an exceptional public service on Healthtap. He is extremely knowledgable about fertility. His responses are mindful, clear, helpful and accurate. I learn alot from the information ...Read More
HealthTap member
Thanks. I'm confused though. you said mirena doesn't cause cysts but in the booklet I got when I had it placed...and this is copy&pasted from the mirena website...10% of mirena users develop cysts on ...Read More
HealthTap member
Thanks doc, but am far away in Nigeria and we are not so medically advance as overseas am so scared for my self....can you specify exact tests that I can undertake, I've done series of transvarginal s...Read More
HealthTap member
Thank you, your answer or tip was very helpful! Thank you. This was my second "high" hcg reading at 2 different labs. It it true that this can be a tumer marker. I have obgyn apt tomorrow
Education & Training
Medical/Graduate school
Wake Forest University School of Medicine, NC
Graduated 1992MD
Medical/Graduate school
Duke University
Graduated 1986MD
Residency
Wake Forest University School of Medicine, NC, 1996
Awards
Top Doctor, Third Place, Texas - Winter
2013
Most Influential, First Place, San Antonio, TX - Winter
2013
Thought Leader, Second Place, San Antonio, TX - Winter
2013
Affiliations
Society of Reproductive Surgeons
American Society for Reproductive Medicine
The Endocrine Society
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