Doctor insights on:
Dhea Ivf Treatment
Outside body: In Vitro Fertilization (IVF) means that fertilization occurs "outside the body" (in vitro). We stimulate the woman's ovaries to mature multiple eggs. We retrieve them in the office with the woman under anesthesia to allow us to suction the eggs with a needle. We combine the sperm with the eggs and culture the embryos. We transfer 1-3 embryos based on woman's age and embryo quality. ...Read moreSee 1 more doctor answer
In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more
Safe; sometimes used: Progesterone or artificial versions (progestins) can be safely used to induce a period for women with pcos who have very few periods (less than 4 a year) or no periods. It does not improve your chances of conceiving because it induces bleeding, not ovulation (egg release). Progesterone can also be given for low Progesterone levels in the 2nd half of a cycle, or to support an early pregnancy. ...Read moreSee 1 more doctor answer
Many options: First find out why the testosterone is low before treatment. If no secondary cause is found, then you can treat using a variety of options: oral pill (not recommended), injection, patch, gel, and products that absorb through your gum (buccal). Talk to your doctor about the appropriateness of each option for you individually. ...Read moreSee 1 more doctor answer
Testosteron 3.23 ng/ml;free test.6.64 pg/ml;fsh 4.8 and LH 2.9 miu/ml. What treatment is best to follow?
Need Re-Assessment: Current testosterone assays across the country are not as reliable as we would like. Therefore we recommend doing testosterone levels at least 2-3 times in the morning and also using clinical tool to decide of you have low testosterone. Prolactin level has to be checked too. You need to see an endocrinologist. ...Read more
Pregnancy: It is difficult to put a number for what your success may be. These tests also are not predictive of pregnancy rather your response to fertility treatment medications during ivf. Your chances may not be as high as someone your same age with normal ovarian reserve. However, your age places you at a high chance in general. Good luck. ...Read moreSee 1 more doctor answer
It can be: Letrozole (femara) is an anti-estrogen that tricks the brain (pituitary) into making more fsh which can increase the number of eggs produced in a cycle. It is not as effective as ivf or injectable medications and is usually used in women younger than age 40 for infertility. Please see: http://www.Asrm.Org/medications_for_inducing_ovulation/ for more information. ...Read more
Is testosterone treatment for aging men comparable for hormone replacement therapy for menopausal women?
Yes: Having been in this situation, i can tell you that balancing out hormones in men is just as important as doing so for women. Men lose their sex drive, become Insulin resistant, lose their vitality. I'll post a page later that describes my own personal treatment success. I feel great at almost 52 years of age. ...Read moreSee 4 more doctor answers
What would you suggest as treatment of pcos (elevated total testosterone and lh) while ttc? ( when insurance doesn't cover infertility treatments)
Weight control: I know you probably don't want to hear this but weight loss is the best treatment for pcos. ...Read more
What are the ovulation success rates on low (50iu) FSH injections in Clomid (clomiphene) resistance patients?
Good rates, long tim: Fsh will usually stimulate the ovaries very well. The concern is that too many eggs will stimulate and that is why we use a low dose protocol when not doing ivf. The key is patience. It may take 3-4 weeks of injections before the ovulation will occur. If little effect the dose is increased. Sometimes too many eggs will become mature anyway and the cycle will need to be cancelled. ...Read moreSee 1 more doctor answer
Once the corpus: Luteum (maturing egg) starts producing estrogen/progesterone, it feedbacks to the hypothalamus and pituitary gland to inhibit gnrh/lh/fsh production. Clomid (clomiphene) selectively inhibits the estrogen receptor in the hypothalmus which 'tricks' the body to release more fsh, which inturn causes growth of more ovarian follicles, and subsequently rupture of follicles resulting in ovulation to increase fertility. ...Read more
Take Clomid (clomiphene) befor1year.test result-Prolacting18.99ng/ml,TSH3.24ulU/ml,T41.30ng/dl & husband sperm test normal(6yers try4baby)IUI or IVF suit for me?
6y no baby: I would say after 6y of trying that you should have IVF. IUI can be tried, but less likely to work. You state you have been pregnant before, but if you can't sustain pregnancy pregnancy due to uterine factors, then your only option may be surrogate. See a fertility specialist regarding all these possibilities. ...Read more
First cycle clomid (clomiphene).
Estradiol 1983 Pmol/l
LH 65.82 Miu/ml
Progesterone 8.45 Nmol/l
Dr said don't need HCG trigger shot? Is this ok?
Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more
Clomid (clomiphene) is an estro receptor.Brain needs estrogen surge to release lh.Which means ppl on Clomid (clomiphene) don't have LH surge?How egg burst out?
Got confused?: You are getting yourself confused. Clomid (clomiphene) is not an 'estro receptor' at all; it is mainly an estrogen receptor antagonist, but it has pro-estrogenic actions in some tissues and anti-estrogenic actions in others. Women on Clomiphene do mostly have an lh surge; not surging means the Clomiphene dose was likely too low. ...Read more
Zero sperm and small testis is there any treatment except tube children (IVF)
Fsh: 9.1 IU/L , LH : 5.72 IU/L ,testo total 9.7nprolactin : 245.7mIU/L
High prolactin: Elevated prolactin can indicate a pituitary tumor (benign) which can interfere with hormone production and sperm levels, in addition to small testicle size. Ask your healthcare provider to order a CT scan of your skull to rule out a pituitary tumor. There are medications which can treat this condition, not just surgery. With "zero" sperm, even IVF is not possible. ...Read more
Zero sperm and small testis is there any treatment except tube children (IVF) Fsh: 9.1 IU/L , LH : 5.72 IU/L ,testo total 9.7nprolactin : 245.7mIU/L ?
Zero sperm: IVF or test tube babies is an option only if sperm can be obtained surgically from the testes directly. However, if no sperm can be obtained surgically, then donor sperm it's an option. See a male fertility urologist first in case any medical treatment is available in your case. ...Read more
What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.
Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more
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